Evidence map›Paper›PMID 23514242›Full record

Trial reportBMC medical informatics and decision making2013

e-Monitoring of Asthma Therapy to Improve Compliance in children using a real-time medication monitoring system (RTMM): the e-MATIC study protocol.

Erwin C Vasbinder, Hettie M Janssens, Maureen P M H Rutten-van Mölken, Liset van Dijk, Brenda C M de Winter, Ruben C A de Groot, Arnold G Vulto, Patricia M L A van den Bemt, e-MATIC Study Group

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC medical informatics and decision making, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 6% 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.

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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Interventions to improve adherence to inhaled steroids for asthma.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Remote versus face-to-face check-ups for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Pooled it
  6. Trial
  7. What Really Happens in the Home: The Medication Environment of Urban, Minority Youth.The journal of allergy and clinical immunology. In practice
    Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Applying Human-Centered Design to the Development of an Asthma Essentials Kit for School-Aged Children and Their Parents.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Review
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

9 authors at 4 institutions in 1 country.

Erwin C VasbinderDepartment of Hospital Pharmacy, Erasmus Medical Center, Nc-212, P.O. Box 2040, Rotterdam, CA 3000, The Netherlands.
Hettie M Janssens
Maureen P M H Rutten-van Mölken
Liset van Dijk
Brenda C M de Winter
Ruben C A de Groot
Arnold G Vulto
Patricia M L A van den Bemt
e-MATIC Study Group
Erasmus MC · NLErasmus MC - Sophia Children’s Hospital · NLErasmus University Rotterdam · NLNetherlands Institute for Health Services Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany children with asthma do not have sufficient asthma control, which leads to increased healthcare costs and productivity loss of parents. One of the causative factors are adherence problems. Effective interventions improving medication adherence may therefore improve asthma control and reduce costs. A promising solution is sending real time text-messages via the mobile phone network, when a medicine is about to be forgotten. As the effect of real time text-messages in children with asthma is unknown, the primary aim of this study is to determine the effect of a Real Time Medication Monitoring system (RTMM) with text-messages on adherence to inhaled corticosteroids (ICS). The secondary objective is to study the effects of RTMM on asthma control, quality of life and cost-effectiveness of treatment.

methodsA multicenter, randomized controlled trial involving 220 children (4-11 years) using ICS for asthma. All children receive an RTMM-device for one year, which registers time and date of ICS doses. Children in the intervention group also receive tailored text-messages, sent only when a dose is at risk of omission. Primary outcome measure is the proportion of ICS dosages taken within the individually predefined time-interval. Secondary outcome measures include asthma control (monthly Asthma Control Tests), asthma exacerbations, healthcare use (collected from hospital records, patient reports and pharmacy record data), and disease-specific quality of life (PAQLQ questionnaire). Parental and children's acceptance of RTMM is evaluated with online focus groups and patient questionnaires. An economic evaluation is performed adopting a societal perspective, including relevant healthcare costs and parental productivity loss. Furthermore, a decision-analytic model is developed in which different levels of adherence are associated with clinical and financial outcomes. Also, sensitivity analyses are carried out on different price levels for RTMM. DISCUSSION: If RTMM with tailored text-message reminders proves to be effective, this technique can be used in daily practice, which would support children with suboptimal adherence in their asthma (self)management and in achieving better asthma control and better quality of life.

trial registrationNetherlands Trial Register NTR2583.

Indexed as

Adrenal Cortex HormonesAsthmaCell PhoneChildChild, PreschoolClinical ProtocolsComputer SystemsDrug MonitoringFocus GroupsHumansMedication AdherenceNebulizers and VaporizersNetherlandsParent-Child RelationsPatient Acceptance of Health CareQuality Assurance, Health CareAdrenal Cortex Hormones

Identifiers

PMID23514242
PMCPMC3637240
OpenAlexW2140429163

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.