Cochrane · systematic review · CD011651
School‐based self‐management interventions for asthma in children and adolescents: a mixed methods systematic review
Harris, K, Kneale, D, Lasserson, TJ, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 2 · 28.6%Moderate 4 · 57.1%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Effects of school‐based asthma interventions compared to usual care for asthma among children and adolescents
Population: asthma among children and adolescents
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Exacerbations leading to hospitalisation (hospitalisations) Effects of school‐based asthma interventions vs usual care | no estimate extracted | 6 studies · 1873 participants | Moderate Downgraded: risk of bias, indirectness |
Asthma symptoms leading to emergency hospital visits (ED visits) Effects of school‐based asthma interventions vs usual care | OR 0.7 [0.53, 0.92] | 13 studies · 3883 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Unplanned visit to hospital or GP due to asthma symptoms (unplanned medical visits) Effects of school‐based asthma interventions vs usual care | OR 0.74 [0.6, 0.9] | 5 studies · 3283 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Absence from school Effects of school‐based asthma interventions vs usual care | no estimate extracted | 10 studies · 4609 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Experience of daytime and night‐time symptoms ‐ daytime symptoms (daytime symptoms) Effects of school‐based asthma interventions vs usual care | no estimate extracted | 5 studies · 1065 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Use of reliever therapies, e.g. beta₂‐agonists (reliever therapies) Effects of school‐based asthma interventions vs usual care | OR 0.52 [0.15, 1.81] | 2 studies · 437 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Health‐related quality of life Effects of school‐based asthma interventions vs usual care | no estimate extracted | 7 studies · 2587 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |