Trial reportBMJ (Clinical research ed.)2003
Accessibility, acceptability, and effectiveness in primary care of routine telephone review of asthma: pragmatic, randomised controlled trial.
Trial report in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00129701 (Proposal to Study Whether we Can Reduce Hospital Attendance by Those With Respiratory Conditions Without Compromising Care by the Use of Telephone Consultation), which is not on this map. Cited by 52 papers, 9 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.
Proposal to Study Whether we Can Reduce Hospital Attendance by Those With Respiratory Conditions Without Compromising Care by the Use of Telephone Consultation
Who cites it
52 citing papers in PubMed, 9 syntheses or guidelines pooled it, 162 citations in OpenAlex.
- Effectiveness and Acceptability of Asynchronous Digital Health in Asthma Care: Mixed Methods Systematic Review.Journal of medical Internet research · 2024Pooled it
- Systematic meta-review of supported self-management for asthma: a healthcare perspective.BMC medicine · 2017Pooled it
- Training interventions for improving telephone consultation skills in clinicians.The Cochrane database of systematic reviews · 2017Pooled it
- Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- Telehealthcare for asthma: a Cochrane review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2011Pooled it
- Telehealthcare for asthma.The Cochrane database of systematic reviews · 2010Pooled it
- [Can we improve management and control of chronic diseases?].Atencion primaria · 2006Pooled it
- Systematic review of recent innovations in service provision to improve access to primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Pooled it
- Exploring the variation in implementation of a COPD disease management programme and its impact on health outcomes: a post hoc analysis of the RECODE cluster randomised trial.NPJ primary care respiratory medicine · 2015Trial
- Trial
- Goal-setting intervention in patients with active asthma: protocol for a pilot cluster-randomised controlled trial.Trials · 2013Trial
- 'PhysioDirect' telephone assessment and advice services for physiotherapy: protocol for a pragmatic randomised controlled trial.BMC health services research · 2009Trial
- Accessibility, clinical effectiveness, and practice costs of providing a telephone option for routine asthma reviews: phase IV controlled implementation study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Trial
- Targeted routine asthma care in general practice using telephone triage.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Trial
- Cost-effectiveness of telephone or surgery asthma reviews: economic analysis of a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005Trial
- Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025Article
- Undertaking multi-centre randomised controlled trials in primary care: learnings and recommendations from the PULsE-AI trial researchers.BMC primary care · 2024Article
- Article
- Asynchronous digital health interventions for reviewing asthma: A mixed-methods systematic review protocol.PloS one · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether routine review by telephone of patients with asthma improves access and is a good alternative to face to face reviews in general practices.
designPragmatic, randomised controlled trial.
settingFour general practices in England.
participants278 adults who had not been reviewed in the previous 11 months.
interventionParticipants were randomised to either telephone review or face to face consultation with the asthma nurse.
main outcome measuresPrimary outcome measures were the proportion of participants who were reviewed within three months of randomisation and disease specific quality of life, as measured by the Juniper mini asthma quality of life questionnaire. Secondary outcome measures included the validated "short Q" asthma morbidity score, nursing care satisfaction questionnaire score, and length of consultation.
resultsOf 137 people randomised to telephone consultation, 101 (74%) were reviewed, compared with 68 reviewed (48%) of the 141 people in the surgery group, a difference of 26% (95% confidence interval 14% to 37%; P<0.001; number needed to treat 3.8). Three months after randomisation the two groups did not differ in the Juniper score (risk difference -0.07 (95% confidence interval -0.40 to 0.27) or in satisfaction with the consultation (risk difference -0.07 (-0.27 to 0.13)). Telephone consultations were on average 10 minutes shorter than reviews held in the surgery (mean difference 10.7 minutes (12.6 to 8.8; P<0.001)).
conclusionsCompared with face to face consultations in the surgery, telephone consultations enable more people with asthma to be reviewed, without clinical disadvantage or loss of satisfaction. A shorter duration means that telephone consultations are likely to be an efficient option in primary care for routine review of asthma.
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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.