Evidence map›Paper›PMID 31237240›Full record

ArticleJMIR research protocols2019

Protocol for the Development of a Behavioral Family Lifestyle Intervention Supported by Mobile Health to Improve Weight Self-Management in Children With Asthma and Obesity.

David Fedele, Robert Lucero, David Janicke, Mutasim Abu-Hasan, Elizabeth McQuaid, Jon Moon, Andrea Fidler, Tanya Wallace-Farquharson, David Lindberg

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Gamification for Family Engagement in Lifestyle Interventions: A Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. An Overview of the Obese-Asthma Phenotype in Children.International journal of environmental research and public health · 2022
    Review
  6. Article
  7. 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

9 authors at 4 institutions in 1 country.

David Fedele *Department of Clinical & Health Psychology, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0003-0896-910X
Robert Lucero *Department of Family, Community, and Health System Science, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0002-8089-466X
David JanickeDepartment of Clinical & Health Psychology, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0002-8493-610X
Mutasim Abu-HasanDepartment of Pediatrics, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0002-0470-334X
Elizabeth McQuaidDepartments of Psychiatry and Human Behavior and Pediatrics, Brown University, Providence, RI, United States.ORCID http://orcid.org/0000-0001-9573-3781
Jon MoonMEI Research, Ltd, Edina, MN, United States.ORCID http://orcid.org/0000-0002-2339-7130
Andrea FidlerDepartment of Clinical & Health Psychology, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0003-2687-020X
Tanya Wallace-FarquharsonDepartment of Biobehavioral Nursing Science, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0003-2712-9595
David LindbergDepartment of Statistics, University of Florida, Gainesville, FL, United States.ORCID http://orcid.org/0000-0003-2753-8890
University of Florida Health · USUniversity of Florida · USBrown University · USMEI Research (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma is the most common chronic childhood illness and is a leading cause of emergency department visits in the United States. Obesity increases the risk of poor health outcomes, reduced quality of life, and increased health care expenditures among youth with asthma. Weight loss is crucial for improving asthma outcomes in children with obesity. Our study team developed the Childhood Health and Asthma Management Program (CHAMP), a 16-session behavioral family lifestyle intervention (BFI) for school-age children with asthma and obesity and evaluated CHAMP in a randomized controlled trial compared with attention control. There were medium effect sizes favoring CHAMP for changes in body mass index z-scores, asthma control, and lung function among completers (ie, those who attended ≥9 of 16 sessions). Despite high rates of satisfaction reported by families, attendance and trial attrition were suboptimal, which raised concerns regarding the feasibility of CHAMP. Qualitative feedback from participants indicated 3 areas for refinement: (1) a less burdensome intervention modality, (2) a more individually tailored intervention experience, and (3) that interventionists can better answer health-related questions.

objectiveWe propose to improve upon our pilot intervention by developing the Mobile Childhood Health and Asthma Management Program (mCHAMP), a nurse-delivered BFI, delivered to individual families, and supported by a mobile health (mHealth) app. This study aims to (1) identify structural components of mCHAMP and (2) develop and test the usability of our mCHAMP app.

methodsParticipants will be recruited from an outpatient pediatric pulmonary clinic. We will identify the structural components of mCHAMP by conducting a needs assessment with parents of children with asthma and obesity. Subsequently, we will develop and test our mCHAMP app using an iterative process that includes usability testing with target users and pediatric nurses.

resultsThis study was funded in 2018; 13 parents of children with asthma and obesity participated in the needs assessment. Preliminary themes from focus groups and individual meetings included barriers to engaging in health-promoting behaviors, perceived relationships between asthma and obesity, facilitators to behavior change, and intervention preferences. Participatory design sessions and usability testing are expected to conclude in late 2019.

conclusionsOutcomes from this study are expected to include an mHealth app designed with direct participation from the target audience and usability data from stakeholders as well as potential end users. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/13549.

Indexed as

asthmachildfamilyobesityprogram development

Identifiers

PMID31237240
PMCPMC6613325
OpenAlexW2944469611

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.