Evidence map›Paper›PMID 29369804›Full record

ArticleAcademic pediatrics2018

Knowledge of Inhaled Therapy and Responsibility for Asthma Management Among Young Teens With Uncontrolled Persistent Asthma.

Sean M Frey, Marybeth R Jones, Nicolas Goldstein, Kristin Riekert, Maria Fagnano, Jill S Halterman

Registry-linked trialAbstract read
In one paragraph

Article in Academic pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02206061 (School-based Asthma Care for Teens), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
5.5field-weighted citation impact, top 5% 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.

NCT02206061 nacompletednot on this map

School-based Asthma Care for Teens (SB-ACT)

TypeinterventionalSponsorUniversity of RochesterRan2014 to 2021Enrolled430ConditionsAsthmaArmsSchool-Based Asthma Care for Teens (SB-ACT), Directly Observed Therapy, Asthma Education
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Adolescent Knowledge of When to Use Inhaled Asthma Medications: Implications for Management.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Trial
  2. Trial
  3. Health-related internet use among adolescents with uncontrolled persistent asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2021
    Trial
  4. Transition Readiness for Talking With Providers in Urban Youth With Asthma: Associations With Medication Management.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019
    Trial
  5. Trial
  6. Trial
  7. A multilevel perspective on goals, barriers, and facilitators of school-based asthma management.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Article
  8. Article
  9. Comparing inhaled medications reported by adolescents with persistent asthma and their caregivers.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
  10. Article
  11. Article
  12. Article
  13. Self-Determination Theory and Preventive Medication Adherence: Motivational Considerations to Support Historically Marginalized Adolescents With Asthma.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    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

6 authors at 3 institutions in 1 country.

Sean M FreyUniversity of Rochester School of Medicine and Dentistry, Rochester, NY. Electronic address: Sean_Frey@urmc.rochester.edu.
Marybeth R JonesUniversity of Rochester School of Medicine and Dentistry, Rochester, NY.
Nicolas GoldsteinUniversity of Rochester School of Medicine and Dentistry, Rochester, NY.
Kristin RiekertJohns Hopkins School of Medicine, Baltimore, Md.
Maria FagnanoUniversity of Rochester School of Medicine and Dentistry, Rochester, NY.
Jill S HaltermanUniversity of Rochester School of Medicine and Dentistry, Rochester, NY.
University of Rochester · USJohns Hopkins University · USUniversity of Rochester Medical Center · US

Funding

School-Based Asthma Care for Teens (SB-ACT)R18HL116244 · NHLBI · UNIVERSITY OF ROCHESTER · PI HALTERMAN, JILL S · 2014 to 2018
$3.6M
NHLBI NIH HHS R18 HL116244
6 · The paper itself

Abstract

objectivesTo compare the abilities of teens with uncontrolled persistent asthma and their caregivers to identify inhaled medications and state correct indications for use; examine medication responsibility within dyads; and determine whether responsibility is associated with knowledge about inhaled therapies.

methodsIn the baseline survey for the School-Based Asthma Care for Teens (SB-ACT) trial, we separately asked caregivers and teens to: 1) identify the teen's inhaled asthma therapies by name and from a picture chart (complete matches considered "concordant"); 2) describe indications of use for each medication; and 3) describe the allocation of responsibility for medication use within dyads. We limited analyses to dyads in which either member reported at least one rescue and one inhaled controller medication; we used McNemar and Pearson chi-square tests.

resultsA total of 136 dyads were analyzed. More caregivers than teens concordantly identified medications (63% vs 31%, P < .001). There was no difference between caregivers and teens in the ability to state correct indications for use (56% vs 54%, P = .79). More teens than caregivers endorsed "full teen responsibility" for rescue medication (65% vs 27%, P < .001) and controller medication use (50% vs 15%, P < .001). Neither concordant identification nor knowing indications for use was associated with reported medication responsibility.

conclusionsMedication responsibility within dyads of caregivers and teens with persistent asthma is not associated with knowledge about inhaled therapies. Targeting both members of the dyad with education and self-management strategies before responsibility transitions start may allow providers to avoid a missed opportunity to support these emerging stakeholders to adherence.

Indexed as

ParentsPatient Medication KnowledgeSelf CareAdministration, InhalationAdolescentAdultAnti-Asthmatic AgentsAsthmaChildFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedAnti-Asthmatic Agentsasthmachildhoodmedication identificationpreventionprimary careresponsibility

Identifiers

PMID29369804
PMCPMC5903444
OpenAlexW2785157165

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

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.