A Tailored Asthma Education Program for Urban Teens

为城市青少年量身定制的哮喘教育计划

• 批准号: 6756735
• 负责人: Christine LM Joseph
• 金额: $ 0.95万
• 依托单位: HENRY FORD HEALTH SYSTEM
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-12-01 至 2005-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6756735
• 关键词: adolescence (12-20); asthma; behavior modification; behavioral /social science research tag; clinical research; computer assisted instruction; computer program /software; disease /disorder prevention /control; education evaluation /planning; educational resource design /development; health behavior; health care cost /financing; health care service; health education; health services research tag; human subject; longitudinal human study; outcomes research; patient care management; urban area

DESCRIPTION (provided by applicant): Teenagers are among an age group that has seen dramatic increases in deaths from asthma. In Detroit, asthma death rates for teenagers are high relative to younger ages, despite a higher prevalence in the latter age group. Early studies suggest that inadequate asthma management plays a significant role in these grim statistics. The goal of this project is to develop and evaluate a tailored, school-based, computerized asthma education program for urban teenagers. The use of computers to change behavior in teenagers is extremely promising, both in reach and in efficacy. Through pilot studies, we have identified key issues in managing asthma in urban youth; e.g., smoking is not uncommon among teenagers with asthma, yet few asthma programs address smoking cessation/reduction. Our team will incorporate asthma management issues into an existing program that was successful in decreasing smoking among teenagers in a previous study to produce a more comprehensive program. This process will be greatly facilitated as the computer software serving as the template for our project has already been developed. Our research team will work in collaboration with the Health Media Research Laboratory at University of Michigan to modify the existing program. A randomized effectiveness trial will be conducted to evaluate the program in 9th-l0th graders attending six Detroit high schools where over 90 percent of students are African American and 60 percent are eligible for free lunch. Students with uncontrolled asthma will be identified, and then randomized within school to a treatment or control group. The intervention includes the essential elements needed for success in this population: use of a theory-based approach to bringing about desired behavioral changes; use of "tailoring" to address individual concerns while being delivered to large groups; identification of teen behaviors that preclude effective management of asthma; delivery of the intervention through a multi-media vehicle; and provision of assistance in the form of an asthma counselor to address health care related issues students and their families may face. The treatment group will receive four tailored computer sessions and access to an asthma counselor who will respond to requests for assistance/referral. The control group will receive four computerized general asthma informational sessions. Both groups will be followed for 1 year post-intervention. The result of this research will be an evaluated, computerized asthma management program that tailors an intervention to the specific needs, motives and barriers of teens with asthma.

描述（由申请人提供）： 青少年属于以下年龄组： 哮喘死亡人数急剧增加。在底特律，哮喘死亡率 尽管青少年的患病率较高，但相对于年轻人来说，这一比例较高 后一个年龄段。早期研究表明哮喘管理不充分 在这些严峻的统计数据中发挥着重要作用。该项目的目标是 开发和评估量身定制的、以学校为基础的计算机化哮喘教育 城市青少年计划。使用计算机来改变人们的行为 青少年无论在影响范围还是功效上都非常有前途。通过试点 通过研究，我们确定了城市青少年哮喘管理的关键问题；例如。， 吸烟在患有哮喘的青少年中并不罕见，但哮喘治疗项目却很少 解决戒烟/减少吸烟问题。我们的团队将把哮喘纳入 管理问题纳入现有计划，该计划成功减少了 之前的一项研究对青少年吸烟情况进行了更全面的调查 程序。随着计算机软件的出现，这一过程将得到极大的促进。 作为我们项目的模板已经开发出来了。我们的 研究团队将与健康媒体研究合作 密歇根大学实验室修改了现有程序。一个 将进行随机有效性试验来评估该计划 就读于底特律六所高中的 9 至 10 年级学生，其中超过 90% 的学生 学生是非裔美国人，60% 有资格享受免费午餐。 将确定哮喘未受控制的学生，然后进行随机分组 在学校内分配给治疗组或对照组。干预措施包括 在这一人群中取得成功所需的基本要素：使用基于理论的方法 实现期望的行为改变的方法；使用“剪裁”来 在向大型团体交付的同时解决个人关切的问题； 识别妨碍有效治疗哮喘的青少年行为； 通过多媒体工具进行干预；并提供 以哮喘咨询师的形式提供协助，以解决与医疗保健相关的问题 学生及其家人可能面临的问题。治疗组将接受 四次量身定制的计算机课程以及一位哮喘咨询师的帮助，他将 回应协助/转介请求。对照组将收到 四次计算机化的普通哮喘信息会议。两组都将 干预后随访 1 年。这项研究的结果将是 经过评估的计算机化哮喘管理计划，可定制干预措施 哮喘青少年的具体需求、动机和障碍。