Trial reportBMJ (Clinical research ed.)2003
Proactive asthma care in childhood: general practice based 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. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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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
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Interventions to modify health care provider adherence to asthma guidelines: a systematic review.Pediatrics · 2013Pooled it
- Primary care based clinics for asthma.The Cochrane database of systematic reviews · 2012Pooled it
- A cluster-randomized trial shows telephone peer coaching for parents reduces children's asthma morbidity.The Journal of allergy and clinical immunology · 2015Trial
- Mapping Randomized Controlled Trials of Family- and Community-Centered Healthcare Interventions for Pediatric Asthma, Type 1 Diabetes, or Juvenile Idiopathic Arthritis-A Scoping Review.Children (Basel, Switzerland) · 2026Review
- A woman with asthma: a whole systems approach to supporting self-management.NPJ primary care respiratory medicine · 2014Article
- Article
- Using a knowledge translation framework to implement asthma clinical practice guidelines in primary care.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2012Article
- A question of quality? A single questionnaire for measuring asthma control, structuring asthma reviews, and monitoring health service standards.Primary care respiratory journal : journal of the General Practice Airways Group · 2012Article
- Educational and behavioral interventions for asthma: who achieves which outcomes? A systematic review.Journal of asthma and allergy · 2010Article
- A Danish population-based cohort study of newly diagnosed asthmatic children's care pathway - adherence to guidelines.BMC health services research · 2008Article
- Management of paediatric asthma.Postgraduate medical journal · 2004Review
- Proactive asthma care does not suit everyone.BMJ (Clinical research ed.) · 2003Article
- Low parental literacy is associated with worse asthma care measures in children.Ambulatory pediatrics : the official journal of the Ambulatory Pediatric AssociationArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the feasibility and effectiveness of a general practice based, proactive system of asthma care in children.
designRandomised controlled trial with cluster sampling by general practice.
settingGeneral practices in the northern region of the Australian Capital Territory.
participants174 children with moderate to severe asthma who attended 24 general practitioners.
interventionSystem of structured asthma care (the 3+ visit plan), with participating families reminded to attend the general practitioner.
main outcome measuresProcess measures: rates for asthma consultations with general practitioner, written asthma plans, completion of the 3+ visit plan; clinical measures: rates for emergency department visits for asthma, days absent from school, symptom-free days, symptoms over the past year, activity limitation over the past year, and asthma drug use over the past year; spirometric lung function measures before and after cold air challenge.
resultsIntervention group children had significantly more asthma related consultations (odds ratio for three or more asthma related consultations 3.8 (95% confidence interval 1.9 to 7.6; P = 0.0001), written asthma plans (2.2 (1.2 to 4.1); P = 0.01), and completed 3+ visit plans (24.2 (5.7 to 103.2); P = 0.0001) than control children and a mean reduction in measurements of forced expiratory volume in one second after cold air challenge of 2.6% (1.7 to 3.5); P = 0.0001) less than control children. The number needed to treat (benefit) for one additional written asthma action plan was 5 (3 to 41) children. Intervention group children had lower emergency department attendance rates for asthma (odds ratio 0.4 (0.2 to 1.04); P = 0.06) and less speech limiting wheeze (0.2 (0.1 to 0.4); P = 0.0001) than control children and were more likely to use a spacer (2.8 (1.6 to 4.7); P = 0.0001). No differences occurred in number of days absent from school or symptom-free day scores.
conclusionsProactive care with active recall for children with moderate to severe asthma is feasible in general practice and seems to be beneficial.
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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.