Evidence map›Paper›PMID 30479020›Full record

ArticleJournal of advanced nursing2019

Shared decision-making in the BREATHE asthma intervention trial: A research protocol.

Maureen George, Michael V Pantalon, Marilyn Lynn S Sommers, Karen Glanz, Haomiao Jia, Annie Chung, Allison A Norful, Lusine Poghosyan, Danielle Coleman, Jean-Marie Bruzzese

2 registry-linked trialsAbstract readClinical Trial Protocol
In one paragraph

Article in Journal of advanced nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT03036267 nacompletednot on this map

Self-care Decision-making: Feasibility of the BREATHE Asthma Intervention Trial

TypeinterventionalSponsorColumbia UniversityRan2017 to 2017Enrolled46ConditionsAsthma Chronic, Health BehaviorArmsBREATHE, Attention Control Condition
NCT03300752 nacompletednot on this map

Self-care Decision-making: Feasibility of the BREATHE Asthma Intervention Trial - Phase II (Part 2 - a Pilot Randomized Trial Phase)

TypeinterventionalSponsorColumbia UniversityRan2017 to 2019Enrolled80ConditionsAsthmaArmsBREATHE Intervention, Control Intervention
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  6. Reference range number line format preferred by adults for display of asthma control status.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
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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

10 authors.

Maureen GeorgeColumbia University School of Nursing, New York, New York.ORCID https://orcid.org/0000-0001-9234-7842
Michael V PantalonDepartment of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut.
Marilyn Lynn S SommersSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Karen GlanzPerelman School of Medicine and School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Haomiao JiaSchool of Nursing and Mailman School of Public Health, Columbia University, New York, New York.
Annie ChungCenter for Health Behavior Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Allison A NorfulColumbia University School of Nursing, CUMC Irving Institute for Clinical and Translational Research, New York, New York.ORCID https://orcid.org/0000-0002-6202-058X
Lusine PoghosyanColumbia University School of Nursing, New York, New York.
Danielle ColemanColumbia University School of Nursing, New York, New York.
Jean-Marie BruzzeseColumbia University School of Nursing, New York, New York.

Funding

NRSA Training CoreTL1TR001875 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPANN, MARISA N, TAYLOR, JACQUELYN Y · 2016 to 2025
$8.9M
Self-care decision-making: Feasibility of the BREATHE asthma intervention trialR21NR016507 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GEORGE, MAUREEN · 2016 to 2017
$456k
NCATS NIH HHS TL1 TR001875NIH HHSNINR NIH HHS R21 NR016507
6 · The paper itself

Abstract

aimTo evaluate the preliminary effectiveness of the BRief Evaluation of Asthma THerapy intervention, a 7-min primary care provider-delivered shared decision-making protocol that uses motivational interviewing to address erroneous asthma disease and medication beliefs.

designA multi-centre masked two-arm group-randomized clinical trial.

methodsThis 2-year pilot study is funded (September 2016) by the National Institute of Nursing Research. Eight providers will be randomized to one of two arms: the active intervention (N = 4) or a dose-matched attention control (N = 4). Providers will deliver the intervention to which they were randomized to 10 Black adult patients with uncontrolled asthma (N = 80). Patients will be followed three months postintervention to test the preliminary intervention effects on asthma control (primary outcome) and on medication adherence, lung function, and asthma-related quality of life (secondary outcomes). DISCUSSION: This study will evaluate the preliminary impact of a novel shared decision-making intervention delivered in a real world setting to address erroneous disease and medication beliefs as a means of improving asthma control in Black adults. Results will inform a future, large-scale randomized trial with sufficient power to test the intervention's effectiveness. IMPACT: Shared decision-making is an evidence-based intervention with proven effectiveness when implemented in the context of labour- and time-intensive research protocols. Medication adherence is linked with the marked disparities evident in poor and minority adults with asthma. Addressing this requires a novel multifactorial approach as we have proposed. To ensure sustainability, shared decision-making interventions must be adapted to and integrated into real-world settings.

trial registrationRegistered at clincialtrials.gov as NCT03036267 and NCT03300752.

Indexed as

AsthmaMotivational InterviewingAdministration, InhalationAdultAnti-Asthmatic AgentsAttitude to HealthBlack or African AmericanDecision MakingDiaries as TopicFemaleForced Expiratory VolumeHealthy LifestyleHumansMaleMedication AdherenceMulticenter Studies as TopicAnti-Asthmatic Agentsasthmacommunity-based participatory researchhealth beliefsminoritymixed methodsmotivational interviewingnursingqualitative researchshared decision-making

Identifiers

PMID30479020
PMCPMC8260028

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.