Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2013
Evaluation of a web-based asthma management intervention program for urban teenagers: reaching the hard to reach.
Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 9 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
43 citing papers in PubMed, 9 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Digital interventions to improve adherence to maintenance medication in asthma.The Cochrane database of systematic reviews · 2022Pooled it
- Self-management interventions to reduce healthcare use and improve quality of life among patients with asthma: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2020Pooled 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
- The Use and Effects of Electronic Health Tools for Patient Self-Monitoring and Reporting of Outcomes Following Medication Use: Systematic Review.Journal of medical Internet research · 2018Pooled it
- Theory-Based Digital Interventions to Improve Asthma Self-Management Outcomes: Systematic Review.Journal of medical Internet research · 2018Pooled it
- Systematic meta-review of supported self-management for asthma: a healthcare perspective.BMC medicine · 2017Pooled it
- Technology-delivered adaptations of motivational interviewing for health-related behaviors: A systematic review of the current research.Patient education and counseling · 2016Pooled it
- The use of behavior change theory in Internet-based asthma self-management interventions: a systematic review.Journal of medical Internet research · 2015Pooled it
- Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review.The journal of allergy and clinical immunology. In practicePooled it
- Participant-level characteristics differ by recruitment setting when evaluating a behavioral intervention targeting adolescents with asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021Trial
- The Detroit Young Adult Asthma Project: Pilot of a Technology-Based Medication Adherence Intervention for African-American Emerging Adults.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016Trial
- Initiating an online asthma management program in urban emergency departments: the recruitment experience.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2016Trial
- Parent-reported outcomes of a shared decision-making portal in asthma: a practice-based RCT.Pediatrics · 2015Trial
- Improving efficiency and reducing costs: Design of an adaptive, seamless, and enriched pragmatic efficacy trial of an online asthma management program.Contemporary clinical trials · 2014Trial
- Development and Usability of a Digital Asthma Self-management Education Platform: BRinging Exercise, Asthma Assessments, and TeacHing to Everyone (BREATHE).The journal of allergy and clinical immunology. In practice · 2026Article
- Asthma-related school absenteeism: Prevalence, disparities, and the need for comprehensive management: A systematic review and meta-analysis.Dialogues in health · 2025Review
- A Comprehensive Scoping Review of Technology in the Care of Historically Marginalized Populations With Asthma: A Work Group Report of the AAAAI Diversity, Equity, and Inclusion Committee.The journal of allergy and clinical immunology. In practice · 2025Article
- Article
- eHealth Technologies for Monitoring Pediatric Asthma at Home: Scoping Review.Journal of medical Internet research · 2023Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 4 institutions in 1 country.
Funding
Abstract
purposeAsthma interventions targeting urban adolescents are rare, despite a great need. Motivating adolescents to achieve better self-management of asthma is challenging, and the literature suggests that certain subgroups are more resistant than others. We conducted a school-based, randomized controlled trial (RCT) to evaluate Puff City, a Web-based, tailored asthma intervention, which included a referral coordinator, and incorporated theory-based strategies to target urban teens with characteristics previously found to be associated with lack of behavior change.
methodsTo identify eligible teens, we administered questionnaires on asthma diagnoses and symptoms to ninth through 12th graders of participating schools during a scheduled English class. We randomized eligible, consenting students to Puff City (treatment) or generic asthma education (control).
resultsWe randomized 422 students (98% African-American, mean age = 15.6 years). At 12-month follow-up, adjusted odds ratios (aORs) (95% confidence intervals) indicated intervention benefit for treatment teens for symptom-days and restricted activity days (analyzed as categorical variables) as aOR = .49 (.24-.79), p = .006 and .53 (.32-.86), p = .010, respectively. Among teens meeting baseline criteria for rebelliousness, treatment teens reported fewer symptom-days, symptom-nights, school absences, and restricted activity days: aOR = .30 (.11-.80), .29 (.14-.64), .40 (.20-.78), and .23 (.10-.55); all p < .05. Among teens reporting low perceived emotional support, treatment students reported only fewer symptom-days than controls: aOR = .23 (.06-.88), p = .031. We did not observe statistically significant differences in medical care use.
conclusionsResults suggest that a theory-based, tailored approach, with a referral coordinator, can improve asthma management in urban teens. Puff City represents a viable strategy for disseminating an effective intervention to high-risk and hard-to-reach populations.
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What OpenQuestion holds
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.