SynthesisBMJ (Clinical research ed.)2003
Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis.
Synthesis 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 NCT01447459 (Effects of Educational Intervention on Long-Term Outcomes of Hospitalized Children With Asthma), which is not on this map. Cited by 124 papers, 12 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.
Effects of Educational Intervention on Long-Term Outcomes of Hospitalized Children With Asthma
Who cites it
124 citing papers in PubMed, 12 syntheses or guidelines pooled it, 583 citations in OpenAlex.
- Guideline
- School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for autumn exacerbations of asthma in children.The Cochrane database of systematic reviews · 2018Pooled it
- Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views.NPJ primary care respiratory medicine · 2017Pooled it
- Shared decision-making for people with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Psychological and educational interventions for atopic eczema in children.The Cochrane database of systematic reviews · 2014Pooled it
- A systematic review of self-management interventions for children and youth with physical disabilities.Disability and rehabilitation · 2014Pooled it
- Do school-based asthma education programs improve self-management and health outcomes?Pediatrics · 2009Pooled it
- Effects of asthma education on children's use of acute care services: a meta-analysis.Pediatrics · 2008Pooled 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
- The efficient use of smartphone apps to improve the level of asthma knowledge.Journal of medicine and life · 2022Trial
- Long-term Effectiveness of a Peer-Led Asthma Self-management Program on Asthma Outcomes in Adolescents Living in Urban Areas: A Randomized Clinical Trial.JAMA network open · 2021Trial
- Improving self-management in adolescents with sickle cell disease.Pediatric blood & cancer · 2020Trial
- Utilization of a patient-centered asthma passport tool in a subspecialty clinic.The Journal of asthma : official journal of the Association for the Care of Asthma · 2018Trial
- Patient participation in postoperative care activities in patients undergoing total knee replacement surgery: Multimedia Intervention for Managing patient Experience (MIME). Study protocol for a cluster randomised crossover trial.BMC musculoskeletal disorders · 2016Trial
- Does a written asthma action plan reduce unscheduled doctor visits in children?Indian journal of pediatrics · 2013Trial
- Cost-utility analysis of a pharmacy-led self-management programme for patients with COPD.International journal of clinical pharmacy · 2011Trial
- Preschoolers' and parents' asthma education trial (P2AET)--a randomized controlled study.European journal of pediatrics · 2010Trial
64 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo determine the effectiveness of educational programmes for the self management of asthma in children and adolescents. DATA SOURCES: Databases of the Cochrane Airways Group, PsychINFO, reference lists of review papers, and eligible studies. REVIEW
methodsEligible studies were published randomised controlled trials or controlled clinical trials of educational programmes for the self management of asthma in children and adolescents that reported lung function, morbidity, self perception of asthma control, or utilisation of healthcare services. Eligible studies were abstracted, assessed for methodological quality, and pooled with fixed effects and random effects models.
results32 of 45 identified trials were eligible, totalling 3706 patients aged 2 to 18 years. Education in asthma was associated with improved lung function (standardised mean difference 0.50, 95% confidence interval 0.25 to 0.75) and self efficacy (0.36, 0.15 to 0.57) and reduced absenteeism from school (-0.14, -0.23 to -0.04), number of days of restricted activity (-0.29, -0.33 to -0.09), and number of visits to an emergency department (-0.21, -0.33 to -0.09). When pooled by the fixed effects model but not by the random effects model, education was also associated with a reduced number of nights disturbed by asthma. The effect on morbidity was greatest among programmes with strategies based on peak flow, interventions targeted at the individual, and participants with severe asthma.
conclusionsEducational programmes for the self management of asthma in children and adolescents improve lung function and feelings of self control, reduce absenteeism from school, number of days with restricted activity, number of visits to an emergency department, and possibly number of disturbed nights. Educational programmes should be considered a part of the routine care of young people with asthma.
Indexed as
Identifiers
What OpenQuestion holds
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.