Evidence map›Paper›PMID 41139012›Full record

Trial reportThe Journal of pediatrics2026

Effect of the Telemedicine Enhanced Asthma Management-Uniting Providers (TEAM-UP) Program on Asthma Outcomes: A Randomized Clinical Trial.

Jill S Halterman, Maria Fagnano, Paul J Tremblay, Tamara T Perry, Hongyue Wang, S Shahzad Mustafa, Allison Ramsey, Jessica Stern

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03545906 (Telemedicine Enhanced Asthma Management - Uniting Providers), which is not on this 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.

NCT03545906 nacompletednot on this map

Telemedicine Enhanced Asthma Management - Uniting Providers

TypeinterventionalSponsorUniversity of RochesterRan2018 to 2025Enrolled326ConditionsAsthma in ChildrenArmsTEAM-UP Intervention Group, Enhanced Care Comparison
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Pediatric asthma specialist care utilization among marginalized children with poorly controlled asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2026
    Article
  2. 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

8 authors.

Jill S HaltermanDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Maria FagnanoDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY. Electronic address: maria_fagnano@urmc.rochester.edu.
Paul J TremblayDepartment of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Tamara T PerryDepartment of Pediatrics, University of Arkansas for Medical Sciences College of Medicine and Arkansas Children's Research Institute, Little Rock, AR.
Hongyue WangDepartment of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry, Rochester, NY.
S Shahzad MustafaDepartment of Allergy and Immunology, Rochester Regional Health, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Allison RamseyDepartment of Allergy and Immunology, Rochester Regional Health, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Jessica SternDepartment of Allergy/Immunology and Rheumatology, University of Rochester School of Medicine and Dentistry, Rochester, NY.

Funding

Telemedicine Enhanced Asthma Management - Uniting Providers (TEAM-UP)R01HL142691 · NHLBI · UNIVERSITY OF ROCHESTER · PI HALTERMAN, JILL S · 2018 to 2022
$3.6M
NHLBI NIH HHS R01 HL142691
6 · The paper itself

Abstract

objectiveTo evaluate a school-based intervention for children with moderate-severe persistent/poorly controlled asthma, adding telemedicine consultations with specialists to school-based directly observed therapy of preventive asthma medications in order to optimize management. STUDY

designFrom 2018 to 2024 children aged 4-12 years with moderate-severe/poorly controlled asthma were randomized to Telemedicine Enhanced Asthma Management-Uniting Providers (TEAM-UP) or enhanced usual care. TEAM-UP included daily school-based directly observed therapy and telemedicine visits with asthma specialists. The primary outcome was mean symptom-free days/2 weeks. Analyses used linear mixed and generalized estimating equation models.

resultsWe enrolled 326 children (62% participation; mean age 8.4 years; 60% male; 58% Black; 35% Hispanic; 80% Medicaid). The majority (84%) of TEAM-UP participants had ≥1 specialist visit and 74% received school-based DOT (excluding the pandemic). We found that children in TEAM-UP vs enhanced usual care had more symptom-free days (mean difference: 1.32; 95% CI 0.58-2.05) and were less likely to miss school (odds ratio: 0.70; 95% CI 0.52-0.96) or require emergency department visits or hospitalizations for asthma (odds ratio: 0.54; 95% CI 0.31-0.96).

conclusionsTEAM-UP significantly improved asthma symptoms and reduced health care use, offering a promising model for asthma care in underserved communities.

trial registrationClinicalTrials.gov number: NCT03545906 https://clinicaltrials.gov/study/NCT03545906?term=NCT03545906&rank=1.

Indexed as

AsthmaSchool Health ServicesTelemedicineAnti-Asthmatic AgentsChildChild, PreschoolFemaleHumansMaleTreatment OutcomeAnti-Asthmatic Agentsdirectly observed therapymoderate-to-severe persistent asthmapreventive medicationschool-basedspecialistuncontrolled asthma

Identifiers

PMID41139012
PMCPMC12766697

What OpenQuestion holds

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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.