Staying Healthy-Asthma Responsible & Prepared

保持健康——对哮喘负责

基本信息

批准号：
7139997
负责人：
EILEEN KAE KINTNER
金额：
$ 18.06万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-09-16 至 2007-07-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): Nine million (12%) U.S. children under 18 years of age have been diagnosed with asthma at some point in their lives and more than 4 million (6%) children have had an asthma attack in the last 12 months. School-aged children diagnosed with asthma are restricted from participating in normal life activities, absent from school more than their peers, and admitted to hospitals in life-threatening situations. Health care professionals attribute these adverse outcomes to poor self-management. Although children and parents exhibiting poor self-management are usually referred for health education, few programs report significant long-term changes in behaviors or decreased morbidity. Perhaps this is because education programs rarely address the psychosocial issues, concerns, and needs of the children. Health care professionals commonly assume that children and parents are unwilling to assume responsibility for managing the condition due to rebellion and denial, and believe that acceptance of the condition and the need for ongoing monitoring and treatment would greatly reduce problems. Children/adolescents have verbalized and demonstrated difficulty in accepting their chronic condition. They report experiencing a barrage of negative emotions, facing numerous psychosocial challenges, and worrying about the stigmatization of this chronic condition, especially in situations where the disease symptoms and treatments conflict with the normative behavior of healthy peers. This study is part of a program of research designed to foster acceptance of asthma by increasing long-term responsibility for maintaining and promoting health, and preventing complications. Cognitive, behavioral, and psychosocial needs of older school-age children and early adolescents with asthma are explored from a lifespan development perspective. An innovative, comprehensive, theory-driven, research-guided, school-based education and counseling program for diverse, students, parents/family caregivers, and school personnel has been developed: The SHARP Program: Staying Healthy-Asthma Responsible & Prepared. The purpose of this study is to evaluate the feasibility, benefits, and efficacy of the program.

描述（由申请人提供）：900万（12％）18岁以下的美国儿童在生活的某个时候被诊断出患有哮喘，超过400万（6％）的儿童在过去的12次中遭受了哮喘发作月份。被诊断出患有哮喘的学龄儿童受到限制参加正常生活活动，学校缺席比同龄人更多，并在威胁生命的情况下被医院录取。卫生保健专业人员将这些不利结果归因于自我管理差。尽管通常将表现出自我管理不佳的儿童和父母用于健康教育，但很少有计划报告行为长期变化或发病率降低。也许这是因为教育计划很少解决儿童的社会心理问题，关注和需求。医疗保健专业人员通常认为，由于叛乱和否认，孩子和父母不愿承担管理状况的责任，并相信接受该病以及对持续监测和治疗的需求将大大减少问题。儿童/青少年在接受慢性状况方面已经口头表达和表现出了困难。他们报告说，会遇到一系列负面情绪，面临着许多社会心理挑战，并担心这种慢性病的污名化，尤其是在疾病症状和治疗与健康同龄人的规范行为冲突的情况下。这项研究是一项研究计划的一部分，旨在通过增加维持和促进健康和预防并发症的长期责任来促进哮喘的接受。从寿命发展的角度探索了老年学龄儿童和早期青少年哮喘的认知，行为和社会心理需求。已经开发了一项创新，全面，理论驱动的，以学校为基础的，基于学校的教育和咨询计划，针对多元化，学生，家长/家庭护理人员和学校人员开发：敏锐的计划：保持健康的雅典症负责和准备。这项研究的目的是评估该计划的可行性，好处和功效。