Reference range number line format preferred by adults for display of asthma control status

J Asthma. 2020 Jun;57(6):638-644. doi: 10.1080/02770903.2019.1590597. Epub 2019 Apr 3.

Abstract

Objective: Optimal asthma self-management requires an accurate understanding of one's asthma control status. Tailored infographics are a promising way of conveying status information but little is known about which formats are effective at supporting comprehension while also being appealing to adults with asthma.Methods: In this focus group study, we compared two formats to display Asthma Control Questionnaire (ACQ) scores: a stoplight graphic and a reference range number line (RRNL).Results: Both formats supported comprehension but the RRNL was strongly preferred for its informativeness and for cueing participants to consider the self-management strategies they should undertake to improve their asthma control.Conclusions: The RRNL format may have broad appeal and can be adapted to numerous clinical variables for low health literacy patient-facing displays, as in patient portals. However, until viewers are familiar with the format, use as a communication tool in the context of a clinical visit is recommended to forestall undue alarm over abnormal/out-of-range values.

Keywords: Self-management; comprehension; focus groups; health communication; health literacy; infographics.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Asthma / diagnosis*
  • Communication
  • Comprehension
  • Female
  • Focus Groups
  • Health Literacy
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Reference Values
  • Self-Management
  • Severity of Illness Index*