Evidence map›Paper›PMID 31793688›Full record

Trial reportResearch in nursing & health2020

Fidelity of a peer-led asthma self-management intervention and its attention control in a multisite study of urban adolescents.

Hyekyun Rhee, Annette Grape, Laurene Tumiel-Berhalter, Mona Wicks, Elizabeth Sloand, Arlene Butz

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Research in nursing & health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Peer-led oral health education model for elementary school-aged children in British Columbia, Canada.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2022
    Article
  7. Adolescents encouraging healthy lifestyles through a peer-led social marketing intervention: Training and key competencies learned by peer leaders.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  8. Article
  9. Article
  10. 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

6 authors.

Hyekyun RheeUniversity of Rochester School of Nursing, Rochester, New York.ORCID 0000-0001-7039-3215
Annette GrapeDepartment of Social Work, The College of Brockport, State University of New York, Brockport, New York.
Laurene Tumiel-BerhalterDepartment of Family Medicine, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York.
Mona WicksHealth Promotion and Disease Prevention Department, University of Tennessee Health Science Center College of Nursing, Memphis, Tennessee.
Elizabeth SloandJohns Hopkins University School of Nursing, Baltimore, Maryland.
Arlene ButzDepartment of Pediatrics, School of Medicine Johns Hopkins University, Baltimore, Maryland.

Funding

Peer-Led Asthma Self-Management for Adolescents PLASMA A Multi-site StudyR01NR014451 · NINR · UNIVERSITY OF ROCHESTER · PI RHEE, HYEKYUN · 2014 to 2018
$2.9M
NINR NIH HHS R01 NR014451
6 · The paper itself

Abstract

In this paper we compare the fidelity of a Peer-Led Asthma Self-Management Program for Adolescents (PLASMA) and its attention control. A randomized controlled trial involving two groups-the PLASMA group and the attention control group-was conducted between 2015 and 2018. Adolescents 12-17 years old (N = 259) in three cities in the United States received asthma self-management education implemented at a day camp, followed by bi-monthly, follow-up contact for 12 months. Thirty-five peer leaders and six adult educators implemented education sessions for the PLASMA and the attention control groups, respectively. The intervention was the peer-led delivery of the content instead of the educational content itself. This study compares the extent to which the education sessions and follow-up contacts were implemented in accordance with the study protocol by the peer and adult educators. Most topics on asthma knowledge and skills (85-95%) were delivered as intended at an adequate pace in both groups. Peer leaders missed more content in the psychosocial domain than adult educators-14% versus 0%, respectively (t = -3.7; p = .010). PLASMA participants reported high content and time fidelity for all education sessions (94% to 97.6%). Greater success in bimonthly follow-up contacts was reported in the attention control groups, with 4.6 ( ± 1.5) contacts on average compared to 2.6 (±2.02) in the PLASMA groups (t = 9.02; p < .001). Most components of the asthma self-management program were implemented with high fidelity in both groups. The relatively low fidelity in delivering psychosocial content and performing follow-up contacts in the PLASMA groups underscores the need for intensive training to enhance peer leaders' competency with managing these aspects of PLASMA to maximize fidelity. Peer leaders can implement asthma self-management educational components of the intervention with high fidelity similar to adult educators.

Indexed as

Health BehaviorAdolescentAsthmaChildFemaleHealth PromotionHumansMalePatient Education as TopicPeer GroupSelf-ManagementUnited StatesUrban Populationadolescentsasthma self-managementattention controlfidelitypeer-led interventionrandomized controlled trial

Identifiers

PMID31793688
PMCPMC7047519

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Registered trials

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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.