Evidence map›Paper›PMID 30389202›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2019

Transition Readiness for Talking With Providers in Urban Youth With Asthma: Associations With Medication Management.

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

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2019. 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Transition readiness of youth with co-occurring chronic health and mental health conditions: A mixed methods study.Health expectations : an international journal of public participation in health care and health policy · 2023
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Transition readiness in middle and older adolescents with asthma and associated factors: a descriptive study.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  7. Article
  8. Article
  9. Exploring Health Literacy, Transition Readiness, and Healthcare Utilization in Medicaid Chronically Ill Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    Article
  10. Review
  11. Responsibility for Asthma Management Among Adolescents With and Without Attention-Deficit/Hyperactivity Disorder.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019
    Article
  12. 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

5 authors at 2 institutions in 1 country.

Marybeth R JonesUniversity of Rochester Medical Center, Division of General Pediatrics, Rochester, New York. Electronic address: Marybeth_Jones@URMC.Rochester.edu.
Sean M FreyUniversity of Rochester Medical Center, Division of General Pediatrics, Rochester, New York.
Kristin RiekertJohns Hopkins School of Medicine, Division of Pulmonary and Critical Care Medicine, Baltimore, Maryland.
Maria FagnanoUniversity of Rochester Medical Center, Division of General Pediatrics, Rochester, New York.
Jill S HaltermanUniversity of Rochester Medical Center, Division of General Pediatrics, Rochester, New York.
University of Rochester Medical Center · USJohns Hopkins University · US

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Sally W Thurston · 1985 to 2026
$42.8M
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 HL116244NIEHS NIH HHS P30 ES001247
6 · The paper itself

Abstract

purposeTeen readiness assessments may provide a developmental indicator of the transfer of responsibility for health self-management from caregivers to teens. Among urban adolescents with asthma, we aimed to describe teen readiness for talking with providers and identify how readiness relates to responsibility for asthma management, medication beliefs, and clinical outcomes.

methodsTeens and caregivers enrolled in the school-based asthma care for teen's trial in Rochester, NY completed in-home surveys. We classified ready teens as those reporting a score of five on both items of the transition readiness assessment questionnaire talking with providers subscale. We performed bivariate analyses to detect differences between ready teens and other teens in teen- and caregiver-reported responsibility, teen medication beliefs, and clinical outcomes (medication adherence over the past 2 weeks, and healthcare use over the past year).

resultsAmong this sample of 251 adolescents (mean age: 13.4 years), 35% were classified as "Ready." Ready teens were more likely than other teens to want to use a controller medication independently (7.6 vs. 6.5 out of 10, p < .01) and to have confidence in this ability (8.4 vs. 7.6 out of 10, p = .02). Teens reported poor adherence (missed 52.9% of prescribed controller doses), with no differences in responsibility or clinical outcomes based on level of teen readiness for talking with providers.

conclusionsIn urban adolescents with poorly controlled asthma, a higher level of teen readiness for talking with providers is associated with higher perceptions of independence in medication taking, but does not appear to relate to clinical outcomes.

Indexed as

Physician-Patient RelationsAdolescentAsthmaCross-Sectional StudiesDrug MonitoringFemaleHumansMaleSelf CareTransition to Adult CareUrban PopulationAdolescentsAsthmaSelf-managementTransitions to adult care

Identifiers

PMID30389202
PMCPMC6339852
OpenAlexW2899407230

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.