Evidence map›Paper›PMID 36333727›Full record

Trial reportBMC medical informatics and decision making2022

Implementation of Coach McLungs

Thomas Ludden, Katherine O'Hare, Lindsay Shade, Kelly Reeves, Charity G Patterson, Hazel Tapp

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical informatics and decision making, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05059210 (Primary Care Implementation and Evaluation of Coach McLungs, an Asthma Shared Decision-making Intervention, Across a Large Healthcare System), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 23% 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.

NCT05059210 naactive not recruitingnot on this map

Primary Care Implementation and Evaluation of Coach McLungs, an Asthma Shared Decision-making Intervention, Across a Large Healthcare System

TypeinterventionalSponsorWake Forest University Health SciencesRan2022 to 2027Enrolled19ConditionsAsthmaArmsCoach McLungs Intervention
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Wildfire and asthma - The prospective interventions.The World Allergy Organization journal · 2025
    Review
  5. 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 2 institutions in 1 country.

Thomas LuddenDepartment of Family Medicine, Atrium Health, Charlotte, NC, USA. tom.ludden@atriumhealth.org.ORCID 0000-0001-5217-0229
Katherine O'HareDepartment of Family Medicine, Atrium Health, Charlotte, NC, USA.
Lindsay ShadeDepartment of Family Medicine, Atrium Health, Charlotte, NC, USA.
Kelly ReevesDepartment of Family Medicine, Atrium Health, Charlotte, NC, USA.
Charity G PattersonSchool of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
Hazel TappDepartment of Family Medicine, Atrium Health, Charlotte, NC, USA.
Atrium Medical Cente · USUniversity of Pittsburgh · US

Funding

Primary care Implementation and evaluation of Coach McLungs™ an asthma shared decision-making intervention, across a large healthcare systemR01HL151854 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI TAPP, HAZEL · 2021 to 2025
$3.4M
NHLBI NIH HHS R01 HL151854
6 · The paper itself

Abstract

backgroundAsthma is a prevalent chronic disease that is difficult to manage and associated with marked disparities in outcomes. One promising approach to addressing disparities is shared decision making (SDM), a method by which the patient and provider cooperatively make a decision about asthma care. SDM is associated with improved outcomes for patients; however, time constraints and staff availability are noted implementation barriers. Use of health information technology (IT) solutions may facilitate the utilization of SDM. Coach McLungs

methodsImplementation will be evaluated using a stepped wedge randomized control study design at 21 pediatric and family medicine practices within a large, integrated, nonprofit healthcare system. We will measure changes in emergency department visits, hospitalizations, and oral steroid use, which serve as surrogate measures for patient-centered asthma outcomes. We will use a generalized linear mixed models with logit link to test the hypothesis for the reduction in exacerbation rates specifying the fixed effects of intervention and time and random effects for practice and practice*time. This design achieves 84% power to detect the hypothesized effect size difference of 10% in overall exacerbation between control (40%) and intervention (30%) periods (two-sided, p = 0.05). Implementation will be guided using the Expert Recommendations for Implementing Change (ERIC), a compilation of implementation strategies, and evaluated using the CFIR (Consolidated Framework for Implementation Research) and RE-AIM (Reach Effectiveness, Adoption, Implementation, Maintenance). DISCUSSION: We anticipate that a tailored implementation of Coach McLungs

trial registrationClincaltrials.gov, NCT05059210. Registered 28 September 2021, https://www. CLINICALTRIALS: gov/ct2/show/NCT05059210.

Indexed as

AsthmaDecision Making, SharedChildChronic DiseaseHumansOutcome Assessment, Health CarePrimary Health CareAsthmaHealth information technologyMotivational interviewingShared decision making

Identifiers

PMID36333727
PMCPMC9636750
OpenAlexW4308296082

What Socratic 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 Socratic graph.