Trial reportAmerican journal of respiratory and critical care medicine2015
Do Patients of Subspecialist Physicians Benefit from Written Asthma Action Plans?
Trial report in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.
- Personalised asthma action plans for adults with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Digital Action Plan (Web App) for Managing Asthma Exacerbations: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Children with poorly controlled asthma: Randomized controlled trial of a home-based environmental control intervention.Pediatric pulmonology · 2019Trial
- Evidence-Based Clinical Recommendations for the Appropriate Use of Diagnostic Tests in Pediatric Allergology: Focus on Asthma, Rhinoconjunctivitis, and Keratoconjunctivitis Vernal.Journal of clinical medicine · 2026Review
- Practical integrated healthcare prevention and management of children's health quality of respiratory functions: a systematic review.BMJ public health · 2025Article
- Environmental management of asthma in clinical practice: Results from the 2012 National Ambulatory Medical Care Survey.The journal of allergy and clinical immunology. Global · 2024Article
- Improvement of quality of life in a family of a child with asthma after using the Written Asthma Action Plan (WAAP).Journal of family medicine and primary care · 2023Article
- 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
- Ten Rules for Implementation of a Telemedicine Program to Care for Patients with Asthma.The journal of allergy and clinical immunology. In practice · 2021Review
- Variables Associated with Emergency Department Utilization by Pediatric Patients with Asthma in a Federally Qualified Health Center.Journal of community health · 2019Article
- Perspective: Using Bronchiectasis Action Management Plans for Children With Bronchiectasis-Can It Improve Clinical Care?Frontiers in pediatrics · 2019Article
- Home Management of Childhood Asthma Exacerbations.Pulmonary therapy · 2018Article
- Physician perspectives on the burden and management of asthma in six countries: The Global Asthma Physician Survey (GAPS).BMC pulmonary medicine · 2017Article
- Factors associated with poor controller medication use in children with high asthma emergency department use.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2017Article
- What patients really think about asthma guidelines: barriers to guideline implementation from the patients' perspective.BMC pulmonary medicine · 2017Observational
- Do Written Asthma Action Plans Improve Outcomes?Pediatric allergy, immunology, and pulmonology · 2016Review
- Reply: "Written Asthma Action Plans: The Devil's in the Details" and "Written Action Asthma Plans: Not Such a Simple Issue in Subspecialist Care?".American journal of respiratory and critical care medicine · 2016Article
- Predicting and reducing risk of exacerbations in children with asthma in the primary care setting: current perspectives.Pragmatic and observational research · 2016Review
- Action plans for COPD: strategies to manage exacerbations and improve outcomes.International journal of chronic obstructive pulmonary disease · 2016Review
- Family Caregiver Marginalization is Associated With Decreased Primary and Subspecialty Asthma Care in Head Start Children.Academic pediatricsArticle
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Authors and funding
10 authors at 6 institutions in 3 countries.
Funding
Abstract
rationaleAsthma clinical guidelines suggest written asthma action plans are essential for improving self-management and outcomes.
objectivesTo assess the efficacy of written instructions in the form of a written asthma action plan provided by subspecialist physicians as part of usual asthma care during office visits.
methodsA total of 407 children and adults with persistent asthma receiving first-time care in pulmonary and allergy practices at 4 urban medical centers were randomized to receive either written instructions (n = 204) or no written instructions other than prescriptions (n = 203) from physicians. MEASUREMENTS AND MAIN
resultsUsing written asthma action plan forms as a vehicle for providing self-management instructions did not have a significant effect on any of the primary outcomes: (1) asthma symptom frequency, (2) emergency visits, or (3) asthma quality of life from baseline to 12-month follow-up. Both groups showed similar and significant reductions in asthma symptom frequency (daytime symptoms [P < 0.0001], nocturnal symptoms [P < 0.0001], β-agonist use [P < 0.0001]). There was also a significant reduction in emergency visits for the intervention (P < 0.0001) and control (P < 0.0006) groups. There was significant improvement in asthma quality-of-life scores for adults (P < 0.0001) and pediatric caregivers (P < 0.0001).
conclusionsOur results suggest that using a written asthma action plan form as a vehicle for providing asthma management instructions to patients with persistent asthma who are receiving subspecialty care for the first time confers no added benefit beyond subspecialty-based medical care and education for asthma. Clinical trial registered with www.clinicaltrials.gov (NCT 00149461).
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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.