Evidence map›Paper›PMID 28619649›Full record

Trial reportContemporary clinical trials2017

The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned.

Wanda Phipatanakul, Petros Koutrakis, Brent A Coull, Choong-Min Kang, Jack M Wolfson, Stephen T Ferguson, Carter R Petty, Mihail Samnaliev, Amparito Cunningham, William J Sheehan and 10 more

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Breathing Easy: A Qualitative Analysis of School Nurse and Administrator Perspectives on Stock Inhalers and School-Based Asthma Management.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The effects of urban green space and road proximity to indoor traffic-related PMJournal of exposure science & environmental epidemiology · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Indoor Environmental Exposures and Their Relationship to Allergic Diseases.The journal of allergy and clinical immunology. In practice · 2023
    Article
  16. Article
  17. HEPA filtration intervention in classrooms may improve some students' asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  18. Article
  19. Environmental radon and childhood asthma.Pediatric pulmonology · 2022
    Article
  20. 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

20 authors.

Wanda PhipatanakulBoston Children's Hospital, Division of Allergy and Immunology, Boston, MA, United States; Harvard Medical School, Boston, MA, United States. Electronic address: wanda.phipatanakul@childrens.harvard.edu.
Petros KoutrakisHarvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, MA, United States.
Brent A CoullHarvard T.H. Chan School of Public Health, Department of Biostatistics, Boston, MA, United States.
Choong-Min KangHarvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, MA, United States.
Jack M WolfsonHarvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, MA, United States.
Stephen T FergusonHarvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, MA, United States.
Carter R PettyBoston Children's Hospital, Clinical Research Center, Boston, MA, United States.
Mihail SamnalievBoston Children's Hospital, Clinical Research Center, Boston, MA, United States.
Amparito CunninghamBoston Children's Hospital, Division of Allergy and Immunology, Boston, MA, United States.
William J SheehanBoston Children's Hospital, Division of Allergy and Immunology, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
Jonathan M GaffinBoston Children's Hospital, Division of Respiratory Diseases, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
Sachin N BaxiBoston Children's Hospital, Division of Allergy and Immunology, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
Peggy S LaiHarvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, MA, United States; Massachusetts General Hospital, Division of Pulmonary and Critical Care, Boston, MA, United States.
Perdita PermaulMassachusetts General Hospital, Division of Pediatric Allergy and Immunology, Boston, MA, United States.
Liming LiangHarvard T.H. Chan School of Public Health, Department of Biostatistics, Boston, MA, United States.
Peter S ThorneUniversity of Iowa, Department of Occupational and Environmental Health, Iowa City, United States.
Gary AdamkiewiczHarvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, MA, United States.
Kasey J BrennanColumbia University School of Public Health, New York, Department of Environmental Health, New York, United States.
Andrea A BaccarelliColumbia University School of Public Health, New York, Department of Environmental Health, New York, United States.
Diane R GoldHarvard Medical School, Boston, MA, United States; Harvard T.H. Chan School of Public Health, Department of Environmental Health, Boston, MA, United States; Channing Laboratory, Brigham and Women's Hospital, Boston, MA, United States.

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
SICAS- Diversity SupplementU01AI110397 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI PHIPATANAKUL, WANDA · 2015 to 2020
$8.8M
Harvard Clinical and Translational Science CenterKL2TR001100 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$8.5M
Data Management CoreU19AR069526 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LAI, JIN-SHEI, PALLER, AMY S · 2015 to 2015
$3.3M
Midcareer Investigator Award: Urban School Allergen Exposures and Childhood AsthmK24AI106822 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI PHIPATANAKUL, WANDA · 2013 to 2022
$1.9M
Atopy, Leptin and Potential Biomarkers of Comorbid Obesity and Asthma in Inner-City SchoolchildrenK23AI123517 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI PERMAUL, PERDITA · 2017 to 2021
$1.1M
Role of Peanut Allergen in Urban Schools and PreschoolsK23AI104780 · NIAID · CHILDREN'S RESEARCH INSTITUTE · PI SHEEHAN, WILLIAM JAMES · 2014 to 2018
$912k
School-based air pollution and asthma morbidity in Inner City School ChildrenK23AI106945 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI GAFFIN, JONATHAN MARK · 2013 to 2017
$822k
Endotoxin, the airway transcriptome, and obstructive lung diseaseK23ES023700 · NIEHS · MASSACHUSETTS GENERAL HOSPITAL · PI LAI, PEGGY SUE · 2013 to 2017
$764k
NCATS NIH HHS KL2 TR001100NCATS NIH HHS UL1 TR000170NIAID NIH HHS K23 AI104780NIAID NIH HHS K23 AI106945NIAID NIH HHS K23 AI123517NIAID NIH HHS K24 AI106822NIAID NIH HHS L40 AI107923NIAID NIH HHS L40 AI113791NIAID NIH HHS U01 AI110397NIAMS NIH HHS U19 AR069526NIEHS NIH HHS K23 ES023700NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

Asthma is the most common chronic disease of childhood in the United States, causes significant morbidity, particularly in the inner-city, and accounts for billions of dollars in health care utilization. Home environments are established sources of exposure that exacerbate symptoms and home-based interventions are effective. However, elementary school children spend 7 to 12h a day in school, primarily in one classroom. From the observational School Inner-City Asthma Study we learned that student classroom-specific exposures are associated with worsening asthma symptoms and decline in lung function. We now embark on a randomized, blinded, sham-controlled school environmental intervention trial, built on our extensively established school/community partnerships, to determine the efficacy of a school-based intervention to improve asthma control. This factorial school/classroom based environmental intervention will plan to enroll 300 students with asthma from multiple classrooms in 40 northeastern inner-city elementary schools. Schools will be randomized to receive either integrated pest management versus control and classrooms within these schools to receive either air purifiers or sham control. The primary outcome is asthma symptoms during the school year. This study is an unprecedented opportunity to test whether a community of children can benefit from school or classroom environmental interventions. If effective, this will have great impact as an efficient, cost-effective intervention for inner city children with asthma and may have broad public policy implications.

Indexed as

Air FiltersAsthmaBody Weights and MeasuresCost-Benefit AnalysisHealth ServicesHumansImmunoglobulin EPest ControlQuality of LifeResearch DesignRespiratory Function TestsSchool Health ServicesSingle-Blind MethodSkin TestsUnited StatesUrban PopulationImmunoglobulin EAsthmaEnvironmental exposureInner-cityMouseSchool

Identifiers

PMID28619649
PMCPMC5557648

What OpenQuestion holds

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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.