SynthesisPediatrics2013
Interventions to modify health care provider adherence to asthma guidelines: a systematic review.
Synthesis 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 NCT03066596 (Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination), which is not on this map. Cited by 46 papers, 5 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.
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination
Who cites it
46 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Strategies for the implementation of clinical practice guidelines in public health: an overview of systematic reviews.Health research policy and systems · 2022Pooled it
- Characterizing patient-oriented tools that could be packaged with guidelines to promote self-management and guideline adoption: a meta-review.Implementation science : IS · 2016Pooled it
- Pooled it
- Interventions to improve adherence to cardiovascular disease guidelines: a systematic review.BMC family practice · 2015Pooled it
- Do guidelines offer implementation advice to target users? A systematic review of guideline applicability.BMJ open · 2015Pooled it
- Pulmonary specialist health coach consultation model: a randomized controlled trial.Annals of the American Thoracic Society · 2026Trial
- Facilitators and barriers to the implementation of the Primary Care Asthma Paediatric Pathway: a qualitative analysis.BMJ open · 2022Trial
- A computerized decision support tool to implement asthma guidelines for children and adolescents.The Journal of allergy and clinical immunology · 2019Trial
- Identifying Which Urban Children With Asthma Benefit Most From Clinician Prompting: Subgroup Analyses From the Prompting Asthma Intervention in Rochester-Uniting Parents and Providers (PAIR-UP) Trial.Academic pediatrics · 2018Trial
- Use of Asthma APGAR Tools in Primary Care Practices: A Cluster-Randomized Controlled Trial.Annals of family medicine · 2018Trial
- Design of a pragmatic trial in minority children presenting to the emergency department with uncontrolled asthma: The CHICAGO Plan.Contemporary clinical trials · 2017Trial
- Prompting asthma intervention in Rochester-uniting parents and providers (PAIR-UP): a randomized trial.JAMA pediatrics · 2014Trial
- Racial disparities at the point of care for urban children with persistent asthma.Journal of community health · 2014Trial
- Effect of a cognitive aid on adherence to perioperative assessment and management guidelines for the cardiac evaluation of noncardiac surgical patients.Anesthesiology · 2014Trial
- Real-world feasibility of adapted European Respiratory Society asthma diagnosis guidelines for school-aged children.ERJ open research · 2026Article
- Management of fatigue in children with cancer: a survey of pediatric hematology-oncology professionals' knowledge, attitudes, and practices in the United States and Canada.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Asthma Phenotypes and Biomarkers.Respiratory care · 2025Review
- The Combined and Comparative Impacts of Financial Incentives Versus Practice Facilitation Implementation Support for Social Risk Screening in Community Health Centers.Health services research · 2025Article
- Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study.JMIR formative research · 2025Article
- Application of a user experience design approach for an EHR-based clinical decision support system.JAMIA open · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
BACKGROUND AND
objectiveHealth care provider adherence to asthma guidelines is poor. The objective of this study was to assess the effect of interventions to improve health care providers' adherence to asthma guidelines on health care process and clinical outcomes.
methodsData sources included Medline, Embase, Cochrane CENTRAL Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, Educational Resources Information Center, PsycINFO, and Research and Development Resource Base in Continuing Medical Education up to July 2012. Paired investigators independently assessed study eligibility. Investigators abstracted data sequentially and independently graded the evidence.
resultsSixty-eight eligible studies were classified by intervention: decision support, organizational change, feedback and audit, clinical pharmacy support, education only, quality improvement/pay-for-performance, multicomponent, and information only. Half were randomized trials (n = 35). There was moderate evidence for increased prescriptions of controller medications for decision support, feedback and audit, and clinical pharmacy support and low-grade evidence for organizational change and multicomponent interventions. Moderate evidence supports the use of decision support and clinical pharmacy interventions to increase provision of patient self-education/asthma action plans. Moderate evidence supports use of decision support tools to reduce emergency department visits, and low-grade evidence suggests there is no benefit for this outcome with organizational change, education only, and quality improvement/pay-for-performance.
conclusionsDecision support tools, feedback and audit, and clinical pharmacy support were most likely to improve provider adherence to asthma guidelines, as measured through health care process outcomes. There is a need to evaluate health care provider-targeted interventions with standardized outcomes.
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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.