Trial reportThe Journal of asthma : official journal of the Association for the Care of Asthma2013
Feasibility, acceptability and preliminary effectiveness of patient advocates for improving asthma outcomes in adults.
Trial report in The Journal of asthma : official journal of the Association for the Care of Asthma, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01972308 (A Patient Advocate to Improve Real-world Asthma Management for Inner City Adults), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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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.
A Patient Advocate to Improve Real-world Asthma Management for Inner City Adults
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A Systematic Review of Patient- and Family-Level Inhaled Corticosteroid Adherence Interventions in Black/African Americans.The journal of allergy and clinical immunology. In practice · 2019Pooled it
- Interventions to improve adherence to inhaled steroids for asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Ability of HIV Advocacy to Modify Behavioral Norms and Treatment Impact: A Systematic Review.American journal of public health · 2016Pooled it
- Lay Health Coaching to Increase Appropriate Inhaler Use in COPD: A Randomized Controlled Trial.Annals of family medicine · 2020Trial
- Home visits for uncontrolled asthma among low-income adults with patient portal access.The Journal of allergy and clinical immunology · 2019Trial
- A patient advocate to facilitate access and improve communication, care, and outcomes in adults with moderate or severe asthma: Rationale, design, and methods of a randomized controlled trial.Contemporary clinical trials · 2017Trial
- Exploring Patient Engagement: A Qualitative Analysis of Low-Income Urban Participants in Asthma Research.The journal of allergy and clinical immunology. In practiceTrial
- Patient Advocates for Low-Income Adults with Moderate to Severe Asthma: A Randomized Clinical Trial.The journal of allergy and clinical immunology. In practiceTrial
- "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.Birth (Berkeley, Calif.) · 2025Article
- Clinic navigation and home visits to improve asthma care in low income adults with poorly controlled asthma: Before and during the pandemic.Contemporary clinical trials · 2022Article
- The Impact of Adherence and Health Literacy on Difficult-to-Control Asthma.The journal of allergy and clinical immunology. In practice · 2022Article
- Implementation of the kidney team at home intervention: Evaluating generalizability, implementation process, and effects.Transplant international : official journal of the European Society for Organ Transplantation · 2021Article
- Barriers to Care among Patients with Sarcoidosis: A Qualitative Study.Annals of the American Thoracic Society · 2021Article
- Food Insecurity Screening Among Families of Children With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2019Article
- Alignment of Patient Health Numeracy with Asthma Care Instructions in the Patient Portal.Health literacy research and practice · 2017Article
- A health care navigation tool assesses asthma self-management and health literacy.The Journal of allergy and clinical immunology · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
backgroundAsthmatic adults from low-income urban neighborhoods have inferior health outcomes which in part may be due to barriers accessing care and with patient-provider communication. We adapted a patient advocate (PA) intervention to overcome these barriers.
objectiveTo conduct a pilot study to assess feasibility, acceptability and preliminary evidence of effectiveness.
methodsA prospective randomized design was employed with mixed methods evaluation. Adults with moderate or severe asthma were randomized to 16 weeks of PA or a minimal intervention (MI) comparison condition. The PA, a non-professional, modeled preparations for a medical visit, attended the visit and confirmed understanding. The PA facilitated scheduling, obtaining insurance coverage and overcoming barriers to implementing medical advice. Outcomes included electronically-monitored inhaled corticosteroid (ICS) adherence, asthma control, quality of life, FEV1, emergency department (ED) visits and hospitalizations. Mixed-effects models guided an intention-to-treat analysis.
results100 adults participated: age 47 ± 14 years, 75% female, 71% African-American, 16% white, baseline FEV1 69% ± 18%, 36% experiencing hospitalizations and 56% ED visits for asthma in the prior year. Ninety-three subjects completed all visits; 36 of 53 PA-assigned had a PA visit. Adherence declined significantly in the control (p = 0.001) but not significantly in the PA group (p = 0.30). Both PA and MI groups demonstrated improved asthma control (p = 0.01 in both) and quality of life (p = 0.001, p = 0.004). Hospitalizations and ED visits for asthma did not differ between groups. The observed changes over time tended to favor the PA group, but this study was underpowered to detect differences between groups.
conclusionThe PA intervention was feasible and acceptable and demonstrated potential for improving asthma control and quality of life.
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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.