Evidence map›Paper›PMID 26563672›Full record

SynthesisThe journal of allergy and clinical immunology. In practice

Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review.

Giselle S Mosnaim, Andrea A Pappalardo, Scott E Resnick, Christopher D Codispoti, Sindhura Bandi, Lisa Nackers, Rabia N Malik, Vimala Vijayaraghavan, Elizabeth B Lynch, Lynda H Powell

Abstract readSystematic Review
In one paragraph

Synthesis in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Systematic Review of Digital Interventions for Pediatric Asthma Management.The journal of allergy and clinical immunology. In practice · 2020
    Pooled it
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  6. Context-specific genetic effects inform endotypes and treatment in asthma.The Journal of allergy and clinical immunology · 2026
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  14. Digital health interventions in children with asthma.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
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  17. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Giselle S MosnaimDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Ill. Electronic address: giselle_mosnaim@rush.edu.
Andrea A PappalardoAsthma and Allergy Center, Bloomingdale, Ill.
Scott E ResnickUniversity of Illinois College of Medicine, Chicago, Ill.
Christopher D CodispotiDepartment of Immunology/Microbiology, Rush University Medical Center, Chicago, Ill.
Sindhura BandiDepartment of Immunology/Microbiology, Rush University Medical Center, Chicago, Ill.
Lisa NackersDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Ill.
Rabia N MalikDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Ill.
Vimala VijayaraghavanDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Ill.
Elizabeth B LynchDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Ill.
Lynda H PowellDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Ill.
Rush University Medical Center · USUniversity of Illinois Chicago · US

Funding

STRESS MEASURES/PSYCHOMETRICSP50HL105189 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI MARTIN, MOLLY A · 2010 to 2014
$10.5M
Adolescents' Disease Empowerment and Persistency Technology for AsthmaK23HL092292 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI MOSNAIM, GISELLE SARAH · 2009 to 2013
$664k
Coping Peer Intervention for Adherence in Urban African American Adolescents withR21HL098812 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI MOSNAIM, GISELLE SARAH · 2010 to 2011
$426k
NHLBI NIH HHS 1P50HL105189NHLBI NIH HHS K23 HL092292NHLBI NIH HHS P50 HL105189NHLBI NIH HHS R21 HL098812
6 · The paper itself

Abstract

backgroundFactors at multiple ecological levels, including the child, family, home, medical care, and community, impact adolescent asthma outcomes.

objectiveThis systematic review characterizes behavioral interventions at the child, family, home, medical system, and community level to improve asthma management among adolescents.

methodsA systematic search of PubMed, SCOPUS, OVID, PsycINFO, CINAHL, and reference review databases was conducted from January 1, 2000, through August 10, 2014. Articles were included if the title or abstract included asthma AND intervention AND (education OR self-management OR behavioral OR technology OR trigger reduction), and the mean and/or median age of participants was between 11 and 16 years. We compared populations, intervention characteristics, study designs, outcomes, settings, and intervention levels across studies to evaluate behavioral interventions to improve asthma management for adolescents.

resultsOf 1230 articles identified and reviewed, 24 articles (21 unique studies) met inclusion criteria. Promising approaches to improving adherence to daily controller medications include objective monitoring of inhaled corticosteroid adherence with allergist and/or immunologist feedback on medication-taking behavior and school nurse directly observed therapy. Efficacy at increasing asthma self-management skills was demonstrated using group interactive learning in the school setting. This systematic review is not a meta-analysis, thus limiting its quantitative assessment of studies. Publication bias may also limit our findings.

conclusionsNovel strategies to objectively increase controller medication adherence for adolescents include allergist and/or immunologist feedback and school nurse directly observed therapy. Schools, the most common setting across studies in this review, provide the opportunity for group interactive learning to improve asthma knowledge and self-management skills.

Indexed as

AssertivenessBehavior TherapyAdolescentAnimalsAsthmaCommunity Mental Health ServicesHumansQuality ImprovementSelf CareTreatment OutcomeAdolescentsAsthmaChildhood asthmaOutcome assessment (health care)Schools

Identifiers

PMID26563672
PMCPMC4715910
OpenAlexW2176521743

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.