Evidence map›Paper›PMID 26228390›Full record

Trial reportBMC pulmonary medicine2015

Study protocol for a randomised controlled trial evaluating the efficacy of a telehealth program--management of asthma with supportive telehealth of respiratory function in pregnancy (MASTERY©).

Elida Zairina, Michael J Abramson, Christine F McDonald, Jonathan Li, Thanuja Dharmasiri, Kay Stewart, Susan P Walker, Eldho Paul, Johnson George

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC pulmonary medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Personalised asthma action plans for adults with asthma.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Home telemonitoring and remote feedback between clinic visits for asthma.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Review
  4. Review
  5. 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

9 authors at 4 institutions in 1 country.

Elida ZairinaCentre for Medicine Use and Safety, Monash University, Parkville, VIC, Australia. Elida.Zairina@monash.edu.
Michael J AbramsonDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia. Michael.Abramson@monash.edu.
Christine F McDonaldDepartment of Respiratory and Sleep Medicine, The Austin Hospital, Heidelberg, VIC, Australia. Christine.McDonald@austin.org.au.
Jonathan LiDepartment of Electrical and Computer Systems Engineering, Faculty of Engineering, Monash University, Clayton, VIC, Australia. Jonathan.Li@monash.edu.
Thanuja DharmasiriDepartment of Electrical and Computer Systems Engineering, Faculty of Engineering, Monash University, Clayton, VIC, Australia. Thanuja.Dharmasiri@monash.edu.
Kay StewartCentre for Medicine Use and Safety, Monash University, Parkville, VIC, Australia. Kay.Stewart@monash.edu.
Susan P WalkerDepartment of Maternal Fetal Medicine, Mercy Hospital for Women, Melbourne, Australia. spwalker@unimelb.edu.au.
Eldho PaulDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia. Eldho.Paul@monash.edu.
Johnson GeorgeCentre for Medicine Use and Safety, Monash University, Parkville, VIC, Australia. Johnson.George@monash.edu.
Monash University · AUThe Alfred Hospital · AUAustin Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelehealth has the potential to improve asthma management through regular monitoring of lung function and/or asthma symptoms by health professionals in conjunction with feedback to patients. Although the benefits of telehealth for improving asthma management have been extensively studied, the feasibility of telehealth for supporting asthma management in pregnant women has not been investigated. This study aims to evaluate the use of telehealth for remotely monitoring lung function and optimising asthma control during pregnancy.

methodsA randomised controlled trial comparing usual care with a telehealth program (MASTERY©) has been conducted. The intervention comprised a mobile application - Breathe-easy© supported by a Bluetooth-enabled handheld device (COPD-6®), which was used for self-monitoring of lung function (FEV1, FEV6) twice daily, and recording asthma symptoms and medication usage weekly; and a written asthma action plan (WAAP). The primary outcome measure is change in asthma control measured using the Asthma Control Questionnaire (ACQ). Secondary outcomes include changes in mini-Asthma Quality of Life Questionnaire (mAQLQ) score, lung function, asthma-related health visits, days off work/study, and oral corticosteroid use. Outcome data were collected at baseline, 3 months and 6 months by a research assistant masked to group allocation. Maternal and neonatal outcomes were also collected post-partum. DISCUSSION: This is the first study to evaluate the application of telehealth to optimize asthma management in pregnant women. If effective, this telehealth program could improve asthma self-management by pregnant women which may reduce the maternal and fetal risks of poorly controlled asthma during pregnancy.

trial registrationAustralian New Zealand Clinical Trials Registry ( ACTRN 12613000800729 ) 17 July 2013.

Indexed as

Disease ManagementPregnancy ComplicationsAdultAsthmaFemaleFollow-Up StudiesHumansMobile ApplicationsMonitoring, PhysiologicPregnancyProspective StudiesQuality of LifeReproducibility of ResultsRespiratory Function TestsSingle-Blind MethodTelemedicine

Identifiers

PMID26228390
PMCPMC4521452
OpenAlexW1899719605

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.