Evidence map›Paper›PMID 19651589›Full record

SynthesisPediatrics2009

Do school-based asthma education programs improve self-management and health outcomes?

Janet M Coffman, Michael D Cabana, Edward H Yelin

3 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis 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 3 registered trials, which are not on this map. Cited by 46 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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.

NCT03511482 nawithdrawnnot on this mapstarted 2019, after this paper: background citation

An Open Feasibility Study to Investigate the Impact of A Digitally Delivered Asthma Service for Patients in Primary Care (IDEAL-001: Integrated Digitally EnhAnced Care for Long-term Conditions-001

TypeinterventionalSponsormy mhealth LtdRan2019 to 2021Enrolled0ConditionsAsthmaArmsmyAsthma Application, Lloyds Pharmacy Online Doctor
NCT04744272 nawithdrawnnot on this mapstarted 2022, after this paper: background citation

A Randomised Controlled Feasibility Study to Explore the Efficacy of Digital Self-management Within Secondary Care in an Asthmatic Population

TypeinterventionalSponsormy mhealth LtdRan2022 to 2023Enrolled0ConditionsAsthmaArmsmyAsthma
NCT06320210 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence

TypeinterventionalSponsorUniversity of ChicagoRan2023 to 2025Enrolled400ConditionsAsthma in ChildrenArmsMulticomponent program
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Asthma education for school staff.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Psychosocial factors and behavioral medicine interventions in asthma.Journal of consulting and clinical psychology · 2013
    Pooled it
  9. The effectiveness of psychosocial interventions designed to improve health-related quality of life (HRQOL) amongst asthmatic children and their families: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2012
    Pooled it
  10. Pooled it
  11. Trial
  12. Effects of a school-based intervention for urban adolescents with asthma. A controlled trial.American journal of respiratory and critical care medicine · 2011
    Trial
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. The West Philadelphia asthma care implementation study (NHLBI#Contemporary clinical trials communications · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Janet M CoffmanPhilip R Lee Institute for Health Policy Studies and Department of bFamily and Community Medicine, University of California, San Francisco, California 94118, USA. janet.coffman@ucsf.edu
Michael D Cabana
Edward H Yelin

Funding

Enhancing Pediatric Asthma ManagementR01HL070771 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CABANA, MICHAEL D · 2002 to 2006
$3.1M
NHLBI NIH HHS HL70771NHLBI NIH HHS R01 HL070771
6 · The paper itself

Abstract

contextAsthma self-management education is critical for high-quality asthma care for children. A number of studies have assessed the effectiveness of providing asthma education in schools to augment education provided by primary care providers.

objectiveTo conduct a systematic review of the literature on school-based asthma education programs.

methodsAs our data sources, we used 3 databases that index peer-reviewed literature: MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cumulative Index to Nursing and Allied Health Literature. Inclusion criteria included publication in English and enrollment of children aged 4 to 17 years with a clinical diagnosis of asthma or symptoms consistent with asthma.

resultsTwenty-five articles met the inclusion criteria. Synthesizing findings across studies was difficult because the characteristics of interventions and target populations varied widely, as did the outcomes assessed. In addition, some studies had major methodologic weaknesses. Most studies that compared asthma education to usual care found that school-based asthma education improved knowledge of asthma (7 of 10 studies), self-efficacy (6 of 8 studies), and self-management behaviors (7 of 8 studies). Fewer studies reported favorable effects on quality of life (4 of 8 studies), days of symptoms (5 of 11 studies), nights with symptoms (2 of 4 studies), and school absences (5 of 17 studies).

conclusionsAlthough findings regarding effects of school-based asthma education programs on quality of life, school absences, and days and nights with symptoms were not consistent, our analyses suggest that school-based asthma education improves knowledge of asthma, self-efficacy, and self-management behaviors.

Indexed as

School Health ServicesAbsenteeismAdolescentAsthmaChildControlled Clinical Trials as TopicFemaleHealth EducationHealth Knowledge, Attitudes, PracticeHumansMaleQuality of LifeRandomized Controlled Trials as TopicSelf CareSelf Efficacy

Identifiers

PMID19651589
PMCPMC2875148

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.