Evidence map›Paper›PMID 40071339›Full record

ArticleTherapeutic advances in respiratory disease

Cohort multiple randomized controlled trial in pediatric asthma to assess the long- and short-term effects of eHealth interventions: protocol of the CIRCUS study.

Tamara Ruuls, Romi Sprengers, Vera Hengeveld, Boony Thio, Monique Tabak, Deborah Zagers, Job van der Palen, Mattiènne van der Kamp

Abstract readClinical Trial Protocol
In one paragraph

Article in Therapeutic advances in respiratory disease. 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
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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

8 authors.

Tamara RuulsPediatric Department, Medisch Spectrum Twente, Koningsplein 1, Enschede 7512 KZ, The Netherlands.ORCID 0009-0004-6856-8468
Romi SprengersEpidemiology, Utrecht University, Utrecht, The Netherlands.
Vera HengeveldPediatric Department, Medisch Spectrum Twente, Enschede, The Netherlands.ORCID 0000-0001-6691-3548
Boony ThioPediatric Department, Medisch Spectrum Twente, Enschede, The Netherlands.
Monique TabakBiomedical Signals and Systems Department, University of Twente, Enschede, The Netherlands.
Deborah ZagersPediatric Department, Medisch Spectrum Twente, Enschede, The Netherlands.ORCID 0009-0002-8710-0102
Job van der PalenMedical School Twente, Medisch Spectrum Twente, Enschede, The Netherlands.ORCID 0000-0003-1071-6769
Mattiènne van der KampPediatric Department, Medisch Spectrum Twente, Enschede, The Netherlands.ORCID 0000-0003-3053-2342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAsthma is one of childhood's most prevalent chronic conditions significantly impacting the quality of life. Current asthma management lacks real-time, objective, and longitudinal monitoring reflected by a high prevalence of uncontrolled asthma. Long-term home monitoring promises to establish new clinical endpoints for timely anticipation. In addition, integrating eHealth interventions holds promise for timely and appropriate medical anticipation for controlling symptoms and preventing asthma exacerbations.

objectivesThis study aims to provide a pragmatic study design for gaining insight into longitudinal monitoring, assessing, and comparing eHealth interventions' short- and long-term effects on improving pediatric asthma care.

designThe CIRCUS study design is a cohort multiple randomized controlled trial (cmRCT) with a dynamic cohort of 300 pediatric asthma patients.

methodsThe study gathers observational and patient-reported measurements at set moments including patient characteristics, healthcare utilization, and asthma, clinical, and environmental outcomes. Participants are randomly appointed to the intervention or control group. The effects of the eHealth interventions are assessed and compared to the control group, deploying the CIRCUS outcomes. The participants continue in the CIRCUS cohort after completing the intervention and its follow-up.

resultsThis study was ethically approved by the Medical Research Ethics Committee (NL85668.100.23) on February 15th, 2024. DISCUSSION: The CIRCUS study can provide a rich and unique dataset that can improve insight into risk factors of asthma exacerbations and yield new clinical endpoints. Furthermore, the effects of eHealth interventions can be assessed and compared with each other both short- and long-term. In addition, patient groups within the patient population can be discerned to tailor eHealth interventions to personalized needs on improving asthma management.

conclusionIn conclusion, CIRCUS can provide valuable clinical data to discern risk factors for asthma exacerbations, identify and compare effective scalable eHealth solutions, and improve pediatric asthma care.

Indexed as

AsthmaTelemedicineAdolescentChildChild, PreschoolFemaleHumansMalePatient Reported Outcome MeasuresPragmatic Clinical Trials as TopicQuality of LifeTime FactorsTreatment Outcomeasthmaclinical trial protocolcohort studiesinternet-based interventionpatient-reported outcome measurespediatricstelemedicine

Identifiers

PMID40071339
PMCPMC11898028

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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.