Evidence map›Paper›PMID 21810636›Full record

Trial reportArchives of pediatrics & adolescent medicine2011

A randomized trial of air cleaners and a health coach to improve indoor air quality for inner-city children with asthma and secondhand smoke exposure.

Arlene M Butz, Elizabeth C Matsui, Patrick Breysse, Jean Curtin-Brosnan, Peyton Eggleston, Gregory Diette, D'Ann Williams, Jie Yuan, John T Bernert, Cynthia Rand

Erratum issuedAbstract 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. An erratum has been issued. Cited by 86 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 5 pooled it
20.3field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 5 syntheses or guidelines pooled it, 169 citations in OpenAlex.

  1. Pooled it
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  6. Trial
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  8. Childhood asthma and household exposures to nitrogen dioxide and fine particles: a triple-crossover randomized intervention trial.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Trial
  9. Patterns and predictors of air purifier adherence in children with asthma living in low-income, urban households.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Trial
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  18. Effects of the Use of Air Purifier on Indoor Environment and Respiratory System among Healthy Adults.International journal of environmental research and public health · 2020
    Trial
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  20. Parental Depression is Prospectively Associated With Lower Smoking Cessation Rates and Poor Child Asthma Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
    Trial

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Arlene M ButzDivision of General Pediatrics, Department of Pediatrics, The Johns Hopkins University School of Medicine, 200 N Wolfe Street, Baltimore, MD 21287, USA. abutz@jhmi.edu
Elizabeth C Matsui
Patrick Breysse
Jean Curtin-Brosnan
Peyton Eggleston
Gregory Diette
D'Ann Williams
Jie Yuan
John T Bernert
Cynthia Rand
Johns Hopkins Medicine · US

Funding

ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FLEXNER, CHARLES W. · 1985 to 2007
$37.3M
Improving Asthma Communication in Minority FamiliesR01NR008544 · NINR · JOHNS HOPKINS UNIVERSITY · PI BUTZ, ARLENE MANNS · 2004 to 2007
$2.2M
NCRR NIH HHS M01 RR000052NINR NIH HHS R01 NR008544PHS HHS E09606
6 · The paper itself

Abstract

objectiveTo test an air cleaner and health coach intervention to reduce secondhand smoke exposure compared with air cleaners alone or no air cleaners in reducing particulate matter (PM), air nicotine, and urine cotinine concentrations and increasing symptom-free days in children with asthma residing with a smoker.

designRandomized controlled trial, with randomization embedded in study database. SETTINGS: The Johns Hopkins Hospital Children's Center and homes of children.

participantsChildren with asthma, residing with a smoker, randomly assigned to interventions consisting of air cleaners only (n = 41), air cleaners plus a health coach (n = 41), or delayed air cleaner (control) (n = 44).

main outcome measuresChanges in PM, air nicotine, and urine cotinine concentrations and symptom-free days during the 6-month study.

resultsThe overall follow-up rate was high (91.3%). Changes in mean fine and coarse PM (PM(2.5) and PM(2.5-10)) concentrations (baseline to 6 months) were significantly lower in both air cleaner groups compared with the control group (mean differences for PM(2.5) concentrations: control, 3.5 μg/m(3); air cleaner only, -19.9 μg/m(3); and air cleaner plus health coach, -16.1 μg/m(3); P = .003; and PM(2.5-10) concentrations: control, 2.4 μg/m(3); air cleaner only, -8.7 μg/m(3); and air cleaner plus health coach, -10.6 μg/m(3); P = .02). No differences were noted in air nicotine or urine cotinine concentrations. The health coach provided no additional reduction in PM concentrations. Symptom-free days were significantly increased [corrected] in both air cleaner groups compared with the control group (P = .03).

conclusionAlthough the use of air cleaners can result in a significant reduction in indoor PM concentrations and a significant increase in symptom-free days, it is not enough to prevent exposure to secondhand smoke.

Indexed as

HousingAir Pollution, IndoorAsthmaChildChi-Square DistributionCotinineFemaleFiltrationHealth EducationHumansLogistic ModelsMaleMarylandNicotineParticle SizeStatistics, NonparametricCotinineNicotineTobacco Smoke Pollution

Identifiers

PMID21810636
PMCPMC6413330
OpenAlexW2135675815

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.