Evidence map›Paper›PMID 24517110›Full record

Trial reportThe Journal of asthma : official journal of the Association for the Care of Asthma2014

Improving preventive care in high risk children with asthma: lessons learned.

Arlene M Butz, Jill Halterman, Melissa Bellin, Joan Kub, Mona Tsoukleris, Kevin D Frick, Richard E Thompson, Cassia Land, Mary E Bollinger

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of asthma : official journal of the Association for the Care of Asthma, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 27% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Characterization of Stress in Low-Income, Inner-City Mothers of Children with Poorly Controlled Asthma.Journal of urban health : bulletin of the New York Academy of Medicine · 2017
    Trial
  6. Trial
  7. Stress and Quality of Life in Urban Caregivers of Children With Poorly Controlled Asthma: A Longitudinal Analysis.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  8. Article
  9. Article
  10. Primary care clinician adherence with asthma guidelines: the National Asthma Survey of Physicians.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
  11. How can we support children, adolescents and young adults in managing chronic health challenges? A scoping review on the effects of patient education interventions.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
  12. 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 3 institutions in 1 country.

Arlene M ButzDepartment of Pediatrics, School of Medicine , Baltimore, MD , USA .
Jill Halterman
Melissa Bellin
Joan Kub
Mona Tsoukleris
Kevin D Frick
Richard E Thompson
Cassia Land
Mary E Bollinger
Johns Hopkins University · USUniversity of Maryland, Baltimore · USUniversity of Rochester · US

Funding

Pediatric Asthma Alert Intervention in Minority ChildrenR01NR010546 · NINR · JOHNS HOPKINS UNIVERSITY · PI BUTZ, ARLENE MANNS · 2008 to 2011
$2.1M
NINR NIH HHS NR010546NINR NIH HHS R01 NR010546
6 · The paper itself

Abstract

objectivesRates of preventive asthma care after an asthma emergency department (ED) visit are low among inner-city children. The objective of this study was to test the efficacy of a clinician and caregiver feedback intervention (INT) on improving preventive asthma care following an asthma ED visit compared to an attention control group (CON).

methodsChildren with persistent asthma and recent asthma ED visits (N = 300) were enrolled and randomized into a feedback intervention or an attention control group and followed for 12 months. All children received nurse visits. Data were obtained from interviews, child salivary cotinine levels and pharmacy records. Standard t-test, chi-square and multiple logistic regression tests were used to test for differences between the groups for reporting greater than or equal to two primary care provider (PCP) preventive care visits for asthma over 12 months.

resultsChildren were primarily male, young (3-5 years), African American and Medicaid insured. Mean ED visits over 12 months was high (2.29 visits). No difference by group was noted for attending two or more PCP visits/12 months or having an asthma action plan (AAP). Children having an AAP at baseline were almost twice as likely to attend two or more PCP visits over 12 months while controlling for asthma control, group status, child age and number of asthma ED visits.

conclusionsA clinician and caregiver feedback intervention was unsuccessful in increasing asthma preventive care compared to an attention control group. Further research is needed to develop interventions to effectively prevent morbidity in high risk inner-city children with frequent ED utilization.

Indexed as

Quality ImprovementAsthmaCaregiversChildChild, PreschoolFeedbackFemaleHumansMalePrimary Health CareProspective StudiesRecordsRisk FactorsManagement/controlpediatricsprevention

Identifiers

PMID24517110
PMCPMC4428172
OpenAlexW2013103956

What OpenQuestion holds

Textmetadata
LicenceTDM
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.