Evidence map›Paper›PMID 35321754›Full record

ArticlePilot and feasibility studies2022

School-based self-management intervention using theatre to improve asthma control in adolescents: a pilot cluster-randomised controlled trial.

Katherine Harris, Chris Newby, Gioia Mosler, Liz Steed, Chris Griffiths, Jonathan Grigg

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03536416 (Multifaceted Theory-based Self-management Intervention to Improve Adolescents' Asthma Control), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 39% 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.

NCT03536416 nacompletednot on this map

Multifaceted Theory-based Self-management Intervention to Improve Adolescents' Asthma Control: A Cluster-randomised Controlled Trial (RCT)

TypeinterventionalSponsorQueen Mary University of LondonRan2018 to 2022Enrolled330ConditionsAsthmaArmsMy Asthma in School
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Review
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 1 institution in 1 country.

Katherine HarrisCentre for Genomics and Child Health, the Blizard Institute, Queen Mary University of London, London, UK. k.harris@qmul.ac.uk.
Chris NewbyCentre for Primary Care and Public Health, Yvonne Carter Building, Queen Mary University of London, London, UK.
Gioia MoslerCentre for Genomics and Child Health, the Blizard Institute, Queen Mary University of London, London, UK.
Liz SteedCentre for Primary Care and Public Health, Yvonne Carter Building, Queen Mary University of London, London, UK.
Chris GriffithsCentre for Primary Care and Public Health, Yvonne Carter Building, Queen Mary University of London, London, UK.
Jonathan GriggCentre for Genomics and Child Health, the Blizard Institute, Queen Mary University of London, London, UK.
Queen Mary University of London · GB

Funding

barts' charity MGU0400
6 · The paper itself

Abstract

backgroundChildren with poorly controlled asthma have higher rates of unplanned healthcare use and school absences, as well as lower rates of medication adherence and knowledge. They also feel less comfortable using their medication at school, due to social fears and bullying. In this study, this was addressed through two school-based self-management interventions piloted to determine which one to use in a full trial.

methodsWe sought to assess the feasibility and acceptability of two school-based self-management intervention aimed at improving asthma control. Schools in London were randomised to (i) a theatre workshop for the whole year group aimed at raising awareness of asthma in schools, followed by self-management workshops for children (full intervention), (ii) theatre workshop alone (theatre only), or (iii) usual care (controls). Opt-out consent was obtained from parents. The study was a cluster randomised pilot trial, using London schools as the unit of allocation. Our primary aim was to assess the feasibility of delivering a self-management intervention in schools aimed at improving the asthma control test (ACT) score at 6 months. Secondary outcomes included acceptability of the school-based interventions, suitability of the theatre intervention and the full intervention with the self-management workshops, and generation of randomised data to inform future power calculations. Data were analysed by generalised mixed-effect models.

resultsThe recruitment strategy for this trial was effective. Five schools were randomised to full intervention (189 children), four to theatre only (103 children), and six to controls (83 children). Asthma control test (ACT) score at baseline and 6 months was obtained from 178/358 participating children. Compared with the controls, there were no large differences found in ACT score with the full intervention; knowledge and perception of asthma improved though. GP and hospital visits increased in the full intervention group. Compared with controls, ACT score was unchanged in the theatre only group.

conclusionThe asthma self-management intervention trial in schools is feasible and acceptable. The full intervention consisting of both theatre and self-management workshop for asthmatics tended to be better suited to improve outcomes than the theatre intervention on its own. This full intervention should be the one carried forward into a main trial if funding for further research was sought. Further work is needed to understand why there was evidence that unscheduled visits to healthcare professionals increased with the full intervention.

trial registrationThe study was registered on the clinical trials database on 14th May 2018 (ID NCT03536416 ).

Indexed as

AsthmaPaediatricsSchoolSelf-management

Identifiers

PMID35321754
PMCPMC8941818
OpenAlexW4220830323

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.