Trial reportArchives of pediatrics & adolescent medicine2011
Randomized controlled trial to improve care for urban children with asthma: results of the School-Based Asthma Therapy trial.
Trial report in Archives of pediatrics & adolescent medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 83 papers, 7 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.
School-Based Asthma Therapy: Stage 2 Effectiveness Study
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination
Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination in Clinics and Schools (PRAGMATIC-S)
Who cites it
83 citing papers in PubMed, 7 syntheses or guidelines pooled it, 140 citations in OpenAlex.
- Pooled it
- Impact of non-drug therapies on asthma control: A systematic review of the literature.The European journal of general practice · 2019Pooled it
- School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review.The Cochrane database of systematic reviews · 2019Pooled it
- Family and carer smoking control programmes for reducing children's exposure to environmental tobacco smoke.The Cochrane database of systematic reviews · 2018Pooled it
- Systematic meta-review of supported self-management for asthma: a healthcare perspective.BMC medicine · 2017Pooled it
- The Role of School Health Services in Addressing the Needs of Students With Chronic Health Conditions.The Journal of school nursing : the official publication of the National Association of School Nurses · 2017Pooled it
- Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2015Pooled it
- Effect of the Telemedicine Enhanced Asthma Management-Uniting Providers (TEAM-UP) Program on Asthma Outcomes: A Randomized Clinical Trial.The Journal of pediatrics · 2026Trial
- 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
- 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
- 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
- Unexpected results of a randomized quality improvement program for children with severe asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021Trial
- School-supervised use of a once-daily inhaled corticosteroid regimen: A cluster randomized trial.The Journal of allergy and clinical immunology · 2019Trial
- Results of an asthma education program delivered via telemedicine in rural schools.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2018Trial
- Effect of the School-Based Telemedicine Enhanced Asthma Management (SB-TEAM) Program on Asthma Morbidity: A Randomized Clinical Trial.JAMA pediatrics · 2018Trial
- A Motivational Interviewing Intervention by Pharmacy Students to Improve Medication Adherence.Journal of managed care & specialty pharmacy · 2017Trial
- Motivating parents of kids with asthma to quit smoking: the effect of the teachable moment and increasing intervention intensity using a longitudinal randomized trial design.Addiction (Abingdon, England) · 2016Trial
- Barriers and motivators to reducing secondhand smoke exposure in African American families of head start children: a qualitative study.Health education research · 2016Trial
- Asthma and overweight/obese: double trouble for urban children.The Journal of asthma : official journal of the Association for the Care of Asthma · 2016Trial
- Prompting asthma intervention in Rochester-uniting parents and providers (PAIR-UP): a randomized trial.JAMA pediatrics · 2014Trial
23 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the impact of the School-Based Asthma Therapy trial on asthma symptoms among urban children with persistent asthma.
designRandomized trial, with children stratified by smoke exposure in the home and randomized to a school-based care group or a usual care control group.
settingRochester, New York.
participantsChildren aged 3 to 10 years with persistent asthma.
interventionsDirectly observed administration of daily preventive asthma medications by school nurses (with dose adjustments according to National Heart, Lung, and Blood Institute Expert Panel guidelines) and a home-based environmental tobacco smoke reduction program for smoke-exposed children, using motivational interviewing.
main outcome measureMean number of symptom-free days per 2 weeks during the peak winter season (November-February), assessed by blinded interviews.
resultsWe enrolled 530 children (74% participation rate). During the peak winter season, children receiving preventive medications through school had significantly more symptom-free days compared with children in the control group (adjusted difference = 0.92 days per 2 weeks; 95% confidence interval, 0.50-1.33) and also had fewer nighttime symptoms, less rescue medication use, and fewer days with limited activity (all P < .01). Children in the treatment group also were less likely than those in the control group to have an exacerbation requiring treatment with prednisone (12% vs 18%, respectively; relative risk = 0.64; 95% confidence interval, 0.41-1.00). Stratified analyses showed positive intervention effects even for children with smoke exposure (n = 285; mean symptom-free days per 2 weeks: 11.6 for children in the treatment group vs 10.9 for those in the control group; difference = 0.96 days per 2 weeks; 95% confidence interval, 0.39-1.52).
conclusionsThe School-Based Asthma Therapy intervention significantly improved symptoms among urban children with persistent asthma. This program could serve as a model for improved asthma care in urban communities.
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.