Trial reportThorax2002
Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomised controlled trial.
Trial report in Thorax, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Effects of caregiver-involved interventions on the quality of life of children and adolescents with chronic conditions and their caregivers: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Pooled it
- Caseworker-assigned discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness.The Cochrane database of systematic reviews · 2018Pooled it
- Pooled it
- Pooled it
- Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2011Pooled it
- Interventions for educating children who are at risk of asthma-related emergency department attendance.The Cochrane database of systematic reviews · 2009Pooled it
- Family therapy for chronic asthma in children.The Cochrane database of systematic reviews · 2005Pooled it
- Sociodemographic Differences in Asthma Self-Management Knowledge of Parents Seeking Asthma Care for their Children in Pediatric Emergency Departments.Journal of health care for the poor and underserved · 2021Trial
- Preschoolers' and parents' asthma education trial (P2AET)--a randomized controlled study.European journal of pediatrics · 2010Trial
- Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma (ELECTRA).BMJ (Clinical research ed.) · 2004Trial
- Trial
- Effect of an emergency department-based educational intervention on medication adherence and disease understanding after acute myocardial infarction in Tanzania.Frontiers in public health · 2026Article
- Understanding and Managing Viral-Induced Wheezing in Children: The Role of Parental Knowledge.Journal of asthma and allergy · 2025Article
- Practical integrated healthcare prevention and management of children's health quality of respiratory functions: a systematic review.BMJ public health · 2025Article
- Supported self-management for asthma.Breathe (Sheffield, England) · 2015Review
- The management of pre-school wheeze.Paediatric respiratory reviews · 2011Review
- A community-based strategy for improving asthma management and outcomes for preschoolers.Journal of urban health : bulletin of the New York Academy of Medicine · 2011Article
- Current guidelines for the management of asthma in young children.Allergy, asthma & immunology research · 2010Article
- Childhood asthma in the emergency department: trends, challenges, and opportunities.Current allergy and asthma reports · 2006Review
- Implementation of evidence based guidelines for paediatric asthma management in a teaching hospital.Archives of disease in childhood · 2004Article
Corrections and comments
- Commented on by
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effects on morbidity were examined of providing an educational intervention and a written guided self-management plan to the parents of pre-school children following a recent attendance at hospital for asthma or wheeze.
methodsA prospective, randomised, partially blinded, controlled trial was designed at two secondary care centres. Over a 13 month period 200 children aged 18 months to 5 years at the time of admission to a children's ward or attendance at an accident and emergency department or children's (emergency) assessment unit (A&E/CAU) with a primary diagnosis of acute severe asthma or wheezing were recruited. 101 children were randomised into the control group and received usual care and 99 were assigned to the intervention group and received: (1) a pre-school asthma booklet; (2) a written guided self-management plan; and (3) two 20 minute structured educational sessions between a specialist respiratory nurse and the parent(s) and child. Subjects were assessed at 3, 6, and 12 months. The main outcomes were GP consultation rates, hospital re-admissions, and attendances at A&E/CAU. Secondary outcomes included disability score, caregivers' quality of life, and parental knowledge of asthma.
resultsThere were no statistically significant differences between the two groups during the 12 month follow up period for any of the main or secondary outcome measures.
conclusionsThese results do not support the hypothesis that the introduction of an educational package and a written guided self-management plan to the parents of pre-school children with asthma who had recently attended hospital for troublesome asthma or wheeze reduces morbidity over the subsequent 12 months.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.