title: A web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers.
abstract: OBJECTIVE
  To evaluate limited English proficiency (LEP) Latino caregiver asthma knowledge after exposure to an educational video designed for this target group.
  
  
  METHODS
  A cross-sectional, interventional study was performed. We aimed to evaluate the post-test impact on asthma knowledge from baseline after exposure to a patient-centered, evidence-based, and professionally produced Spanish asthma educational video. Participants included LEP Latino caregivers of children 2-12 years old with persistent asthma. Enrollment was performed during ED encounters or scheduled through a local community organization. Asthma knowledge was measured with a validated Spanish parental asthma knowledge questionnaire. Differences in mean scores were calculated with a paired t-test.
  
  
  RESULTS
  Twenty caregivers were enrolled. Participants included mothers (100%) from Puerto Rico (75%), with a high-school diploma or higher (85%), with no written asthma action plan (65%), whose child's asthma diagnosis was present for at least 3 years (80%). Mean baseline asthma knowledge scores improved 8 points from 58.4 to 66.4 after watching the educational video (95% CI 5.3-10.7; t(19) = 6.21, p < 0.01). Knowledge improvements were similar across the ED and community groups. Knowledge gains were observed in the areas of ED utilization, medication usage, and activity limitations.
  
  
  CONCLUSIONS
  The developed educational video improved caregiver asthma knowledge for a Latino population facing communication barriers to quality asthma care. Dissemination of this educational resource to LEP caregivers has the potential to improve pediatric asthma care in the United States.
authors: a Yale University School of Medicine, Pediatric Emergency Medicine , New Haven , CT , USA.
authors: Antonio
authors: A
authors: Riera
authors: b Junta for Progressive Action , New Haven , CT , USA.
authors: Agueda
authors: A
authors: Ocasio
authors: a Yale University School of Medicine, Pediatric Emergency Medicine , New Haven , CT , USA.
authors: Gunjan
authors: G
authors: Tiyyagura
authors: c University of Washington School of Medicine, Pediatric Emergency Medicine , Seattle , WA , USA.
authors: Anita
authors: A
authors: Thomas
authors: d Yale-New Haven Children's Hospital, Pediatric Respiratory Medicine , New Haven , CT , USA.
authors: Patricia
authors: P
authors: Goncalves
authors: e University of Pennsylvania , Philadelphia , PA , USA.
authors: Lauren
authors: L
authors: Krumeich
authors: f University of California Los Angeles, Emergency Medicine , Los Angeles , CA , USA.
authors: Kyle
authors: K
authors: Ragins
authors: b Junta for Progressive Action , New Haven , CT , USA.
authors: Sandra
authors: S
authors: Trevino
authors: b Junta for Progressive Action , New Haven , CT , USA.|g Yale University School of Medicine, Emergency Medicine , New Haven , CT , USA.
authors: Federico E
authors: FE
authors: Vaca
mesh_terms: D000328:Adult; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use; D001249:Asthma / Q000188:drug therapy / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino; D006801:Humans; D020407:Internet; D007802:Language; D008297:Male; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D011647:Puerto Rico / Q000208:ethnology; D012959:Socioeconomic Factors
chemical_list: D018927:Anti-Asthmatic Agents
keywords: Education; Latino; asthma knowledge; limited English proficiency; pediatrics; web