Evidence map›Paper›PMID 27774020›Full record

ArticlePragmatic and observational research2013

Protocol for the asthma tools study: a pragmatic practice-based research network trial.

Barbara P Yawn, Susan Bertram, Margary Kurland, Peter Wollan, Deborah Graham, Dawn Littlefield, Craig Smail, Wilson Pace

Open access · diamondAbstract read
In one paragraph

Article in Pragmatic and observational research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Assessment of asthma control among different measures and evaluation of functional exercise capacity in children and adolescents with asthma.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
    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

8 authors at 2 institutions in 1 country.

Barbara P YawnDepartment of Research, Olmsted Medical Center, Rochester, MN.
Susan BertramDepartment of Research, Olmsted Medical Center, Rochester, MN.
Margary KurlandDepartment of Research, Olmsted Medical Center, Rochester, MN.
Peter WollanDepartment of Research, Olmsted Medical Center, Rochester, MN.
Deborah GrahamNational Research Network, American Academy of Family Physicians, Leawood, KS, USA.
Dawn LittlefieldDepartment of Research, Olmsted Medical Center, Rochester, MN.
Craig SmailNational Research Network, American Academy of Family Physicians, Leawood, KS, USA.
Wilson PaceNational Research Network, American Academy of Family Physicians, Leawood, KS, USA.
Olmsted Medical Center · USAmerican Academy of Family Physicians · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma is common among children, adolescents, and adults. However, management of asthma often fails to follow evidence-based guidelines. Control assessments have been developed, validated against expert opinion, and disseminated. However, in primary care, assessment of control is only one step in asthma management. To facilitate integration of the evidence-based guidelines into practice, tools should also guide the next steps in care. The Asthma APGAR tools do just that, incorporating a control assessment as well as assessment of the most common reasons for inadequate and poor control. The Asthma APGAR tool is also linked to a care algorithm based on the 2007 National Heart, Lung, and Blood Institute asthma guidelines. The objective of this study is to assess the impact of implementation of the Asthma APGAR on patient asthma outcomes in primary care practices.

methodsA total of 1400 patients aged 5-60 years with physician-diagnosed asthma are enrolled in 20 practice-based research network (PBRN) practices randomized to intervention or usual care. The primary outcomes are changes in patient self-reported asthma control, asthma-related quality of life, and rates of exacerbations documented in medical records over the 18-24 months of enrollment. Process measures related to implementation of the Asthma APGAR system into daily care will also be assessed using review of medical records. Qualitative assessments will be used to explore barriers to and facilitators for integrating the Asthma APGAR tools into daily practice in primary care. DISCUSSION: Data from this pivotal pragmatic study are intended to demonstrate the importance of linking assessment of asthma and management tools to improve asthma-related patient outcomes. The study is an effectiveness trial done in real-world PBRN practices using patient-oriented outcome measures, making it generalizable to the largest possible group of asthma care providers and primary care clinics.

Indexed as

asthmaasthma controlasthma managementpractice-based researchpragmatic researchprimary careprotocol

Identifiers

PMID27774020
PMCPMC5045012
OpenAlexW1971458786

What OpenQuestion holds

Textmetadata
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.