Evidence map›Paper›PMID 33890861›Full record

ArticleJMIR pediatrics and parenting2021

Parent Experiences With Electronic Medication Monitoring in Pediatric Asthma Management: Qualitative Study.

Kristin Kan, Sara Shaunfield, Madeleine Kanaley, Avneet Chadha, Kathy Boon, Carolyn C Foster, Luis Morales, Patricia Labellarte, Deneen Vojta, Ruchi S Gupta

Open access · goldAbstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Understanding how personalized pediatric asthma information and support addresses rural families' unmet needs.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  5. Review
  6. 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

10 authors at 3 institutions in 1 country.

Kristin KanAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-5739-3306
Sara ShaunfieldDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-2878-7223
Madeleine KanaleyInstitute of Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-4165-5770
Avneet ChadhaInstitute of Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-0967-512X
Kathy BoonInstitute of Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.ORCID https://orcid.org/0000-0003-2221-5937
Carolyn C FosterAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-6953-5968
Luis MoralesAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-1949-7550
Patricia LabellarteAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0002-0066-0880
Deneen VojtaUnitedHealth Group, Minnetonka, MN, United States.ORCID https://orcid.org/0000-0001-9576-6153
Ruchi S GuptaAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.ORCID https://orcid.org/0000-0001-9949-2129
Northwestern University · USLurie Children's Hospital · USUnitedHealth Group (United States) · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
FORWARD Supplement Standardizing EHR Data CollectionR01AI130348 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Ruchi S Gupta · 2017 to 2026
$10.9M
Intervention to Reduce Early (Peanut) Allergy in Children (iREACH)U01AI138907 · NIAID · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI GUPTA, RUCHI S · 2019 to 2023
$8.0M
AHRQ HHS K12 HS026385NCATS NIH HHS UL1 TR001422NHLBI NIH HHS L40 HL154055NIAID NIH HHS R01 AI130348NIAID NIH HHS U01 AI138907
6 · The paper itself

Abstract

backgroundElectronic medication monitoring (EMM) is a digital tool that can be used for tracking daily medication use. Previous studies of EMM in asthma management have been conducted in adults or have examined pediatric interventions that use EMM for less than 1 year. To understand how to improve EMM-enhanced interventions, it is necessary to explore the experiences of parents of children with asthma, recruited from outpatient practices, who completed a 12-month intervention trial.

objectiveThe objective of our study was to use qualitative inquiry to answer the following questions: (1) how did using an EMM-enhanced intervention change parents'/caregivers' experiences of managing their child's asthma, and (2) what do parents recommend for improving the intervention in the future?

methodsParents were recruited from the intervention arm of a multicomponent health intervention enhanced by Bluetooth-enabled sensors placed on inhaler medications. Semistructured interviews were conducted with 20 parents of children aged 4-12 years with asthma. Interviews were audio-recorded, transcribed, and inductively analyzed using a constant comparative approach.

resultsInterview participants reflected an even mix of publicly and privately insured children and a diverse racial-ethnic demographic. Parents discussed 6 key themes related to their experience with the EMM-enhanced intervention for the management of their child's asthma: (1) compatibility with the family's lifestyle, (2) impact on asthma management, (3) impact on the child's health, (4) emotional impact of the intervention, (5) child's engagement in asthma management with the intervention, and (6) recommendations for future intervention design. Overall, parents reported that the 12-month EMM intervention was compatible with their daily lives, positively influenced their preventive and acute asthma management, and promoted their child's engagement in their own asthma management. While parents found the intervention acceptable and generally favorable, some parents identified compatibility issues for families with multiple caregivers and frustration when the technology malfunctioned.

conclusionsParents generally viewed the intervention as a positive influence on the management of their child's asthma. However, our study also highlighted technology challenges related to having multiple caregivers, which will need to be addressed in future iterations for families. Attention must be paid to the needs of parents from low socioeconomic households, who may have more limited access to reliable internet or depend on other relatives for childcare. Understanding these family factors will help refine how a digital tool can be adopted into daily disease management of pediatric asthma.

Indexed as

asthmaasthma managementBluetooth sensorscaregiversdigital healthinhaleroutpatient careparentspediatricpediatric asthma

Identifiers

PMID33890861
PMCPMC8105758
OpenAlexW3150482155

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.