ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2018
Impact of shared decision making on asthma quality of life and asthma control among children.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The Prevalence of Asthma among Iranian Children and Adolescent: A Systematic Review and Meta-Analysis.Oxidative medicine and cellular longevity · 2021Pooled it
- Spread tools: a systematic review of components, uptake, and effectiveness of quality improvement toolkits.Implementation science : IS · 2019Pooled it
- The effect of web-designed education on medication adherence, asthma control and fatigue in patients with asthma: A randomized controlled trial.International journal of nursing practice · 2024Trial
- Implementation of Coach McLungsBMC medical informatics and decision making · 2022Trial
- The impact of shared decision-making on patient-reported outcomes in Traditional Chinese Medicine in Shanghai, China: a cross-sectional study using structural equation modeling.Integrative medicine research · 2026Article
- Developing a Parent-Focused Decision Aid to Promote Child-Inclusive Shared Decision-Making in Pediatric Oral Immunotherapy: Pragmatic Exploratory Feasibility Study.Journal of participatory medicine · 2026Article
- Development of a paediatric asthma shared decision-making tool: intervention design and evaluation.BMC medical informatics and decision making · 2025Article
- Safety and Effectiveness of Allergen Immunotherapy in Patients with Severe Allergic Asthma.Journal of asthma and allergy · 2025Article
- Unlocking Better Asthma Control: A Narrative Review of Adherence to Asthma Therapy and Innovative Monitoring Solutions.Journal of clinical medicine · 2024Review
- Article
- Perception of Illness and Fear of Inhaled Corticosteroid Use among Parents of Children with Asthma.Children (Basel, Switzerland) · 2023Article
- Patients' preferences in therapeutic decision-making in digestive oncology: a single centre cross-sectional observational study.Scientific reports · 2023Observational
- Multimedia Mixed Reality Interactive Shared Decision-Making Game in Children with Moderate to Severe Atopic Dermatitis, a Pilot Study.Children (Basel, Switzerland) · 2023Article
- Clinical Impact of Electronic Monitoring Devices of Inhalers in Adults with Asthma or COPD: A Systematic Review and Meta-Analysis.Pharmaceuticals (Basel, Switzerland) · 2023Review
- Health-related quality of life decreases in young people with asthma during the transition from adolescence to young adulthood: a birth cohort study.BMC pulmonary medicine · 2023Article
- Sociocultural influences on asthma self-management in a multicultural society: A qualitative study amongst Malaysian adults.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- The Relationship Between Decisional Regret and Well-Being in Patients With and Without Depressive Disorders: Mediating Role of Shared Decision-Making.Frontiers in psychiatry · 2021Article
- The Challenges and Opportunities for Shared Decision Making Highlighted by COVID-19.The journal of allergy and clinical immunology. In practice · 2020Review
- Research nurses as practice facilitators to disseminate an asthma shared decision making intervention.BMC nursing · 2020Article
- Evaluation of a shared decision-making intervention for pediatric patients with asthma in the emergency department.Implementation science communications · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveFew studies have examined the effectiveness of shared decision making (SDM) in clinical practice. This study evaluated the impact of SDM on quality of life and symptom control in children with asthma.
methodsWe conducted a prospective 3-year study in six community-based practices serving a low-income patient population. Practices received training on SDM using an evidence-based toolkit. Patients aged 2-17 with a diagnosis of asthma were identified from scheduling and billing data. At approximate 6-month intervals, patients completed a survey consisting of the Mini Pediatric Asthma Quality of Life Questionnaire (range 1-7) and the control domain of the Pediatric Asthma Therapy Assessment Questionnaire (range 0-7). We used propensity scores to match 46 children receiving SDM to 46 children receiving usual care with decision support. Included children had completed a baseline survey and at least one follow-up survey. Random coefficient models incorporated repeated measures to assess the effect of SDM on asthma quality of life and asthma control.
resultsThe sample was primarily of non-White patients (94.6%) with Medicaid insurance (92.4%). Receipt of SDM using an evidence-based toolkit was associated with higher asthma quality of life [mean difference 0.9; 95% confidence interval (CI) 0.4-1.4] and fewer asthma control problems (mean difference -0.9; 95% CI -1.6--0.2) compared to usual care with decision support.
conclusionsImplementation of SDM within clinical practices using a standardized toolkit is associated with improved asthma quality of life and asthma control for low-income children with asthma when compared to usual care with decision support.
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Registered trials
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