Trial reportArchives of pediatrics & adolescent medicine2009
A randomized controlled trial of asthma self-management support comparing clinic-based nurses and in-home community health workers: the Seattle-King County Healthy Homes II Project.
Trial report in Archives of pediatrics & adolescent medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
78 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025Pooled it
- Patient navigator programmes for children and adolescents with chronic diseases.The Cochrane database of systematic reviews · 2024Pooled it
- Application of the community health worker model in adult asthma and COPD in the U.S.: a systematic review.BMC pulmonary medicine · 2019Pooled it
- 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 · 2019Pooled it
- Caseworker-assigned discharge plans to prevent hospital readmission for acute exacerbations in children with chronic respiratory illness.The Cochrane database of systematic reviews · 2018Pooled it
- Lay-led and peer support interventions for adolescents with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Peer Support for the Hardly Reached: A Systematic Review.American journal of public health · 2016Pooled it
- Systematic review and meta-analysis of psychological interventions to promote treatment adherence in children, adolescents, and young adults with chronic illness.Journal of pediatric psychology · 2014Pooled it
- Specialist home-based nursing services for children with acute and chronic illnesses.The Cochrane database of systematic reviews · 2013Pooled it
- Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2011Pooled it
- Indigenous healthcare worker involvement for Indigenous adults and children with asthma.The Cochrane database of systematic reviews · 2010Pooled it
- The role of lay health workers in pediatric chronic disease: a systematic review.Academic pediatricsPooled it
- Improving Adherence in Urban Youth With Asthma: Role of Community Health Workers.The journal of allergy and clinical immunology. In practice · 2022Trial
- Implementation of Coach McLungsBMC medical informatics and decision making · 2022Trial
- Effects of the home-based educational intervention on health outcomes among primarily Hispanic children with asthma: a quasi-experimental study.BMC public health · 2019Trial
- Adaptation of an Evidence-Based Diabetes Management Intervention for Delivery in Community Settings: Findings From a Pilot Randomized Effectiveness Trial.Journal of pediatric psychology · 2019Trial
- Design of a pragmatic trial in minority children presenting to the emergency department with uncontrolled asthma: The CHICAGO Plan.Contemporary clinical trials · 2017Trial
- Challenges and Innovations in a Community-Based Participatory Randomized Controlled Trial.Health education & behavior : the official publication of the Society for Public Health Education · 2017Trial
- Community Health Worker Home Visits for Medicaid-Enrolled Children With Asthma: Effects on Asthma Outcomes and Costs.American journal of public health · 2015Trial
- A cluster-randomized trial shows telephone peer coaching for parents reduces children's asthma morbidity.The Journal of allergy and clinical immunology · 2015Trial
18 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
5 authors.
Funding
Abstract
objectiveTo compare the marginal benefit of in-home asthma self-management support provided by community health workers (CHWs) with standard asthma education from clinic-based nurses.
designRandomized controlled trial.
settingCommunity and public health clinics and homes.
participantsThree hundred nine children aged 3 to 13 years with asthma living in low-income households.
interventionsAll participants received nurse-provided asthma education and referrals to community resources. Some participants also received CHW-provided home environmental assessments, asthma education, social support, and asthma-control resources. OUTCOME MEASURES: Asthma symptom-free days, Pediatric Asthma Caretaker Quality of Life Scale score, and use of urgent health services.
resultsBoth groups showed significant increases in caretaker quality of life (nurse-only group: 0.4 points; 95% confidence interval [CI], 0.3-0.6; nurse + CHW group: 0.6 points; 95% CI, 0.4-0.8) and number of symptom-free days (nurse only: 1.3 days; 95% CI, 0.5-2.1; nurse + CHW: 1.9 days; 95% CI, 1.1-2.8), and absolute decreases in the proportion of children who used urgent health services in the prior 3 months (nurse only: 17.6%; 95% CI, 8.1%-27.2%; nurse + CHW: 23.1%; 95% CI, 13.6%-32.6%). Quality of life improved by 0.22 more points in the nurse + CHW group (95% CI, 0.00-0.44; P = .049). The number of symptom-free days increased by 0.94 days per 2 weeks (95% CI, 0.02-1.86; P = .046), or 24.4 days per year, in the nurse + CHW group. While use of urgent health services decreased more in the nurse + CHW group, the difference between groups was not significant.
conclusionThe addition of CHW home visits to clinic-based asthma education yielded a clinically important increase in symptom-free days and a modest improvement in caretaker quality of life.
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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.