Evidence map›Paper›PMID 28541869›Full record

ArticlePreventing chronic disease2017

Teaming Up for Asthma Control: EPR-3 Compliant School Program in Missouri Is Effective and Cost-Efficient.

Benjamin Francisco, Tammy Rood, Rebekah Nevel, Paul Foreman, Sherri Homan

Abstract read
In one paragraph

Article in Preventing chronic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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.

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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Current unmet needs and potential solutions to uncontrolled asthma.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
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

5 authors.

Benjamin FranciscoUniversity of Missouri Health Care, School of Medicine, Child Health, Pulmonary Medicine & Allergy, Department of Child Health, Asthma Ready Communities and Teaming Up for Asthma Control, University of Missouri, Columbia, Missouri.
Tammy RoodUniversity of Missouri Health Care, School of Medicine, Child Health, Pulmonary Medicine & Allergy, Department of Child Health, Asthma Ready Communities and Teaming Up for Asthma Control, University of Missouri, Columbia, Missouri.
Rebekah NevelVanderbilt University Medical Center, Pediatric Allergy, Immunology & Pulmonary Medicine, Monroe Carell Jr. Children's Hospital, Nashville, Tennessee.
Paul ForemanUniversity of Missouri Health Care, School of Medicine, Child Health, Pulmonary Medicine & Allergy, Department of Child Health, Asthma Ready Communities and Teaming Up for Asthma Control, University of Missouri, Columbia, Missouri.
Sherri HomanMissouri Department of Health and Senior Services, Missouri Asthma Prevention and Control Program and Office of Epidemiology, Division of Community and Public Health, 920 Wildwood Dr, Jefferson City, MO 65109. Email: sherri.homan@health.mo.gov.

Funding

COMPREHENSIVE ASTHMA CONTROL THROUGH EVIDENCE-BASED STRATEGIES AND PUBLIC HEALTH - HEALTH CARE COLLABORATIONU59EH000510 · EH · MISSOURI STATE DEPT/ HEALTH & SENIOR SRV · PI CRAMER, STEVE · 2009 to 2016
$4.6M
Conducting Child Health Care Research in Vulnerable PopulationsT32HD060554 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BARKIN, SHARI, WILLIAMS, DEREK J. · 2009 to 2019
$3.8M
NCEH CDC HHS U59 EH000510NICHD NIH HHS T32 HD060554
6 · The paper itself

Abstract

introductionTeaming Up for Asthma Control (TUAC) is a work force development intervention to improve asthma control among children by increasing the competency of school nurses and delivering guideline-based education. We hypothesized that the knowledge and skills of participating school nurses would improve and that this change would positively affect students' asthma health and reduce health care utilization cost.

methodsAsthma education for school nurses was provided online in a pretest/posttest format or in instructor-led groups. Students with persistent asthma were identified by using a checklist. Expert evaluators obtained student participants' preassessments/postassessments before and after the 3 asthma checkups by the school nurse, and the assessments were compared. Health care costs were assessed using Medicaid administrative claims data.

resultsA total of 54 school nurses and 178 students in Missouri participated in the TUAC evaluation from 2011 through 2014. Among school nurses who completed the online education (n = 42, 77.8%), knowledge scores significantly increased from pretest (49.1%) to posttest (90.7%, P < .001). Of school nurses who completed assessments on 3 children (n = 34), 91.2% met the ±6% equivalence for 1 or more assessments on forced expiratory volume in 1 second (FEV

conclusionSchool nurses effectively assessed asthma status, students' outcomes improved, and health care utilization costs declined. This evaluation contributed to program improvements to further improve health outcomes among students with asthma.

Indexed as

School Health ServicesAsthmaChildFemaleHumansMaleMissouriSchoolsStudents

Identifiers

PMID28541869
PMCPMC5457908

What OpenQuestion holds

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LicenceCC BY
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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.