Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Leslie Scott

Clinical Mentor

Erin Wilson

Committee Member

Dr. Diana Inman


PURPOSE: The purpose of this project is to determine if there is a correlation between a guardian’s health literacy and their knowledge of their child’s asthma management.

METHODS: This is a cross-sectional study conducted in the University of Kentucky Pediatric Pulmonology Clinic in Lexington, Kentucky. The analysis focused on how a parent’s health literacy level effected their asthma knowledge. The Rapid Estimation of Adult Literacy in Medicine-Short Form was used to measure health literacy. An asthma knowledge questionnaire with a Likert-scale design was used to measure asthma knowledge. The sample included eight parents of children with an asthma diagnosis collected between January 2019 and March 2019.

RESULTS: A Spearman’s Rho correlation test was conducted. However, the results were not shown to be statistically significant, possibly due to a small sample size and limited variability in REALM-SF scores. When comparing the average scores of participants with a high school REALM-SF score to the participant with a middle school REALM-SF score, there was an 8-point difference in asthma knowledge.

CONCLUSION: While the study results were not statistically significant, if the study was repeated with a larger sample size and more variability in REALM-SF scores there may be a statistically significant difference. Health literacy could be a guiding factor in how to educate patients and families.