Evidence map›Paper›PMID 24218469›Full record

ArticlePediatrics2013

Longitudinal validation of a tool for asthma self-monitoring.

Flory L Nkoy, Bryan L Stone, Bernhard A Fassl, Derek A Uchida, Karmella Koopmeiners, Sarah Halbern, Eun H Kim, Allison Wilcox, Jian Ying, Tom H Greene and 3 more

Open access · greenAbstract readValidation Study
In one paragraph

Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Impact of CYP3A5 Polymorphisms on Pediatric Asthma Outcomes.International journal of molecular sciences · 2024
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Predicting asthma control deterioration in children.BMC medical informatics and decision making · 2015
    Article
  9. Expression of cPLAInternational journal of immunopathology and pharmacology
    Article
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

13 authors at 4 institutions in 1 country.

Flory L NkoyPrimary Children's Medical Center, Division of Pediatric Inpatient Medicine, University of Utah School of Medicine, 100 North Medical Dr, Salt Lake City, UT 84113. flory.nkoy@hsc.utah.edu.
Bryan L Stone
Bernhard A Fassl
Derek A Uchida
Karmella Koopmeiners
Sarah Halbern
Eun H Kim
Allison Wilcox
Jian Ying
Tom H Greene
David M Mosen
Michael N Schatz
Christopher G Maloney
University of Utah · USIntermountain Healthcare · USKaiser Permanente Center for Health Research · USKaiser Permanente San Diego Medical Center · US

Funding

UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
Mentored Scholars Program for Translational Comparative Effectiveness ResearchKM1CA156723 · NCI · UNIVERSITY OF UTAH · PI BYINGTON, CARRIE L. · 2010 to 2010
$2.5M
Organizational Factors Associated with Improved Inpatient Pediatric Asthma CareR18HS018166 · AHRQ · UNIVERSITY OF UTAH · PI NKOY, FLORY L · 2010 to 2012
$884k
AHRQ HHS 1R18HS018166-01A1AHRQ HHS 1R18HS018678-01A1AHRQ HHS R18 HS018166AHRQ HHS R18 HS018678NCATS NIH HHS 8UL1TR000105NCATS NIH HHS UL1 TR000105NCI NIH HHS KM1 CA156723NCI NIH HHS KM1CA156723NCRR NIH HHS UL1 RR025764NCRR NIH HHS UL1RR025764
6 · The paper itself

Abstract

objectivesTo establish longitudinal validation of a new tool, the Asthma Symptom Tracker (AST). AST combines weekly use of the Asthma Control Test with a color-coded graph for visual trending.

methodsProspective cohort study of children age 2 to 18 years admitted for asthma. Parents or children (n = 210) completed baseline AST assessments during hospitalization, then over 6 months after discharge. Concurrent with the first 5 AST assessments, the Asthma Control Questionnaire (ACQ) was administered for comparison.

resultsTest-retest reliability (intraclass correlation) was moderate, with a small longitudinal variation of AST measurements within subjects during follow-ups. Internal consistency was strong at baseline (Cronbach's α 0.70) and during follow-ups (Cronbach's α 0.82-0.90). Criterion validity demonstrated a significant correlation between AST and ACQ scores at baseline (r = -0.80, P < .01) and during follow-ups (r = -0.64, -0.72, -0.63, and -0.69). The AST was responsive to change over time; an increased ACQ score by 1 point was associated with a decreased AST score by 2.65 points (P < .01) at baseline and 3.11 points (P < .01) during follow-ups. Discriminant validity demonstrated a strong association between decreased AST scores and increased oral corticosteroid use (odds ratio 1.13, 95% confidence interval, 1.10-1.16, P < .01) and increased unscheduled acute asthma visits (odds ratio 1.23, 95% confidence interval, 1.18-1.28, P < .01).

conclusionsThe AST is reliable, valid, and responsive to change over time, and can facilitate ongoing monitoring of asthma control and proactive medical decision-making in children.

Indexed as

AdolescentAnti-Asthmatic AgentsAsthmaChildChild, PreschoolDecision Support TechniquesDisease ProgressionDrug MonitoringFemaleHospitalizationHumansLogistic ModelsLongitudinal StudiesMaleProspective StudiesReproducibility of ResultsAnti-Asthmatic Agentsasthma controlpediatricsself-managementself-monitoring

Identifiers

PMID24218469
PMCPMC4074668
OpenAlexW2059363097

What OpenQuestion holds

Textmetadata
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.