Trial reportThe Journal of allergy and clinical immunology2012
Asthma in Head Start children: effects of the Breathmobile program and family communication on asthma outcomes.
Trial report in The Journal of allergy and clinical immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025Pooled it
- Social Risk Interventions and Health Care Utilization for Pediatric Asthma: A Systematic Review and Meta-analysis.JAMA pediatrics · 2022Pooled 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
- Mobile clinics for women's and children's health.The Cochrane database of systematic reviews · 2016Pooled it
- Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016Pooled it
- Addition of anti-leukotriene agents to inhaled corticosteroids in children with persistent asthma.The Cochrane database of systematic reviews · 2013Pooled it
- A cluster-randomized trial shows telephone peer coaching for parents reduces children's asthma morbidity.The Journal of allergy and clinical immunology · 2015Trial
- Effectiveness of motivational interviewing to reduce head start children's secondhand smoke exposure. a randomized clinical trial.American journal of respiratory and critical care medicine · 2014Trial
- Impact of Telemedicine on Asthma Control and Quality of Life in Children and Adolescents: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Mobile Medical Clinics in the United States Post-Affordable Care Act: An Integrative Review.Population health management · 2022Review
- Exploring the barriers and incentive architecture for modifying smoke exposures among asthmatics.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- Racial disparities in asthma-related health care use in the National Heart, Lung, and Blood Institute's Severe Asthma Research Program.The Journal of allergy and clinical immunology · 2019Article
- Evaluating the implementation of a multicomponent asthma education program for Head Start staff.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- The National Heart, Lung, and Blood Institute Strategic Vision Implementation for Health Equity Research.Ethnicity & disease · 2019Article
- Caregiver depression and perceptions of primary care predict clinic attendance in head start children with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundAsthma morbidity and mortality rates are high among young inner-city children. Lack of routine primary care provider visits, poor access to care, and poor patient-physician communication might be contributing factors.
objectiveThis study evaluated the effects of providing Breathmobile services only, a Facilitated Asthma Communication Intervention (FACI) only, or both Breathmobile plus FACI on asthma outcomes relative to standard care.
methodsChildren with asthma (n = 322; mean age, 4 years; 53% male; 97% African American) were recruited from Head Start programs in Baltimore City and randomized into 4 groups. Outcome measures included symptom-free days (SFDs), urgent care use (emergency department visits and hospitalizations), and medication use (courses of oral steroids and proportion taking an asthma controller medication), as reported by caregivers at baseline, 6-month, and 12-month assessments. Generalized estimating equations models were conducted to examine the differential treatment effects of the Breathmobile and FACI compared with standard care.
resultsChildren in the combined treatment group (Breathmobile plus FACI) had an increase of 1.7 (6.6%) SFDs that was not maintained at 12 months. In intent-to-treat analyses the FACI-only group had an increase in the number of emergency department visits at 6 months, which was not present at 12 months or in the post hoc as-treated analyses. No significant differences were found between the intervention groups compared with those receiving standard care on all other outcome measures.
conclusionsOther than a slight improvement in SFDs at 6 months in the Breathmobile plus FACI group, the intervention components did not result in any significant improvements in asthma management or asthma morbidity.
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Registered trials
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