Trial reportThe Journal of allergy and clinical immunology2019
Home visits for uncontrolled asthma among low-income adults with patient portal access.
Trial report in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 6 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Community care navigation intervention for people who are at risk of unplanned hospital presentations.The Cochrane database of systematic reviews · 2025Pooled it
- Effectiveness and Acceptability of Asynchronous Digital Health in Asthma Care: Mixed Methods Systematic Review.Journal of medical Internet research · 2024Pooled it
- Effectiveness of self-management interventions for long-term conditions in people experiencing socio-economic deprivation in high-income countries: a systematic review and meta-analysis.Journal of public health (Oxford, England) · 2023Pooled it
- Patient-Centered Digital Health Records and Their Effects on Health Outcomes: Systematic Review.Journal of medical Internet research · 2022Pooled it
- Digital interventions to improve adherence to maintenance medication in asthma.The Cochrane database of systematic reviews · 2022Pooled it
- Adult patient access to electronic health records.The Cochrane database of systematic reviews · 2021Pooled it
- Effects of health education applying role play on decision making in acute myocardial infarction situation among older adults in community.Scientific reports · 2024Trial
- Patient Portal Usage and Outcomes Among Adult Patients with Uncontrolled Asthma.The journal of allergy and clinical immunology. In practice · 2020Trial
- Impact of Patient Portals on Asthma and Chronic Obstructive Pulmonary Disease-Related Quality-of-Care Outcomes: Systematic Review.Online journal of public health informatics · 2026Review
- Chatbot To Help Patients Understand Their Health.Proceedings of the Conference on Empirical Methods in Natural Language Processing. Conference on Empirical Methods in Natural Language Processing · 2025Article
- Experiences of Patients with Heart Failure in Transition from Hospital to Home in China: A Qualitative Study.Journal of multidisciplinary healthcare · 2025Article
- Article
- Exploring Health Care Professionals' Perspectives on the Use of a Medication and Care Support System and Recommendations for Designing a Similar Tool for Family Caregivers: Interview Study Among Health Care Professionals.JMIR medical informatics · 2024Article
- Semi-parametric sensitivity analysis for trials with irregular and informative assessment times.Biometrics · 2024Article
- Racial and ethnic disparities in ED use among older adults with asthma and primary care nurse practitioner work environments.Research square · 2024Article
- Barriers and facilitators of electronic patient portal uptake for asthma management.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Article
- Racial Health Equity and Social Needs Interventions: A Review of a Scoping Review.JAMA network open · 2023Article
- Stakeholder engagement in eight comparative effectiveness trials in African Americans and Latinos with asthma.Research involvement and engagement · 2022Article
- Digital Facilitation to Support Patient Access to Web-Based Primary Care Services: Scoping Literature Review.Journal of medical Internet research · 2022Article
- Clinic navigation and home visits to improve asthma care in low income adults with poorly controlled asthma: Before and during the pandemic.Contemporary clinical trials · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundAsthma disproportionately affects low-income and minority adults. In an era of electronic records and Internet-based digital devices, it is unknown whether portals for patient-provider communication can improve asthma outcomes.
objectiveWe sought to estimate the effect on asthma outcomes of an intervention using home visits (HVs) by community health workers (CHWs) plus training in patient portals compared with usual care and portal training only.
methodsThree hundred one predominantly African American and Hispanic/Latino adults with uncontrolled asthma were recruited from primary care and asthma specialty practices serving low-income urban neighborhoods, directed to Internet access, and given portal training. Half were randomized to HVs over 6 months by CHWs to facilitate competency in portal use and promote care coordination.
resultsOne hundred seventy (56%) patients used the portal independently. Rates of portal activity did not differ between randomized groups. Asthma control and asthma-related quality of life improved in both groups over 1 year. Differences in improvements over time were greater for the HV group for all outcomes but reached conventional levels of statistical significance only for the yearly hospitalization rate (-0.53; 95% CI, -1.08 to -0.024). Poor neighborhoods and living conditions plus limited Internet access were barriers for patients to complete the protocol and for CHWs to make HVs.
conclusionFor low-income adults with uncontrolled asthma, portal access and CHWs produced small incremental benefits. HVs with emphasis on self-management education might be necessary to facilitate patient-clinician communication and to improve asthma outcomes.
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