Evidence map›Paper›PMID 21646584›Full record

Trial reportArchives of pediatrics & adolescent medicine2011

A randomized controlled trial of parental asthma coaching to improve outcomes among urban minority children.

Kyle A Nelson, Gabriele R Highstein, Jane Garbutt, Kathryn Trinkaus, Edwin B Fisher, Sharon R Smith, Robert C Strunk

Registry-linked trialAbstract 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 trial NCT00149500 (Social Support and Education in Asthma Follow-up), which is not on this map. Cited by 18 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 7 pooled it
1.7field-weighted citation impact, top 17% of its field
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.

NCT00149500 nacompletednot on this map

Social Support and Education in Asthma Follow-up (SSEA)

TypeinterventionalSponsorWashington University School of MedicineRan2003 to 2008Enrolled241ConditionsAsthmaArmsCoaching
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 7 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Factors associated with completion of a behavioral intervention for caregivers of urban children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2012
    Trial
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  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Review
  17. Primary care visits for asthma monitoring over time and association with acute asthma visits for urban Medicaid-insured children.The Journal of asthma : official journal of the Association for the Care of Asthma · 2014
    Article
  18. Applying Human-Centered Design to the Development of an Asthma Essentials Kit for School-Aged Children and Their Parents.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Kyle A NelsonPediatric Emergency Medicine, The Children's Hospital of Boston, Harvard Medical School, Boston, MA 02115, USA. kyle.nelson@childrens.harvard.edu
Gabriele R Highstein
Jane Garbutt
Kathryn Trinkaus
Edwin B Fisher
Sharon R Smith
Robert C Strunk
Washington University in St. Louis · USBoston Children's Hospital · US

Funding

Social Support and Education in Asthma Follow-UpR01HL072919 · NHLBI · WASHINGTON UNIVERSITY · PI GARBUTT, JANE M, STRUNK, ROBERT · 2003 to 2012
$6.6M
NHLBI NIH HHS HL072919NHLBI NIH HHS R01 HL072919
6 · The paper itself

Abstract

objectivesTo investigate whether asthma coaching decreases emergency department (ED) visits and hospitalizations and increases outpatient asthma monitoring visits.

designRandomized controlled trial.

settingUrban tertiary care children's hospital.

participantsPrimary caregivers (hereafter referred to as parents) of children aged 2 to 10 years with asthma who have Medicaid insurance coverage and are urban residents who were attending the ED for acute asthma care.

interventionEighteen months of participating in usual care (control group) vs receiving coaching focused on asthma home management, completion of periodic outpatient asthma monitoring visits, and development of a collaborative relationship with a primary care provider (intervention group).

main outcome measuresThe primary outcome was ED visits. Secondary outcomes were hospitalizations and asthma monitoring visits (nonacute visits focused on asthma care). Outcomes were measured during the year before and 2 years after enrollment.

resultsWe included 120 intervention parents and 121 control parents. More children of coached parents had at least 1 asthma monitoring visit after enrollment (relative risk [RR], 1.21; 95% confidence interval [CI], 1.04-1.41), but proportions with at least 4 asthma monitoring visits during 2 years were low (20.0% in the intervention group vs 9.9% in the control group). Similar proportions of children in both study groups had at least 1 ED visit (59.2% in the intervention group vs 62.8% in the control group; RR, 0.94; 95% CI, 0.77-1.15) and at least 1 hospitalization (24.2% in the intervention group vs 26.4% in the control group; 0.91; 0.59-1.41) after enrollment. An ED visit after enrollment was more likely if an ED visit had occurred before enrollment (RR, 1.46; 95% CI, 1.16-1.86; adjusted for study group), but risk was similar in both study groups when adjusted for previous ED visits (1.02; 0.82-1.27).

conclusionThis parental asthma coaching intervention increased outpatient asthma monitoring visits (although infrequent) but did not decrease ED visits.

trial registrationclinicaltrials.gov Identifier: NCT00149500.

Indexed as

AdultAmbulatory CareAnti-Asthmatic AgentsAsthmaChildChild, PreschoolConfidence IntervalsEmergency Service, HospitalFemaleFollow-Up StudiesHealth EducationHospitalizationHospitals, PediatricHumansMaleMinority GroupsAnti-Asthmatic Agents

Identifiers

PMID21646584
PMCPMC3733385
OpenAlexW2054075405

What OpenQuestion holds

Textmetadata
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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.