Evidence map›Paper›PMID 38870226›Full record

ArticlePloS one2024

Asthma Care from Home: Study protocol for an effectiveness-implementation evaluation of a virtually enabled asthma care initiative in children in rural NSW.

Ryan Mackle, Carmen Crespo Gonzalez, Mei Chan, Michael Hodgins, Nan Hu, Blake Angell, Louisa Owens, Jeffery Fletcher, Timothy McCrossin, Susie Piper and 9 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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
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

19 authors.

Ryan MackleDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0003-0600-7265
Carmen Crespo GonzalezDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Mei ChanDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0001-6113-6583
Michael HodginsDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Nan HuDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Blake AngellThe George Institute for Global Health, UNSW Sydney, NSW, Sydney, Australia.
Louisa OwensDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Jeffery FletcherDepartment of Paediatrics, The Tweed Hospital, Northern NSW Local Health District, Tweed Heads, Australia.
Timothy McCrossinDepartment of Paediatrics, Bathurst Base Hospital, Western NSW Local Health District, Bathurst, NSW, Australia.
Susie PiperDepartment of Paediatrics, South East Regional Hospital, Southern NSW Local Health District, Bega, NSW, Australia.
Aunty Kerrie DoyleDiscipline of Indigenous Health, School of Medicine, Western Sydney University, Sydney, NSW, Australia.
Sue WoolfendenDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Bronwyn GouldGeneral Practice, Paddington, NSW, Australia.
Flic WardParent of Child with Asthma, Australia.
Raghu LingamDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Adam JaffeDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Melinda GrayRespiratory Department, Sydney Children's Hospital Randwick, Sydney Children's Hospital Network, Sydney, NSW, Australia.
Nusrat HomairaDiscipline of Paediatrics and Child Health, Faculty of Medicine, UNSW Sydney, Sydney, NSW, Australia.
Asthma Care from Home Collaborative Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma is the leading source of unscheduled hospitalisation in Australian children, with a high burden placed upon children, their parents/families, and the healthcare system. In Australia, there are widening disparities in paediatric asthma care including inequitable access to comprehensive ongoing and planned asthma care for children.

methodsThe Asthma Care from Home Project is a comprehensive virtually enabled asthma model of care that aims to a. supports families, communities and healthcare providers, b. flexible and locally acceptable, and c. allow for adoption of innovations such as digital technologies so that asthma care can be provided "from home", reduce potentially preventable asthma hospitalisation, and ensure satisfaction at a patient, family, and healthcare provider level. The model of care includes standardisation of discharge care through provision of an asthma discharge resource pack containing individual asthma action plan, follow-up letters for the child's general practitioner (GP) and school/child care, and access to online asthma educational sessions and resource; post-discharge care coordination through text message reminders for families for regular GP review, email correspondence with their child's GP and school/childcare; and virtual home visits to discuss home environmental triggers, provide personalised asthma education and respond to parental concerns relating to their child's asthma. This study is comprised of three components: 1) a quasi-experimental pre/post impact evaluation assessing the impact of the model on healthcare utilisation and asthma control measures; 2) a mixed-methods implementation evaluation to understand how and why our intervention was effective or ineffective in producing systems change; 3) an economic evaluation to assess the cost-effectiveness of the proposed model of care from a family and health services perspective. DISCUSSION: This study aims to improve access to asthma care for children in rural and remote areas. Implementation evaluation and economic evaluation will provide insights into the sustainability and scalability of the asthma model of care.

Indexed as

AsthmaRural PopulationAdolescentChildChild, PreschoolFemaleHumansMaleNew South WalesTelemedicine

Identifiers

PMID38870226
PMCPMC11175534

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.