Trial reportPediatrics2009
Increasing adherence to inhaled steroid therapy among schoolchildren: randomized, controlled trial of school-based supervised asthma therapy.
Trial report in Pediatrics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 46 papers, 2 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.
The Evaluation of Education With Cartoon's Effectiveness on Disease Management of the Children With Asthma
Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence
Who cites it
46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- 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 to improve adherence to inhaled steroids for asthma.The Cochrane database of systematic reviews · 2017Pooled it
- A Pilot Pragmatic Cluster Randomized Trial of School-Supervised Therapy to Improve Pediatric Asthma Control.The journal of allergy and clinical immunology. In practice · 2025Trial
- A pilot school-based health center intervention to improve asthma chronic care in high-poverty schools.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Trial
- Effect of the School-Based Asthma Care for Teens (SB-ACT) program on asthma morbidity: a 3-arm randomized controlled trial.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Trial
- School-supervised use of a once-daily inhaled corticosteroid regimen: A cluster randomized trial.The Journal of allergy and clinical immunology · 2019Trial
- Effect of the School-Based Telemedicine Enhanced Asthma Management (SB-TEAM) Program on Asthma Morbidity: A Randomized Clinical Trial.JAMA pediatrics · 2018Trial
- Trial
- Can a school-based hand hygiene program reduce asthma exacerbations among elementary school children?The Journal of allergy and clinical immunology · 2012Trial
- The school-based preventive asthma care trial: results of a pilot study.The Journal of pediatrics · 2012Trial
- Use of health information technology to improve medication adherence.The American journal of managed care · 2011Trial
- Redesigning a large school-based clinical trial in response to changes in community practice.Clinical trials (London, England) · 2011Trial
- A pilot study to enhance preventive asthma care among urban adolescents with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2011Trial
- Randomized controlled trial to improve care for urban children with asthma: results of the School-Based Asthma Therapy trial.Archives of pediatrics & adolescent medicine · 2011Trial
- Changes in environmental tobacco smoke exposure and asthma morbidity among urban school children.Chest · 2009Trial
- A University-Led Take-Back Program for Pharmaceutical Waste Management: Eleven Years of Real-World Evidence on Medication Non-Use and Disposal Patterns.Pharmacy (Basel, Switzerland) · 2026Article
- Prevalence of uncontrolled childhood asthma and its association with parental knowledge in Karachi, Pakistan.BMJ paediatrics open · 2026Article
- School-based asthma therapy: Improving medication adherence, asthma control, and health care utilization.The journal of allergy and clinical immunology. Global · 2025Article
- Mapping the Treatment Journey of Children on Subcutaneous House Dust Mite Immunotherapy: A Qualitative Study.Journal of multidisciplinary healthcare · 2025Article
- Reducing asthma attacks in disadvantaged school children with asthma: study protocol for a type 2 hybrid implementation-effectiveness trial (Better Asthma Control for Kids, BACK).Implementation science : IS · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveWe aimed to determine the effectiveness of school-based supervised asthma therapy in improving asthma control. The primary hypothesis was that the supervised-therapy group would have a smaller proportion of children experiencing an episode of poor asthma control each month, compared with those in the usual-care group.
methodsChildren were eligible if they had physician-diagnosed persistent asthma, the need for daily controller medication, and the ability to use a dry-powder inhaler and a peak flowmeter. The trial used a 2-group, randomized, longitudinal design with a 15-month follow-up period. A total of 290 children from 36 schools were assigned randomly to either school-based, supervised therapy or usual care. Ninety-one percent of the children were black, and 57% were male. The mean age was 11 years (SD: 2.1 years). An episode of poor asthma control was defined as > or =1 of the following each month: (1) an absence from school attributable to respiratory illness/asthma; (2) average use of rescue medication >2 times per week (not including preexercise treatment); or (3) > or =1 red or yellow peak flowmeter reading.
resultsTwo hundred forty children completed the study. There were no differences in the likelihood of an episode of poor asthma control between the baseline period and the follow-up period for the usual-care group. For the supervised-therapy group, however, the odds of experiencing an episode of poor asthma control during the baseline period were 1.57 times the odds of experiencing an episode of poor asthma control during the follow-up period. Generalized estimating equation modeling revealed a marginally significant intervention-time period interaction, indicating that children in the supervised-therapy group showed greater improvement in asthma control.
conclusionsSupervised asthma therapy improves asthma control. Clinicians who have pediatric patients with asthma with poor outcomes that may be attributable to nonadherence should consider supervised therapy.
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.