Evidence map›Paper›PMID 31870809›Full record

SynthesisThe journal of allergy and clinical immunology. In practice2020

Systematic Review of Digital Interventions for Pediatric Asthma Management.

Rachelle R Ramsey, Jill M Plevinsky, Sophie R Kollin, Robert C Gibler, Theresa W Guilbert, Kevin A Hommel

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The journal of allergy and clinical immunology. In practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05633823 (The Effect of Mobile Application Game Training Designed for Children With Asthma on Asthma Management), which is not on this map. Cited by 60 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 7 pooled it
6.8field-weighted citation impact, top 2% 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.

NCT05633823 nacompletednot on this mapstarted 2023, after this paper: background citation

The Effect of Mobile Application Game Training Designed for Children With Asthma on Asthma Management

TypeinterventionalSponsorTarsus UniversityRan2023 to 2023Enrolled74ConditionsAsthma in Children, Life Style, Quality of LifeArmsMobile Application Game Training
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 7 syntheses or guidelines pooled it, 109 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Rachelle R RamseyDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address: rachelle.ramsey@cchmc.org.
Jill M PlevinskyDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Sophie R KollinDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Robert C GiblerDepartment of Psychology, University of Cincinnati, Cincinnati, Ohio.
Theresa W GuilbertDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Kevin A HommelDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USUniversity of Cincinnati · US

Funding

Enhancing treatment adherence and health outcomesT32HD068223 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI Kevin Hommel, Meghan Eileen McGrady · 2012 to 2026
$3.6M
Using technology-assisted stepped-care interventions to improve adherence in adolescents with asthmaK23HL139992 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI RAMSEY, RACHELLE R. · 2019 to 2023
$868k
Patient Preferences and Adherence in Adolescents and Young Adults with CancerK07CA200668 · NCI · CINCINNATI CHILDRENS HOSP MED CTR · PI MCGRADY, MEGHAN EILEEN · 2016 to 2020
$724k
NCI NIH HHS K07 CA200668NHLBI NIH HHS K23 HL139992NICHD NIH HHS T32 HD068223
6 · The paper itself

Abstract

backgroundPediatric patients with asthma take only approximately half of their prescribed medication. Digital interventions to improve adherence for youth with asthma exist and have the potential to improve accessibility, cost-effectiveness, and customizability.

objectiveTo systematically review published research examining digital interventions to promote adherence to the treatment of pediatric asthma.

methodsA systematic search of the PubMed, Scopus, CINAHL, PsycINFO, and reference review databases was conducted. Articles were included if adherence was an outcome in a randomized controlled trial of a digital intervention for children with asthma. We compared samples, intervention characteristics, adherence measurement and outcomes, as well as additional health outcomes across studies.

resultsOf the 264 articles reviewed, 15 studies met inclusion criteria and were included in the review. Overall, 87% of the digital interventions demonstrated improved adherence and 53% demonstrated improved health outcomes. All the promising interventions included a behavioral component and most were 3 to 6 months in length, delivered through a digital stand-alone medium (eg, automated personalized texts, mobile health apps, and website), and assessed adherence to controller medication.

conclusionsOverall, digital interventions aimed at improving adherence are promising and also improve health outcomes in addition to medication adherence. Although future studies using evidence-based adherence assessment and multifactorial design should be conducted, the current literature suggests that both digital stand-alone interventions and interventions combining digital technology with support from a health care team member result in improved adherence and asthma outcomes. Recommendations for digital interventions for pediatric patients with asthma with adherence concerns are provided.

Indexed as

AsthmaMobile ApplicationsAdolescentChildHumansMedication AdherenceAdherenceAsthmaDigital interventionInternetMobile healthSelf-management

Identifiers

PMID31870809
PMCPMC7152564
OpenAlexW2996314639

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.