Picture-based Asthma Action Plans show promise for overcoming parental literacy barriers and improving child asthma outcomes, but it is uncertain how parents respond to pictures of specific medications, which may be particularly important for improving disease self-management. Thus, we assessed parent attitudes toward an asthma-related picture-based medication plan (PBMP) in an urban academic pediatric clinic and examined attitudes by literacy level. Surveys were administered to a convenience sample of parents of children presenting to an urban pediatric pulmonary clinic for asthma consultation between March and August 2011. The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) was administered to parents. Parents indicated their level of agreement with 9 statements on the potential usefulness of the PBMP: (1) before being shown a PBMP; and (2) after seeing the doctor. McNemar's tests showed that the proportion of high-literate parents (≥9th grade reading level) who endorsed the potential benefits of the PBMP after the clinical encounter was significantly higher than before the clinical encounter. A high proportion of low-literate parents (<9th grade reading level) consistently endorsed the PBMP before and after the clinical encounter. Among a diverse sample seen in an urban asthma clinic, parents of all literacy levels endorse PBMPs as useful, especially after using them in clinical encounters.

中文翻译：

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城市儿科门诊基于图片的哮喘药物治疗计划的可行性。


基于图片的哮喘行动计划有望克服父母的读写障碍和改善儿童哮喘的结果，但尚不确定父母对特定药物的图片有何反应，这对于改善疾病的自我管理可能特别重要。因此，我们在城市学术儿科诊所评估了家长对哮喘相关的基于图片的药物计划（PBMP）的态度，并按识字水平检查了态度。对 2011 年 3 月至 8 月期间到城市儿科肺部诊所进行哮喘咨询的儿童家长进行了方便抽样调查。对家长进行了成人医学素养简表 (REALM-SF) 快速评估。家长对有关 PBMP 潜在用途的 9 项陈述表达了他们的同意程度： (1) 在展示 PBMP 之前； (2) 看医生后。 McNemar 的测试显示，高文化程度家长（≥9 年级阅读水平）在临床就诊后认可 PBMP 潜在益处的比例显着高于临床就诊前。很大比例的低文化程度家长（<9 年级阅读水平）在临床遭遇前后一致认可 PBMP。在城市哮喘诊所看到的多样化样本中，所有文化水平的家长都认为 PBMP 有用，尤其是在临床中使用它们之后。