Trial reportAmerican journal of public health2015
Community Health Worker Home Visits for Medicaid-Enrolled Children With Asthma: Effects on Asthma Outcomes and Costs.
Trial report in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 75 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.
Medicaid Asthma Home Visit Project: Improving Health and Reducing Costs of Health Care for Children With Asthma
Promoting Asthma Guidelines and Management Through Technology-Based Intervention and Care Coordination
Who cites it
75 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- A meta-analysis of the effects of community-based treatments for asthma in children.BMC pediatrics · 2025Pooled it
- Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025Pooled it
- Patient navigator programmes for children and adolescents with chronic diseases.The Cochrane database of systematic reviews · 2024Pooled it
- Quality of life of parents with children with congenital abnormalities: a systematic review with meta-analysis of assessment methods and levels of quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Pooled it
- Social Risk Interventions and Health Care Utilization for Pediatric Asthma: A Systematic Review and Meta-analysis.JAMA pediatrics · 2022Pooled it
- Effects of caregiver-involved interventions on the quality of life of children and adolescents with chronic conditions and their caregivers: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Pooled it
- Improving Adherence in Urban Youth With Asthma: Role of Community Health Workers.The journal of allergy and clinical immunology. In practice · 2022Trial
- Community Health Worker Asthma Interventions for Children: Results From a Clinically Integrated Randomized Comparative Effectiveness Trial (2016‒2019).American journal of public health · 2021Trial
- Effects of the home-based educational intervention on health outcomes among primarily Hispanic children with asthma: a quasi-experimental study.BMC public health · 2019Trial
- Design of a pragmatic trial in minority children presenting to the emergency department with uncontrolled asthma: The CHICAGO Plan.Contemporary clinical trials · 2017Trial
- Addressing asthma and obesity in children with community health workers: proof-of-concept intervention development.BMC pediatrics · 2016Trial
- Implementation Lessons From a Randomized Trial Integrating Community Asthma Education for Children.The Journal of ambulatory care managementTrial
- A Randomized Trial to Address Food Insecurity and Promote Smoking Cessation Among Low-Income Adults.Journal of primary care & community healthTrial
- 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
- Return on investment of community health workers in the United States: a systematic review.Lancet regional health. Americas · 2026Article
- Article
- The Airport, Air Quality and Asthma (AAA) Indoor Air Intervention Trial for Children with Asthma: Protocol for a Community Based Study in South King County, Washington State.Research square · 2025Article
- The Role of Community Health Workers in Improving Diabetes Device Use Among Youth With Type 1 Diabetes: A Web-Based Qualitative Study Using Human-Centered Design With Clinicians.JMIR diabetes · 2025Article
- Scaling an Evidence-Based Community Health Worker Program With Fidelity: Results and Lessons Learned.The Milbank quarterly · 2025Article
- Medicaid Accountable Care Organizations and Disparities in Pediatric Asthma Care.JAMA pediatrics · 2024Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesWe sought to estimate the return on investment of a streamlined version of an evidence-based community health worker (CHW) asthma home visit program.
methodsWe used a randomized parallel group trial of home visits by CHWs to Medicaid-enrolled children with uncontrolled asthma versus usual care.
resultsA total of 373 participants enrolled in the study (182 in the intervention group and 191 in the control group, of whom 154 and 179, respectively, completed the study). The intervention group had greater improvements in asthma symptom-free days (2.10 days more over 2 weeks; 95% CI = 1.17, 3.05; P < .001) and caretakers' quality of life (0.43 units more; 95% CI = 0.20, 0.66; P < .001) and a larger reduction in urgent health care utilization events (1.31 events fewer over 12 months; 95% CI = -2.10, -0.52; P = .001). The intervention arm compared with the control arm saved $1340.92 for the $707.04 additional costs invested for the average participant. The return on investment was 1.90.
conclusionsA streamlined CHW asthma home visit program for children with uncontrolled asthma improved health outcomes and yielded a return on investment of 1.90.
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.