Trial reportPediatrics2013
Cost-effectiveness of the School-Based Asthma Therapy (SBAT) program.
Trial report in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01175369 (School-Based Asthma Therapy), which is not on this map. Cited by 24 papers, 4 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.
School-Based Asthma Therapy: Stage 2 Effectiveness Study
Who cites it
24 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled 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
- Asthma education for school staff.The Cochrane database of systematic reviews · 2017Pooled it
- Addition of long-acting beta2-agonists to inhaled corticosteroids for chronic asthma in children.The Cochrane database of systematic reviews · 2015Pooled it
- School-supervised use of a once-daily inhaled corticosteroid regimen: A cluster randomized trial.The Journal of allergy and clinical immunology · 2019Trial
- Trial
- Leveraging brief annual pauses in implementation: Using a rapid qualitative approach to inform iterative planning and adaptation of a school-based asthma program.Journal of clinical and translational science · 2026Article
- School-based asthma therapy: Improving medication adherence, asthma control, and health care utilization.The journal of allergy and clinical immunology. Global · 2025Article
- Reducing asthma attacks in disadvantaged school children with asthma: study protocol for a type 2 hybrid implementation-effectiveness trial (Better Asthma Control for Kids, BACK).Implementation science : IS · 2024Article
- Children with uncontrolled asthma from economically disadvantaged neighborhoods: Needs assessment and the development of a school-based telehealth and electronic inhaler monitoring system.Pediatric pulmonology · 2023Article
- Applying dissemination and implementation research methods to translate a school-based asthma program.The Journal of allergy and clinical immunology · 2022Review
- The National Heart Lung and Blood Institute Disparities Elimination through Coordinated Interventions to Prevent and Control Heart and Lung Disease Alliance.Health services research · 2022Article
- Evaluating the Financial Sustainability of the School-Based Telemedicine Asthma Management Program.Population health management · 2021Article
- Children and Young People's Health Partnership Evelina London Model of Care: economic evaluation protocol of a complex system change.BMJ open · 2021Article
- Strategies for improving ADHD medication adherence.Current psychiatry · 2019Article
- The National Heart, Lung, and Blood Institute Strategic Vision Implementation for Health Equity Research.Ethnicity & disease · 2019Article
- Development of School-Based Asthma Management Programs in Rochester, New York: Presented in Honor of Dr Robert Haggerty.Academic pediatrics · 2017Review
- The health and healthcare impact of providing insurance coverage to uninsured children: A prospective observational study.BMC public health · 2017Observational
- An Excel Spreadsheet Model for States and Districts to Assess the Cost-Benefit of School Nursing Services.NASN school nurse (Print) · 2016Article
- Explaining Racial Disparities in Child Asthma Readmission Using a Causal Inference Approach.JAMA pediatrics · 2016Observational
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
objectiveImpoverished urban children suffer disproportionately from asthma and underuse preventive asthma medications. The objective of this study was to examine cost-effectiveness (CE) of the School-Based Asthma Therapy (SBAT) program compared with usual care (UC).
methodsThe analysis was based on the SBAT trial, including 525 children aged 3 to 10 years attending urban preschool or elementary school who were randomized to either UC or administration of 1 dose of preventive asthma medication at school by the school nurse each school day. The primary outcome was the mean number of symptom-free days (SFDs). The impact of the intervention on medical costs was estimated by using parent-reported child health services utilization data and average national reimbursement rates. We estimated the cost of running the program using wages for program staff. Productivity costs were estimated by using value of parent lost time due to child illness. CE of the SBAT program compared with UC was evaluated based on the incremental CE ratio.
resultsThe health benefit of the intervention was equal to ∼158 SFD gained per each 30-day period (P < .05) per 100 children. The programmatic expenses summed to an extra $4822 per 100 children per month. The net saving due to the intervention (reduction in medical costs and parental productivity, and improvement in school attendance) was $3240, resulting in the incremental cost-savings difference of $1583 and CE of $10 per 1 extra SFD gained.
conclusionsThe SBAT was effective and cost-effective in reducing symptoms in urban children with asthma compared with other existing programs.
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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.