Evidence map›Paper›PMID 21646583›Full record

Trial reportArchives of pediatrics & adolescent medicine2011

Effects of a peer-led asthma self-management program for adolescents.

Hyekyun Rhee, Michael J Belyea, John F Hunt, Judith Brasch

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

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 2 registered trials, which are not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 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.

NCT01161225 nacompletednot on this map

Peer-Assisted Asthma Self-Management Program for Adolescents

TypeinterventionalSponsorUniversity of RochesterRan2007 to 2008Enrolled126ConditionsAsthmaArmsPeer-assisted asthma self-management program, Adult-led asthma self-management program
NCT02409277 nacompletednot on this mapstarted 2013, after this paper: background citation

Redesigning Ambulatory Care Delivery to Enhance Asthma Control in Children

TypeinterventionalSponsorUniversity of UtahRan2013 to 2016Enrolled926ConditionsAsthmaArmsExperimental: Standard vs Intensive e-AT Intervention
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Lay-led and peer support interventions for adolescents with asthma.The Cochrane database of systematic reviews · 2017
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  14. Cost benefits of a peer-led asthma self-management program for adolescents.The Journal of asthma : official journal of the Association for the Care of Asthma · 2012
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  15. Fostering Effective Asthma Self-Management Transfer in High-Risk Children: Gaps and Opportunities for Family Engagement.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Hyekyun RheeUniversity of Rochester, School of Nursing, Rochester, NY 14642, USA. hyekyun_rhee@urmc.rochester.edu
Michael J Belyea
John F Hunt
Judith Brasch

Funding

Peer-Assisted Asthma Self-Management Program for Adolescents with AsthmaR21NR009837 · NINR · UNIVERSITY OF VIRGINIA · PI RHEE, HYEKYUN · 2006 to 2007
$368k
NINR NIH HHS R21 NR009837
6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a peer-led asthma self-management program for adolescents.

designRandomized controlled trial comparing a peer-led asthma program (intervention group) and a conventional adult-led asthma program (control group). Each program was implemented at a full-day camp.

settingA city and adjacent suburbs in upstate New York.

participantsA total of 112 adolescents aged 13 to 17 years with persistent asthma.

interventionA peer-led asthma self-management program implemented at a day camp.

main outcome measuresThe Child Attitude Toward Illness Scale and the Paediatric Asthma Quality of Life Questionnaire were administered at baseline and immediately and 3, 6, and 9 months after the intervention. Spirometry was conducted twice: before and 9 months after the intervention.

resultsThe intervention group reported more positive attitudes at 6 months (mean difference, 4.11; 95% confidence interval [CI], 0.65-7.56) and higher quality of life at 6 months (difference, 11.38; 95% CI, 0.96-21.79) and 9 months (difference, 12.97; 95% CI, 3.46-22.48) than the control group. The intervention was found to be more beneficial to adolescents of male gender or low family income, as shown by greater improvement in positive attitudes toward asthma and quality of life than their counterparts.

conclusionAn asthma self-management program led by peer leaders is a developmentally appropriate approach that can be effective in assisting adolescents with asthma in improving their attitudes and quality of life, particularly for males and those of low socioeconomic status.

trial registrationclinicaltrials.gov Identifier: NCT01161225.

Indexed as

Peer GroupAdolescentAdultAge FactorsAnti-Asthmatic AgentsAsthmaAttitude to HealthFemaleFollow-Up StudiesHumansMaleProgram EvaluationRisk AssessmentSelf AdministrationSelf CareSeverity of Illness IndexAnti-Asthmatic Agents

Identifiers

PMID21646583
PMCPMC3252732

What OpenQuestion holds

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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.