Evidence map›Paper›PMID 31877361›Full record

Trial reportAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2020

A behavioral intervention can decrease asthma exacerbations in older adults.

Alan P Baptist, Wei Hao, Peter X Song, Laurie Carpenter, Joel Steinberg, Lavoisier J Cardozo

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 22% 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, 15 citations in OpenAlex.

  1. Trial
  2. Context-specific genetic effects inform endotypes and treatment in asthma.The Journal of allergy and clinical immunology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Characteristics of older adult hospitalized patients with bronchial asthma: a retrospective study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2021
    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 at 2 institutions in 1 country.

Alan P BaptistDivision of Allergy and Clinical Immunology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan; University of Michigan School of Public Health, Ann Arbor, Michigan. Electronic address: abaptist@med.umich.edu.
Wei HaoUniversity of Michigan School of Public Health, Ann Arbor, Michigan.
Peter X SongUniversity of Michigan School of Public Health, Ann Arbor, Michigan.
Laurie CarpenterDivision of Allergy and Clinical Immunology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Joel SteinbergDivision of Geriatric Medicine, Department of Internal Medicine, Wayne State University, Detroit, Michigan.
Lavoisier J CardozoDivision of Geriatric Medicine, Department of Internal Medicine, Wayne State University, Detroit, Michigan.
University of Michigan–Ann Arbor · USWayne State University · US

Funding

A Self-Regulation Intervention for Older Adults with AsthmaR01AG043401 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BAPTIST, ALAN P. · 2013 to 2016
$1.3M
NIA NIH HHS R01 AG043401
6 · The paper itself

Abstract

backgroundOlder adults have higher rates of asthma morbidity and mortality compared with younger age groups. Few interventions are tailored to this population.

objectiveTo evaluate a self-management asthma intervention in older adults.

methodsAdults age 55 and older with persistent asthma were enrolled into blinded, randomized controlled trial of a 6-session asthma self-management intervention. This educational intervention was conducted in group sessions and through individual telephone calls. Outcomes including asthma exacerbations (defined as unscheduled office visits, emergency department visits, or hospitalizations for asthma), spirometric values, FeNO, asthma control, asthma quality of life, and asthma self-management were assessed at 3, 6, and 12 months.

resultsOne hundred eighty-nine subjects were enrolled, 172 were randomized and received at least 1 treatment dose, and 145 (84%) were analyzed at 12 months. On a modified intent-to-treat analysis, those in the intervention group were less likely to have an asthma exacerbation (26.9% vs 47.1%, P = .01), had a lower asthma exacerbation rate (0.8 vs 1.9, P = .02), had better asthma control (19.9 vs 18.6, P = .08), and had a higher asthma self-management score (8.9 vs 8.4, P = .03). After a mixed-model analysis to control for confounding factors, a decrease in asthma exacerbations (P = .02), as well as a decreased asthma exacerbation rate (P = .04), remained statistically significant, whereas asthma control and self-management did not. No other significant outcome differences were found.

conclusionA 6-session asthma self-management intervention can successfully decrease asthma exacerbations among older adults.

Indexed as

Behavior TherapyEarly Medical InterventionHealth Risk BehaviorsAgedAnti-Asthmatic AgentsAsthmaDisease ProgressionEmergency Medical ServicesFemaleHospitalizationHumansMaleMiddle AgedPatient Outcome AssessmentSelf-ManagementTreatment OutcomeAnti-Asthmatic Agents

Identifiers

PMID31877361
PMCPMC7042081
OpenAlexW2997799267

What OpenQuestion holds

Textmetadata
LicenceTDM
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.