Evidence map›Paper›PMID 40770769›Full record

ArticleTrials2025

Effectiveness of an educational asthma management program (CuidAR): the protocol for a cluster-randomized trial in the Brazilian primary healthcare setting.

Ana Paula Tussi Leite, Géssica Luana Antunes, Amanda Paz Santos, Ingrid Rodrigues Fernandes, Lauren Sezerá Costa, Tássia Rolim Camargo, Camila Bonalume Dall' Aqua, Fernando Rovedder Boita, Alessandra da Silva Mota, Mariana Motta Dias da Silva and 6 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Ana Paula Tussi LeiteProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil. ana.leite@hmv.org.br.ORCID http://orcid.org/0000-0002-1797-195X
Géssica Luana AntunesProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Amanda Paz SantosProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Ingrid Rodrigues FernandesProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Lauren Sezerá CostaProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Tássia Rolim CamargoProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Camila Bonalume Dall' AquaProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Fernando Rovedder BoitaProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Alessandra da Silva MotaProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Mariana Motta Dias da SilvaProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Mariah Prata Soldi Passos TaubeSchool of Medicine, University of São Paulo (USP), São Paulo, Brazil.
Bruna Silveira da RosaProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Marcus Herbert JonesSchool of Medicine, Pontifícia Universidade Católica Do Rio Grande Do Sul (PUCRS), Porto Alegre, Brazil.
Álvaro A CruzFundação ProAR and Federal University of Bahia, Salvador, Bahia, Brazil.
Frederico FriedrichProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.
Paulo M PitrezProject Office, Social Responsibility, Institutional Development Support Program for the Unified Health System (PROADI-SUS), Hospital Moinhos de Vento (HMV), Rua Ramiro Barcelos, Porto Alegre, RS, 90035-001, Brazil.

Funding

Brazilian Ministry of Health 25000.122098/2021-19
6 · The paper itself

Abstract

backgroundAsthma is one of the most prevalent chronic pulmonary diseases, affecting approximately 20 million Brazilian people. Most patients with asthma in Brazil present with uncontrolled disease, leading to high morbidity and mortality rates. Therefore, an effective educational intervention focused on asthma management in primary health care (PHC) is expected to reduce hospitalization rates, emergency visits, and direct public health costs, improving the quality of life of patients.

methodsThe CuidAR study is a controlled and randomized superiority trial conducted at cluster level, with two arms and a 1:1 allocation ratio. A total of 40 PHC centers will be selected, covering all macro-regions of Brazil. Twenty centers will be randomized to the intervention group (healthcare professional teams will undertake an asthma management program) and the other 20 centers will be randomized to the control group (current standard of care). This study aims to enroll 960 participants aged 6 to 65, all of whom have a physician-diagnosed case of uncontrolled asthma and meet the eligibility criteria. The primary outcome is the asthma-related hospitalization rate. Data collected will be analyzed after all participants have completed a 12-month follow-up period. DISCUSSION: Empowering the multidisciplinary healthcare team on asthma management at a national level in the PHC centers, while addressing the substantial burden of asthma in Brazil, holds the potential to reduce asthma hospitalization rates in alignment with global health priorities, ultimately reducing direct public health costs.

trial registrationBrazilian Registry of Clinical Trials (ReBEC) RBR-9xtq9p6. Registered on January 16, 2023, https://ensaiosclinicos.gov.br/rg/RBR-9xtq9p6 .

Indexed as

AsthmaPatient Education as TopicPrimary Health CareAdolescentAdultAgedBrazilChildFemaleHospitalizationHumansMaleMiddle AgedMulticenter Studies as TopicPatient Care TeamQuality of LifeAsthmaPrimary health carePublic health intervention

Identifiers

PMID40770769
PMCPMC12329885

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.