Evidence map›Paper›PMID 27304455›Full record

ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2017

Caregiver perception of asthma management of children in the context of poverty.

Melissa H Bellin, Cassie Land, Angelica Newsome, Joan Kub, Shawna S Mudd, Mary Elizabeth Bollinger, Arlene M Butz

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.9field-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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Changes in caregiver mental health and pediatric asthma control during COVID-19.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
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  6. Characterization of Stress in Low-Income, Inner-City Mothers of Children with Poorly Controlled Asthma.Journal of urban health : bulletin of the New York Academy of Medicine · 2017
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  7. Very Poorly Controlled Asthma in Urban Minority Children: Lessons Learned.The journal of allergy and clinical immunology. In practice
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  8. Fostering Effective Asthma Self-Management Transfer in High-Risk Children: Gaps and Opportunities for Family Engagement.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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  9. Child asthma and parental mental health: exploring associations by parental sex.The Journal of asthma : official journal of the Association for the Care of Asthma · 2026
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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

7 authors at 3 institutions in 1 country.

Melissa H Bellina School of Social Work, University of Maryland , Baltimore , MD , USA.
Cassie Landb Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine , Baltimore , MD , USA.
Angelica Newsomea School of Social Work, University of Maryland , Baltimore , MD , USA.
Joan Kubc School of Nursing, Medicine and Public Health, Johns Hopkins University , Baltimore , MD , USA.
Shawna S Muddc School of Nursing, Medicine and Public Health, Johns Hopkins University , Baltimore , MD , USA.
Mary Elizabeth Bollingerd Division of Pediatric Pulmonary and Allergy, University of Maryland School of Medicine , Baltimore , MD , USA.
Arlene M Butzb Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine , Baltimore , MD , USA.
University of Maryland, Baltimore · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Asthma Express: Bridging Emergency to Primary Care in Underserved ChildrenR01NR013486 · NINR · JOHNS HOPKINS UNIVERSITY · PI BUTZ, ARLENE MANNS · 2013 to 2017
$2.3M
NCATS NIH HHS UL1 TR000424NINR NIH HHS R01 NR013486
6 · The paper itself

Abstract

objectiveLow-income caregivers of young children with high-risk asthma experience social stressors and illness-related demands that may impede effective home asthma management. Knowledge of the caregiving experience in the context of poverty is limited.

methodsConvenience sampling methods were used to recruit low-income caregivers of children aged 7-12 years, who are frequently in the Emergency Room (ED) for uncontrolled asthma. Thirteen caregivers participated in focus groups that were designed to elicit reflections on asthma home and community management from the caregiver perspective. A grounded theory approach was used in the open coding of transcript data from three focus groups, as well as to revise and reorganize emerging themes and sub-themes.

resultsParticipants (Mean age = 33.9 years) were predominantly the biological mother (92.3%), single (84.6%), and impoverished (69.2% reported annual household income ≤ $30,000). Their children (Mean age = 7.8 years) were African-American (100%), enrolled in Medicaid (92.3%), averaged 1.38 (SD = 0.7) ED visits over the prior 3 months, resided in homes with at least one smoker (61.5%), and nearly all (84.6%) experienced activity limitations due to asthma. Five themes emerged in the analysis: intensive caregiving role, complex and shared asthma management responsibility, parental beliefs and structural barriers to guideline-based care, lack of control over environmental triggers, and parent advocacy to improve child asthma care and outcomes.

conclusionsCaregivers managing a child with high-risk asthma in the context of poverty indicate the need for ongoing asthma education, increased sensitivity to the complexity of home asthma management, and family-centered interventions that enhance communication and collaboration between caregivers and providers.

Indexed as

PovertyAdultAsthmaBlack or African AmericanCaregiversChildEnvironmentFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansMaleMedicaidSocioeconomic FactorsStress, PsychologicalUnited StatesAsthmacaregiverfocus groupslow-incomemedication usestress

Identifiers

PMID27304455
PMCPMC5241250
OpenAlexW2419814571

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.