Evidence map›Paper›PMID 31434777›Full record

ArticleBMJ open2019

Responsive Asthma Care for Teens (ReACT): development protocol for an adaptive mobile health intervention for adolescents with asthma.

Christopher C Cushing, David A Fedele, Susana R Patton, Elizabeth L McQuaid, Joshua M Smyth, Sreekala Prabhakaran, Selina Gierer, Natalie Koskela-Staples, Adrian Ortega, Kandace K Fleming and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 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
2.3field-weighted citation impact, top 10% 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, 13 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 8 institutions in 1 country.

Christopher C CushingClinical Child Psychology Program and Schiefelbusch Institute for LifeSpan Studies, University of Kansas.
David A FedeleDepartment of Clinical & Health Psychology, University of Florida, Gainesville, FL.
Susana R PattonDepartment of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas, USA.
Elizabeth L McQuaidDepartment of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island, USA.
Joshua M SmythPennsylvania State University, University Park, Pennsylvania, USA.
Sreekala PrabhakaranDepartment of Pediatrics, University of Florida, Gainesville, Florida, USA.
Selina GiererDivision of Allergy and Immunology, University of Kansas Medical Center, Kansas City, KS, USA.
Natalie Koskela-StaplesDepartment of Pediatrics, University of Florida, Gainesville, Florida, USA.
Adrian OrtegaClinical Child Psychology Program and Schiefelbusch Institute for LifeSpan Studies, University of Kansas.
Kandace K FlemingLife Span Institute, University of Kansas, Lawrence, Kansas, USA.
Arthur M NezuDepartment of Psychology, Drexel University, Philadelphia, Pennsylvania, USA.
University of Florida · USUniversity of Kansas · USUniversity of Kansas Medical Center · USBrown University · USDrexel University · USLifeSpan Medical Institute · USPennsylvania State University · USUniversity of Florida Health · US

Funding

ReACT an Adaptive Mobile Health Intervention for Adolescent AsthmaR56HL141394 · NHLBI · UNIVERSITY OF KANSAS LAWRENCE · PI CUSHING, CHRISTOPHER C, FEDELE, DAVID A · 2018 to 2018
$776k
NHLBI NIH HHS R56 HL141394
6 · The paper itself

Abstract

introductionAsthma is a leading cause of youth morbidity in the USA, affecting >8% of youth. Adherence to inhaled corticosteroids (ICS) can prevent asthma-related morbidity; however, the typical adolescent with asthma takes fewer than 50% of their prescribed doses. Adolescents are uniquely vulnerable to suboptimal asthma self-management due to still-developing executive functioning capabilities that may impede consistent self-regulation and weaken attempts to use problem solving to overcome barriers to ICS adherence. METHODS AND ANALYSIS: The aims of this project are to improve adherence to ICS as an important step towards better self-management among adolescents aged 13-17 years diagnosed with asthma by merging the efficacious behaviour change strategies found in behavioural health interventions with scalable, adaptive mobile health (mHealth) technologies to create the Responsive Asthma Care for Teens programme (ReACT). ReACT intervention content will be developed through an iterative user-centred design process that includes conducting (1) one-on-one interviews with 20 teens with asthma; (2) crowdsourced feedback from a nationally representative panel of 100 adolescents with asthma and (3) an advisory board of youth with asthma, a paediatric pulmonologist and a behavioural health expert. In tandem, we will work with an existing technology vendor to programme ReACT algorithms to allow for tailored intervention delivery. We will conduct usability testing of an alpha version of ReACT with a sample of 20 target users to assess acceptability and usability of our mHealth intervention. Participants will complete a 4-week run-in period to monitor their adherence with all ReACT features turned off. Subsequently, participants will complete a 4-week intervention period with all ReACT features activated. The study started in October 2018 and is scheduled to conclude in late 2019. ETHICS AND DISSEMINATION: Institutional review board approval was obtained at the University of Kansas and the University of Florida. We will submit study findings for presentation at national research conferences that are well attended by a mix of psychologists, allied health professionals and physicians. We will publish study findings in peer-reviewed journals read by members of the psychology, nursing and pulmonary communities.

Indexed as

Administration, InhalationAdolescentAdrenal Cortex HormonesAsthmaHumansMedication AdherenceMonitoring, PhysiologicResearch DesignSelf CareTelemedicineAdrenal Cortex Hormonesasthmaehealthmhealth

Identifiers

PMID31434777
PMCPMC6707700
OpenAlexW2969793455

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.