Insights into how Malaysian adults with limited health literacy self-manage and live with asthma: A Photovoice qualitative study

Salim, Hani and Young, Ingrid and Lee, Ping Yein and Shariff-Ghazali, Sazlina and Pinnock, Hilary and Collaboration, RESPIRE (2022) Insights into how Malaysian adults with limited health literacy self-manage and live with asthma: A Photovoice qualitative study. Health Expectations, 25 (1). pp. 163-176. ISSN 1369-6513, DOI

Full text not available from this repository.


Background Adjusting to life with a chronic condition is challenging, especially for people with limited health literacy, which is associated with low compliance with self-management activities and poor clinical outcomes. Objective We explored how people with limited health literacy understand asthma and undertake self-management practices. Design We adapted the arts-based qualitative methodology Photovoice. Setting and Participants We sampled ethnically diverse adults with asthma and limited health literacy from four primary healthcare clinics in Malaysia. After a semistructured in-depth interview, a subset of participants took part in the Photovoice component in which participants undertook a 2-week photo-taking activity and subsequent photo-interview. Interviews, conducted in participants' preferred language, were audio-recorded, transcribed verbatim, translated and analysed thematically. We used the Sorensen's framework (Domains: access, understand, appraise, apply) to describe participants' experience of living with asthma, what they understood about asthma and how they decided on self-management practices. Results Twenty-six participants provided interviews; eight completed the Photovoice activities. Participants with limited health literacy used various sources to access information about asthma and self-management. Doctor-patient communication had a pivotal role in helping patients understand asthma. The lack of appraisal skills was significant and experiential knowledge influenced how they applied information. Self-management decisions were influenced by sociocultural norms/practices, stigmatizing experiences, and available social support. Conclusion Locally tailored multilevel interventions (interpersonal, health system, community and policy) will be needed to support people with limited health literacy to live optimally with their asthma in an ethnically diverse population. Patient/Public Contribution Patients were involved in the study design, recruitment, analysis and dissemination.

Item Type: Article
Funders: UK National Institute for Health Research (NIHR) Global Health Research Unit on Respiratory Health (RESPIRE) [16/136/109], Academy of Family Physician, Malaysia [AFPM/ADMIN/HS/2019]
Uncontrolled Keywords: Asthma; Health literacy; low- and-middle-income country; Photovoice; qualitative; supported self-management
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 27 Apr 2022 04:15
Last Modified: 27 Apr 2022 04:15

Actions (login required)

View Item View Item