Trial reportCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2009
Small-group, interactive education and the effect on asthma control by children and their families.
Trial report in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2009. 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.
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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, 66 citations in OpenAlex.
- Translating evidence to patient care through caregivers: a systematic review of caregiver-mediated interventions.BMC medicine · 2018Pooled it
- Pooled it
- Article
- Positive change in asthma control using therapeutic patient education in severe uncontrolled asthma: a one-year prospective study.Asthma research and practice · 2021Article
- How can we support children, adolescents and young adults in managing chronic health challenges? A scoping review on the effects of patient education interventions.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- Article
- The Nature of Family Engagement in Interventions for Children With Chronic Conditions.Western journal of nursing research · 2017Review
- Psychological and lifestyle risk factors for asthma exacerbations and morbidity in children.The World Allergy Organization journal · 2017Review
- Effect of Orem's Self-Care Model on Perceived Stress in Adolescents with Asthma Referring the Asthma and Allergy Clinic, Isfahan, 2014.International journal of community based nursing and midwifery · 2016Article
- An exploration of parent-child dyadic asthma management influences on quality of life.Issues in comprehensive pediatric nursing · 2015Article
- The association of asthma education centre characteristics on hospitalizations and emergency department visits in Ontario: a population-based study.BMC health services research · 2014Article
- The Effect of Educational and Modifying Intervention on Asthma Control among Adolescents: a Randomized Clinical Trial.Journal of caring sciences · 2013Article
- Using education to improve control of asthma in children.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2009Article
Corrections and comments
- Commented on by
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective approaches to education about asthma need to be identified. We evaluated the impact on asthma control by children and their caregivers of an intervention involving small-group, interactive education about asthma.
methodsWe randomly assigned children who visited an emergency department for an exacerbation of asthma (n = 398) to either of 2 groups. Children assigned to the control group followed the usual care recommended by their primary care physician. Those assigned to the intervention group participated in a small-group, interactive program of education about asthma. We examined changes in the number of visits to the emergency department during the year after the intervention.
resultsDuring the year after enrolment, children in the intervention group made significantly fewer visits to the emergency department (0.45 visits per child) compared with those in the control group (0.75 visits per child) (p = 0.004). The likelihood of a child in the intervention group requiring emergency care was reduced by 38% (relative risk [RR] 0.62, 95% confidence interval CI 0.48-0.81, p = 0.004). Fewer courses of oral corticosteroids (0.63 per child) were required by children in the intervention group than by those in the control group (0.85 per child) (p = 0.006). We observed significant improvements in the symptom domain of the questionnaire on pediatric asthma quality-of-life (p = 0.03) and the activity domain of the questionnaire on caregivers' quality of life (p = 0.05). Parents of children in the intervention group missed less work because of their child's asthma after participating in the educational program (p = 0.04). No impact on hospital admissions was observed.
interpretationEducation about asthma, especially in a small-group, interactive format, improved clinically important outcomes and overall care of children with asthma.
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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.