Trial reportAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2018
Results of an asthma education program delivered via telemedicine in rural schools.
Trial report in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01167855 (Reducing Asthma Disparities Through School-Based Telemedicine for Rural Children), which is not on this map. Cited by 32 papers, 4 of them syntheses that pooled 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.
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.
Reducing Asthma Disparities Through School-Based Telemedicine for Rural Children
Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Telehealth for children and adolescents with chronic pulmonary disease: systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2023Pooled it
- The Role of Access and Cost-Effectiveness in Managing Asthma: A Systematic Review.The journal of allergy and clinical immunology. In practice · 2022Pooled it
- School-based self-management interventions for asthma among primary school children: a systematic review.NPJ primary care respiratory medicine · 2021Pooled it
- School-Based Telemedicine Interventions for Asthma: A Systematic Review.Academic pediatricsPooled it
- Evidence-based clinical recommendations on the use of telemedicine for the management of children, adolescents and young adults with moderate-severe asthma.Italian journal of pediatrics · 2026Review
- From Promise to Practice: Harmonizing Telemedicine in Pediatric Chronic Respiratory Diseases.Journal of clinical medicine · 2026Review
- Managing children's asthma: what role do caregivers' mental representations of trigger and symptom management behaviors play?Psychology & health · 2025Article
- A Regional Tele-Paediatric Network (RTP-Net) in the northeast of Germany-results of an implementation study.BMC health services research · 2025Article
- A Comprehensive Scoping Review of Technology in the Care of Historically Marginalized Populations With Asthma: A Work Group Report of the AAAAI Diversity, Equity, and Inclusion Committee.The journal of allergy and clinical immunology. In practice · 2025Article
- Impact of Telemedicine on Asthma Control and Quality of Life in Children and Adolescents: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Multicomponent intervention for schoolchildren with asthma: Pilot cluster randomized controlled trial.The journal of allergy and clinical immunology. Global · 2025Article
- Development and feasibility study of a Culturally Tailored Asthma intervention using a mixed-method approach at the primary school level in Malaysia: Challenged by the COVID-19 pandemic.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025Article
- Effectiveness of Telemedicine in Managing Health-Related Issues in the Pediatric Population: A Systematic Review.Cureus · 2024Review
- Exploring the relationship between school-supervised asthma therapy and social determinants of health in pediatric asthma care.Pediatric pulmonology · 2024Article
- Trends in telemedicine visits among pediatric asthma patients during COVID-19.The journal of allergy and clinical immunology. Global · 2024Article
- Nursing Practice and Telehealth in School Health Services: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Telehealth Use in Pediatric Care during the COVID-19 Pandemic: A Qualitative Study on the Perspectives of Caregivers.Children (Basel, Switzerland) · 2023Article
- Patient and Clinician Attitudes Toward Telemedicine for Allergy and Immunology.The journal of allergy and clinical immunology. In practice · 2022Article
- Telehealth and Allergy Services in Rural and Regional Locations That Lack Specialty Services.The journal of allergy and clinical immunology. In practice · 2022Review
- Respiratory and allergic health effects in children living near agriculture: A review.The Science of the total environment · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundAsthma morbidity is high in low-income children living in rural US regions, yet few interventions have been designed to decrease the asthma burden in rural populations.
objectiveTo examine the effect of a school-based asthma education program delivered by telemedicine in children living in an impoverished rural region.
methodsWe conducted a cluster randomized trial with rural children 7 to 14 years old by comparing a school-based telemedicine asthma education intervention with usual care. The intervention provided comprehensive asthma education by telemedicine to participants and provided evidence-based treatment recommendations to primary care providers.
resultsOf the 393 enrolled children, median age was 9.6 years, 81% were African American, and 47% lived in households with an annual income less than $14,999. At enrollment, 88% of children reported uncontrolled asthma symptoms. At the end of the intervention, there were no statistically significant differences in reported symptom-free days (primary outcome) for the intervention or usual-care group. Participants in the intervention group reported significantly higher use of peak flow meters to monitor asthma and reported taking their asthma medications as prescribed more frequently compared with the usual-care group. There were no changes in other outcome measures, including quality of life, self-efficacy, asthma knowledge, or lung function, between groups.
conclusionAlthough there was some evidence of behavior change among intervention participants, these changes were inadequate to overcome the significant morbidity experienced by this highly symptomatic rural impoverished population. Future interventions should be designed with a multifaceted approach that considers caregiver engagement, distance barriers, and inadequate access to asthma providers in rural regions.
trial registrationClinicalTrials.gov Identifier: NCT01167855.
Indexed as
Identifiers
What OpenQuestion holds
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.