Evidence map›Paper›PMID 27298211›Full record

Trial reportJournal of medical Internet research2016

A Web-Based and Mobile Health Social Support Intervention to Promote Adherence to Inhaled Asthma Medications: Randomized Controlled Trial.

Justin T Koufopoulos, Mark T Conner, Peter H Gardner, Ian Kellar

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2016. 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 21 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT04607681 nacompletednot on this mapstarted 2021, after this paper: background citation

Evaluation of the Effect of Web-designed Training Developed for Asthma Patients on Drug Compliance, Asthma Control, and Fatigue

TypeinterventionalSponsorEskisehir Osmangazi UniversityRan2021 to 2022Enrolled200ConditionsAsthmaArmsEDUCATION
NCT06116292 narecruitingnot on this mapstarted 2024, after this paper: background citation

Impact of the Implementation of a Telemedicine Program on Patients Diagnosed with Asthma

TypeinterventionalSponsorHospital Universitari de BellvitgeRan2024 to 2026Enrolled108ConditionsAsthma, Telemedicine, Adherence, Treatment, Quality of LifeArmsThe mobile application ESTOI for Asthmatic patients
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  6. Interventions to improve adherence to inhaled steroids for asthma.The Cochrane database of systematic reviews · 2017
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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

4 authors.

Justin T KoufopoulosSchool of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.ORCID 0000-0002-6878-9445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnline communities hold great potential as interventions for health, particularly for the management of chronic illness. The social support that online communities can provide has been associated with positive treatment outcomes, including medication adherence. There are few studies that have attempted to assess whether membership of an online community improves health outcomes using rigorous designs.

objectiveOur objective was to conduct a rigorous proof-of-concept randomized controlled trial of an online community intervention for improving adherence to asthma medicine.

methodsThis 9-week intervention included a sample of asthmatic adults from the United Kingdom who were prescribed an inhaled corticosteroid preventer. Participants were recruited via email and randomized to either an "online community" or "no online community" (diary) condition. After each instance of preventer use, participants (N=216) were required to report the number of doses of medication taken in a short post. Those randomized to the online community condition (n=99) could read the posts of other community members, reply, and create their own posts. Participants randomized to the no online community condition (n=117) also posted their medication use, but could not read others' posts. The main outcome measures were self-reported medication adherence at baseline and follow-up (9 weeks postbaseline) and an objective measure of adherence to the intervention (visits to site).

resultsIn all, 103 participants completed the study (intervention: 37.8%, 39/99; control: 62.2%, 64/117). MANCOVA of self-reported adherence to asthma preventer medicine at follow-up was not significantly different between conditions in either intention-to-treat (P=.92) or per-protocol (P=.68) analysis. Site use was generally higher in the control compared to intervention conditions.

conclusionsJoining an online community did not improve adherence to preventer medication for asthma patients. Without the encouragement of greater community support or more components to sustain engagement over time, the current findings do not support the use of an online community to improve adherence. CLINICALTRIAL: International Standard Randomized Controlled Trial Number (ISRCTN): 29399269; http://www.isrctn.com/ISRCTN29399269/29399269 (Archived by WebCite at http://www.webcitation.org/6fUbEuVoT).

Indexed as

InternetMedication AdherenceSocial SupportAdministration, InhalationAdolescentAdultAnti-Asthmatic AgentsAsthmaFemaleHumansMaleMiddle AgedPilot ProjectsSelf CareSelf ReportSurveys and QuestionnairesAnti-Asthmatic AgentsadherenceasthmaattritionengagementInternetonline communityrandomized controlled trialsocial health networksocial supporttelemedicine

Identifiers

PMID27298211
PMCPMC4923591

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.