Evidence map›Paper›PMID 18061648›Full record

Trial reportThe Journal of allergy and clinical immunology2008

Reducing asthma health disparities in poor Puerto Rican children: the effectiveness of a culturally tailored family intervention.

Glorisa Canino, Doryliz Vila, Sharon-Lise T Normand, Edna Acosta-Pérez, Rafael Ramírez, Pedro García, Cynthia Rand

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 9 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 9 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. 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 · 2019
    Pooled it
  5. Pooled it
  6. Assessing asthma severity based on claims data: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2017
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Parental quality of life and self-efficacy in pediatric asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021
    Trial
  13. Trial
  14. Effectiveness of a multi-level asthma intervention in increasing controller medication use: a randomized control trial.The Journal of asthma : official journal of the Association for the Care of Asthma · 2016
    Trial
  15. Stress and quality of life in caregivers of inner-city minority children with poorly controlled asthma.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  16. Review
  17. Review
  18. Caregiver Empowerment of Children With Asthma: A Literature Review.Journal for specialists in pediatric nursing : JSPN · 2026
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Glorisa CaninoUniversity of Puerto Rico, Medical Sciences Campus, Behavioral Sciences Institute, San Juan, Puerto Rico 00936-5067. gcanino@rcm.upr.edu
Doryliz Vila
Sharon-Lise T Normand
Edna Acosta-Pérez
Rafael Ramírez
Pedro García
Cynthia Rand
University of Puerto Rico, Medical Sciences Campus · PRHarvard University · USJohns Hopkins University · US

Funding

UPR/CHA Exploratory EXPORT Center: Bridging CommunitiesP20MD000537 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI CANINO, GLORISA J · 2003 to 2006
$6.5M
Project 1: Improving Clinical Assessment of Diagnosis for Latinos (261-295)P50MH073469 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI ALEGRIA, MARGARITA · 2005 to 2009
$4.6M
NIMHD NIH HHS P20 MD000537NIMHD NIH HHS P20 MD000537-01NIMH NIH HHS P50 MH073469PHS HHS 1P50 MHO 73469-01
6 · The paper itself

Abstract

backgroundIsland and mainland Puerto Rican children have the highest rates of asthma and asthma morbidity of any ethnic group in the United States.

objectiveWe evaluated the effectiveness of a culturally adapted family asthma management intervention called CALMA (an acronym of the Spanish for "Take Control, Empower Yourself and Achieve Management of Asthma") in reducing asthma morbidity in poor Puerto Rican children with asthma.

methodsLow-income children with persistent asthma were selected from a national health plan insurance claims database by using a computerized algorithm. After baseline, families were randomly assigned to either the intervention or a control group.

resultsNo significant differences between control and intervention group were found for the primary outcome of symptom-free days. However, children in the CALMA intervention group had 6.5% more symptom-free nights, were 3 times more likely to have their asthma under control, and were less likely to visit the emergency department and be hospitalized as compared to the control group. Caregivers receiving CALMA were significantly less likely to feel helpless, frustrated, or upset because of their child's asthma and more likely to feel confident to manage their child's asthma.

conclusionA home-based asthma intervention program tailored to the cultural needs of low income Puerto Rican families is a promising intervention for reducing asthma morbidity.

Indexed as

Health Knowledge, Attitudes, PracticeAnti-Asthmatic AgentsAsthmaCaregiversChildChild, PreschoolCultureFamilyHispanic or LatinoHumansPatient Education as TopicPovertyPuerto RicoSocioeconomic FactorsAnti-Asthmatic Agents

Identifiers

PMID18061648
PMCPMC3136215
OpenAlexW1995100515

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.