Trial reportJournal of consulting and clinical psychology2014
Multisystemic therapy for high-risk African American adolescents with asthma: a randomized clinical trial.
Trial report in Journal of consulting and clinical psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025Pooled it
- Psychological interventions for asthma in children and adolescents.The Cochrane database of systematic reviews · 2024Pooled it
- Meta-Analysis of Adherence Promotion Interventions in Pediatric Asthma.Journal of pediatric psychology · 2021Pooled it
- Psychological interventions for parents of children and adolescents with chronic illness.The Cochrane database of systematic reviews · 2019Pooled it
- Psychological interventions for parents of children and adolescents with chronic illness.The Cochrane database of systematic reviews · 2015Pooled it
- Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review.The journal of allergy and clinical immunology. In practicePooled it
- The moderating role of diabetes distress on the effect of a randomized eHealth intervention on glycemic control in Black adolescents with type 1 diabetes.Journal of pediatric psychology · 2024Trial
- Mediators of Treatment Effects in a Randomized Clinical Trial of Multisystemic Therapy-Health Care in Adolescents With Poorly Controlled Asthma: Disease Knowledge and Device Use Skills.Journal of pediatric psychology · 2016Trial
- Effects of family treatment on parenting beliefs among caregivers of youth with poorly controlled asthma.Journal of developmental and behavioral pediatrics : JDBP · 2014Trial
- Sequential Multiple Assignment Randomized Trial (SMART) to Construct Weight Loss Interventions for African American Adolescents.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Trial
- Mapping Randomized Controlled Trials of Family- and Community-Centered Healthcare Interventions for Pediatric Asthma, Type 1 Diabetes, or Juvenile Idiopathic Arthritis-A Scoping Review.Children (Basel, Switzerland) · 2026Review
- Development and Usability Testing of the Mobile Childhood Asthma Management Program (mCHAMP) App: Sequential Mixed Methods Study.JMIR pediatrics and parenting · 2026Article
- Article
- A Randomized Controlled Trial of a Family-Based Community Health Worker Delivered Intervention for Urban Adolescents with Uncontrolled Asthma.Children's health care : journal of the Association for the Care of Children's Health · 2024Article
- Ozone Pollution, Perceived Support at Home, and Asthma Symptom Severity in the Adolescent Sample of the California Health Interview Survey.International journal of behavioral medicine · 2023Article
- Adherence and Self-management Interventions among Systemically Marginalized and Underserved Youth with Asthma.Clinical practice in pediatric psychology · 2022Article
- Socioeconomic status and medication adherence among youth with asthma: the mediating role of frequency of children's daily routines.Psychology & health · 2022Article
- Article
- They just don't take their medicines: Reframing medication adherence in asthma from frustration to opportunity.Pediatric pulmonology · 2020Review
- Responsive Asthma Care for Teens (ReACT): development protocol for an adaptive mobile health intervention for adolescents with asthma.BMJ open · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe primary purpose of the study was to determine whether Multisystemic Therapy adapted for health care settings (MST-HC) improved asthma management and health outcomes in high-risk African American adolescents with asthma.
methodEligibility included self-reported African American ethnicity, ages 12 to 16, moderate to severe asthma, and an inpatient hospitalization or at least 2 emergency department visits for asthma in the last 12 months. Adolescents and their families (N = 170) were randomized to MST-HC or in-home family support. Data were collected at baseline and posttreatment (7 months) based on an asthma management interview, medication adherence phone diary, and lung function biomarker (forced expiratory volume in 1 s [FEV1]). Analyses were conducted using linear mixed modeling for continuous outcomes and generalized linear mixed modeling for binary outcomes.
resultsIn intent-to-treat analyses, adolescents randomized to MST-HC were more likely to improve on 2 of the measures of medication adherence and FEV1. Per-protocol analysis demonstrated that MST-HC had a medium effect on adherence measures and had a small to medium effect on lung function and the adolescent's response to asthma exacerbations.
conclusionThere are few interventions that have been shown to successfully improve asthma management in minority youth at highest risk for poor morbidity and mortality. MST, a home-based psychotherapy originally developed to target behavior problems in youth, improved asthma management and lung function compared to a strong comparison condition. Further follow-up is necessary to determine whether MST-HC reduces health care utilization accounting for seasonal variability. A limitation to the study is that a greater number of participants in the control group came from single-parent families than in the MST group.
Indexed as
Identifiers
What OpenQuestion holds
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.