Evidence map›Paper›PMID 27914817›Full record

Trial reportThe journal of allergy and clinical immunology. In practice

What Really Happens in the Home: The Medication Environment of Urban, Minority Youth.

Andrea A Pappalardo, Kelly Karavolos, Molly A Martin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Improving Adherence in Urban Youth With Asthma: Role of Community Health Workers.The journal of allergy and clinical immunology. In practice · 2022
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. A Mixed-methods Study Examining Inhaler Carry and Use among Children at School.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Observational
  9. Article
  10. Article
  11. Review
  12. 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

3 authors at 2 institutions in 1 country.

Andrea A PappalardoAsthma and Allergy Center, Bloomingdale, Ill; Department of Pediatrics, University of Illinois at Chicago, Chicago, Ill. Electronic address: pappalardo.andrea@gmail.com.
Kelly KaravolosDepartment of Preventative Medicine, Rush University Medical Center, Chicago, Ill.
Molly A MartinDepartment of Pediatrics, University of Illinois at Chicago, Chicago, Ill.
University of Illinois Chicago · USRush University Medical Center · US

Funding

STRESS MEASURES/PSYCHOMETRICSP50HL105189 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI POWELL, LYNDA H · 2010 to 2014
$10.5M
A Family Intervention for Pediatric Asthma Self-Management in Puerto RicansR21HL093346 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI MARTIN, MOLLY A · 2009 to 2010
$413k
A Community-Academic Partnership to Improve Asthma Management in Latino ChildrenR21HL087769 · NHLBI · RUSH UNIVERSITY MEDICAL CENTER · PI MARTIN, MOLLY A · 2009 to 2010
$400k
NHLBI NIH HHS P50 HL105189NHLBI NIH HHS R21 HL087769NHLBI NIH HHS R21 HL093346
6 · The paper itself

Abstract

backgroundAsthma disproportionately affects minority youth. Understanding the home medication environment and its relation to medication adherence can shape interventions to improve health outcomes.

objectiveThe objective of this study was to describe the asthma medication environment in the homes of urban minority youth and to determine predictors of medication use and technique in this population.

methodsBaseline data from 2 cohorts of minority youth with asthma in Chicago were combined for cross-sectional analysis. Bilingual research assistants (RAs) collected data in the home. RAs asked caregivers and children to self-report medications using pictures and observed children's asthma medications and inhaler technique.

resultsThe sample contained 175 mainly Latino youth (85.6%) ranging from 5 to 18 years old. Most were on public insurance (80%) and had uncontrolled asthma by self-report (89.7%). Only 27.4% had a spacer, 74.9% had a quick relief medicine, and 48.6% had any controller medicine. RA observations of controllers agreed with children (36%) and parental self-report (42.3%) but did not match the specific observed controllers. Children reported less parental help with medications (43%) than their parents (58.1%). One child was able to properly demonstrate 100% of the inhaler steps and 35.6% achieved >70% of inhaler steps. A better medication technique was associated with having a controller (b = 12.2, SE = 3.0, P < .0001), quick reliever (b = 8.05, SE = 3.5, P = .023), and a spacer (b = 9.3, SE = 3.54, P = .009).

conclusionsThis rigorous evaluation of the home medication environment of high-risk youth demonstrated that many families lack critical medications, devices, and a technique for proper management of asthma.

Indexed as

Minority GroupsUrban PopulationAdolescentAsthmaChildChild, PreschoolCohort StudiesCross-Sectional StudiesDrug Utilization ReviewFemaleHispanic or LatinoHumansMaleMedication AdherenceMinority HealthMultilingualismAsthmaCultural competencyHealth disparitiesInhaler techniqueLatinoPediatricPuerto Rican

Identifiers

PMID27914817
PMCPMC5423821
OpenAlexW2093332084

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.