Evidence mapPaperPMID 41310837Full record

ArticleTrials2025

The Airport Air Quality and Asthma (AAA) indoor air intervention trial for children with asthma: Protocol for a community-based study in South King County, Washington State.

Christine T Loftus, Pamela Lim, Jan Capps, Jeffry H Shirai, Maria Tchong-French, Elena Austin

Registry-linked trialAbstract 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. It is linked to trial NCT07047430 (The Airports, Air Quality, and Asthma), which is not on this map. Not yet cited in PubMed.

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

NCT07047430 narecruitingnot on this map

The Airports, Air Quality, and Asthma (AAA) Study

TypeinterventionalSponsorUniversity of WashingtonRan2024 to 2027Enrolled60ConditionsPediatric AsthmaArmsPortable air cleaner with HEPA filter, Less effective portable air cleaner (no HEPA)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Christine T LoftusDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA. cloftus@uw.edu.ORCID http://orcid.org/0000-0002-5232-7342
Pamela LimDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA.
Jan CappsPublic Health-Seattle & King County, Seattle, WA, 98104, USA.
Jeffry H ShiraiDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA.
Maria Tchong-FrenchDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA.
Elena AustinDepartment of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, WA, 98195, USA.

Funding

XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI Sheela Sathyanarayana · 1995 to 2026
$42.5M
NIEHS NIH HHS P30 ES007033NIH HHS P30ES007033
6 · The paper itself

Abstract

backgroundFor children with asthma, exposure to indoor air pollution increases the risk of a serious asthma exacerbation, which can be life-threatening. Interventions aimed at improving indoor air quality, including the use of a portable air cleaner with a high-efficiency particle air (HEPA) filter, may reduce this risk; however, the effectiveness, feasibility, and acceptability of HEPA air cleaners vary, and more research in various settings is needed.

methodsIn collaboration with a community health worker (CHW) delivered asthma education program, we are conducting a randomized clinical trial to evaluate the effectiveness of HEPA air cleaners to improve indoor air quality and child asthma health in South King County of Washington State, a vulnerable community impacted by air pollution from airports and highway traffic. A key feature of the Airport Air Quality and Asthma (AAA) design is the extensive integration of CHWs, including CHWs recruited from community-based organizations, into multiple aspects of the trial protocol. We aim to recruit up to N = 60 children with asthma, randomized into intervention and less effective filtration (control) groups in a 1:1 ratio, conduct baseline assessments of indoor air quality and airway health, and collect repeated assessments of air quality and airway health during a 3-month intervention period as well as after the trial concludes. Primary effectiveness outcomes are the concentration of indoor air pollution during the intervention period and two measures of child airway health: change in asthma control score pre- and post-intervention and incidence of asthma symptoms during the intervention period. Several secondary outcomes related to air quality and child health will be explored as well. DISCUSSION: To our knowledge, this is the first trial of indoor air filtration and pediatric asthma health in a community highly impacted by airport-related air pollution. The close collaboration with a CHW-delivered asthma program is also unique and important for future translation of results to future public health programming. Study findings will inform future approaches to integrate HEPA air cleaners into existing CHW asthma education programs in this and similar communities.

trial registrationThe AAA research study was retrospectively registered at clinicaltrials.gov (identifier: NCT07047430; registration approved July 1, 2025).

Indexed as

Air FiltersAir Pollution, IndoorAirportsAsthmaChildChild, PreschoolCommunity Health WorkersFemaleHumansMalePatient Education as TopicRandomized Controlled Trials as TopicWashingtonAsthmaCommunity health workersIndoor air interventionOutdoor air pollution

Identifiers

PMID41310837
PMCPMC12751963

What Socratic 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 Socratic graph.