Evidence map›Paper›PMID 22022958›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2011

Child and caregiver involvement and shared decision-making during asthma pediatric visits.

Betsy L Sleath, Delesha M Carpenter, Robyn Sayner, Guadalupe X Ayala, Dennis Williams, Stephanie Davis, Gail Tudor, Karin Yeatts

Abstract read
In one paragraph

Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing 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.

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

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

  1. Pooled it
  2. Pooled it
  3. Shared decision-making for people with asthma.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Provider-adolescent discussion and provider education about asthma triggers during pediatric visits: results of a randomized trial.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021
    Trial
  5. Questions and reported medication problems from pediatric patients and caregivers after intervention.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2019
    Trial
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  11. Review
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  16. Shared Decision Making About Starting Anti-TNFs: A Pediatric Perspective.Journal of pediatric gastroenterology and nutrition · 2019
    Article
  17. Article
  18. Shared decision making and time to exacerbation in children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2018
    Article
  19. Impact of shared decision making on asthma quality of life and asthma control among children.The Journal of asthma : official journal of the Association for the Care of Asthma · 2018
    Article
  20. Article
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

8 authors.

Betsy L SleathDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7573, USA. betsy_sleath@unc.ed
Delesha M Carpenter
Robyn Sayner
Guadalupe X Ayala
Dennis Williams
Stephanie Davis
Gail Tudor
Karin Yeatts

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
Children and Asthma: Communication and OutcomesR01HL069837 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SLEATH, BETSY LYNN · 2005 to 2008
$1.7M
NCATS NIH HHS KL2 TR001109NCRR NIH HHS UL1 RR025747NCRR NIH HHS UL 1RR025747NHLBI NIH HHS HL069837NHLBI NIH HHS R01 HL069837NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

objectiveThe purpose of this study was to examine (1) the extent to which caregivers and children asked asthma management questions during pediatric asthma visits; (2) the extent to which providers engaged in shared decision-making with these caregivers and children; and (3) the factors associated with question asking and shared decision-making.

methodsChildren aged 8-16 years with mild persistent asthma, moderate persistent asthma, or severe persistent asthma and their caregivers were recruited at five pediatric practices in non-urban areas of North Carolina. All of the medical visits were audio tape recorded. Generalized estimating equations were used to analyze the data.

resultsOnly 13% of children and 33% of caregivers asked one or more questions about asthma management. Caregivers were more likely to ask questions about their child's medications. Providers obtained child input into their asthma management plan during only 6% of encounters and caregiver input into their child's asthma management plan during 10% of visits.

conclusionGiven the importance of involving patients during healthcare visits, providers need to consider asking for and including child and caregiver inputs into asthma management plans so that shared decision-making can occur more frequently.

Indexed as

CommunicationDecision MakingOffice VisitsPediatricsAdolescentAdultAgedAsthmaCaregiversChildFemaleHumansMaleMiddle AgedPrimary Health Care

Identifiers

PMID22022958
PMCPMC3263821

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.