Evidence map›Paper›PMID 22785264›Full record

Trial reportThe Journal of pediatrics2012

The school-based preventive asthma care trial: results of a pilot study.

Jill S Halterman, Maria Fagnano, Guillermo Montes, Susan Fisher, Paul Tremblay, Reynaldo Tajon, Joseph Sauer, Arlene Butz

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2012. 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 28 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 9 pooled it
0.7field-weighted citation impact, top 30% 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.

NCT01175434 nacompletednot on this map

School-Based Preventive Asthma Care Technology: A Randomized Control Trial Using a Novel Technology to Improve Adherence

TypeinterventionalSponsorUniversity of RochesterRan2010 to 2012Enrolled99ConditionsAsthmaArmsSchool-Based Medication Delivery
NCT07224061 narecruitingnot on this mapstarted 2026, after this paper: background citation

Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination in Clinics and Schools (PRAGMATIC-S)

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2033Enrolled420ConditionsAsthma in ChildrenArmsPRAGMATIC-S
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 9 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Interventions to improve adherence to inhaled steroids for asthma.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Asthma education for school staff.The Cochrane database of systematic reviews · 2017
    Pooled it
  6. The Role of School Health Services in Addressing the Needs of Students With Chronic Health Conditions.The Journal of school nursing : the official publication of the National Association of School Nurses · 2017
    Pooled it
  7. Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  8. Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  9. Pooled it
  10. Trial
  11. A pilot school-based health center intervention to improve asthma chronic care in high-poverty schools.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. The role of supervised school therapy in poorly controlled asthma in children.Proceedings (Baylor University. Medical Center) · 2023
    Article
  17. Food allergy in at-risk adolescents with asthma: A key area for focus.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Article
  18. Article
  19. 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 at 3 institutions in 1 country.

Jill S HaltermanDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA. jill_halterman@urmc.rochester.edu
Maria Fagnano
Guillermo Montes
Susan Fisher
Paul Tremblay
Reynaldo Tajon
Joseph Sauer
Arlene Butz
University of Rochester · USChildren’s Institute · USJohns Hopkins University · US

Funding

UNIVERSITY OF ROCHESTER'S RESEARCH ASSOCIATE ORGANIZATIONUL1RR024160 · NCRR · UNIVERSITY OF ROCHESTER · PI PEARSON, THOMAS ARTHUR · 2006 to 2011
$38.7M
Using a Novel Technology to Improve Adherence: School-Based Asthma TreatmentRC1HL099432 · NHLBI · UNIVERSITY OF ROCHESTER · PI HALTERMAN, JILL S · 2009 to 2010
$937k
NCRR NIH HHS UL1 RR024160NHLBI NIH HHS RC1 HL099432
6 · The paper itself

Abstract

objectiveTo test the feasibility and preliminary effectiveness of the School-Based Preventive Asthma Care Technology (SB-PACT) program, which includes directly observed therapy of preventive asthma medications in school facilitated by Web-based technology for systematic symptom screening, electronic report generation, and medication authorization from providers. STUDY

designWe conducted a pilot randomized trial of SB-PACT versus usual care with 100 children (aged 3-10 years) from 19 inner-city schools in Rochester, New York. Outcomes were assessed longitudinally by blinded interviewers. Analyses included bivariate statistics and linear regression models, adjusting for baseline symptoms.

resultsThere were data for 99 subjects for analysis. We screened all children using the Web-based system, and 44 of 49 treatment group children received directly observed therapy as authorized by their providers. Treatment group children received preventive medications 98% of the time they were in school. Over the school year, children in the treatment group experienced nearly 1 additional symptom-free day over 2 weeks versus the usual care group (11.33 vs 10.40, P = .13). Treatment children also experienced fewer nights with symptoms (1.68 vs 2.20, P = .02), days requiring rescue medications (1.66 vs 2.44, P = .01), and days absent from school due to asthma (0.37 vs 0.85, P = .03) compared with usual care. Further, treatment children had a greater decrease in exhaled nitric oxide (-9.62 vs -0.39, P = .03), suggesting reduction in airway inflammation.

conclusionThe SB-PACT intervention demonstrated feasibility and improved outcomes across multiple measures in this pilot study. Future work will focus on further integration of preventive care delivery across community and primary care systems.

Indexed as

School Health ServicesAbsenteeismAnti-Asthmatic AgentsAsthmaChildChild, PreschoolDisease ProgressionFeasibility StudiesFemaleFollow-Up StudiesHumansLinear ModelsMaleNew YorkPilot ProjectsPractice Guidelines as TopicAnti-Asthmatic Agents

Identifiers

PMID22785264
PMCPMC3470823
OpenAlexW1985288266

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.