Publication Date


Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Richard Keegan

Second Advisor

Lauren Hiyama

Third Advisor

Ralph Diaz


Asthma, California, Hispanic, Hispanic adult, Limited English Proficiency, health literacy


The effects of LEP are well documented in the literature. LEP decreases medication adherence, causes ineffective communication between patients and providers, and reduces health outcomes. Asthma is known to be misdiagnosed and under-treated in Hispanic adults. There are discrepancies in the literature about the effects of LEP in Hispanic adults with persistent asthma.

The purpose of this study was to determine if the presence of LEP is associated with medication adherence behaviors and adverse asthma outcomes in Hispanic adults with moderate to severe persistent asthma. Hispanic adults with LEP were assessed for asthma outcomes and medication adherence behaviors.

The results of this study revealed that there is no correlation between the level of English proficiency, asthma outcomes, and medication adherence behaviors in Hispanic adults with LEP. These findings are a fundamental step towards mitigating the current gaps in the literature. With the Hispanic population on the rise, further research is needed to develop effective interventions that will advance the delivery of asthma care and relieve the burdens of asthma management in Hispanic adults struggling with LEP.


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