Trial reportThorax2003
Self-management of asthma in general practice, asthma control and quality of life: a randomised controlled trial.
Trial report in Thorax, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 6 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
32 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Personalised asthma action plans for adults with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Chronic disease management programmes for adults with asthma.The Cochrane database of systematic reviews · 2015Pooled it
- Digital asthma self-management interventions: a systematic review.Journal of medical Internet research · 2014Pooled it
- [Can we improve management and control of chronic diseases?].Atencion primaria · 2006Pooled it
- Summary of recommendations from the Canadian Asthma Consensus guidelines, 2003.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005Guideline
- Asthma worsenings: approaches to prevention and management from the Asthma Worsenings Working Group.Canadian respiratory journalGuideline
- Trial
- Long-term outcomes of internet-based self-management support in adults with asthma: randomized controlled trial.Journal of medical Internet research · 2013Trial
- House dust mite allergen avoidance and self-management in allergic patients with asthma: randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Trial
- Economic assessment of adjustable maintenance treatment with budesonide/formoterol in a single inhaler versus fixed treatment in asthma.PharmacoEconomics · 2005Trial
- Can a self-management programme delivered by a community pharmacist improve asthma control? A randomised trial.Thorax · 2003Trial
- Assessment of Inhaled Corticosteroid Adherence in Adults with Severe Asthma Receiving Biologic Therapy: A Retrospective Observational Study.Journal of asthma and allergy · 2026Article
- An asthma self-management program based on WeChat to improve asthma control and quality of life: a randomized controlled trial.Frontiers in allergy · 2025Article
- Article
- Level of asthma control and its determinants among adults living with asthma attending selected public hospitals in northwestern, Ethiopia: using an ordinal logistic regression model.Asthma research and practice · 2022Article
- Effects of an Asthma Education Camp Program on Quality of Life and Asthma Control among Thai Children with Asthma: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2022Article
- Article
- Evaluation of the psychometric properties of the Greek version of the Active Life with Asthma (Gr-ALMA) review: a descriptive methodological study.BMC health services research · 2019Article
- Article
- Asthma Action Plan Receipt among Children with Asthma 2-17 Years of Age, United States, 2002-2013.The Journal of pediatrics · 2016Article
Corrections and comments
- Commented on by
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA study was undertaken to determine the effectiveness of asthma self-management in general practice.
methodsNineteen general practices were randomly allocated to usual care (UC) or self-management (SM). Asthma patients were included after confirmation of the GP diagnosis. Follow up was 2 years. Patients kept diary cards and visited the lung function laboratory every 6 months. Outcomes were number of successfully treated weeks, limited activity days, asthma specific quality of life, forced expiratory volume in 1 second (FEV(1)), FEV(1) reversibility, concentration of histamine provoking a fall in FEV(1) of 20% or more (PC(20) histamine), and amount of inhaled steroids.
resultsA total of 214 patients were included in the study (104 UC/110 SM; one third of the total asthma population in general practice); 62% were female. The mean percentage of successfully treated weeks per patient in the UC group was 72% (74/103 weeks) compared with 78% (81/105 weeks) in the SM group (p=0.003). The mean number of limited activity days was 1.2 (95% CI 0.5 to 1.9) in the SM group and 3.9 (95% CI 2.5 to 5.4) in the UC group. The estimated increase in asthma quality of life score was 0.10 points per visit in the UC group and 0.21 points per visit in the SM group (p=0.055). FEV(1), FEV(1) reversibility, and PC(20) histamine did not change. There was a saving of 217 puffs of inhaled steroid per patient in favour of the SM group (p<0.05).
conclusionSelf-management lowers the burden of illness as perceived by patients with asthma and is at least as effective as the treatment usually provided in Dutch primary care. Self-management is a safe basis for intermittent treatment with inhaled corticosteroids.
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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.