Adolescent Asthma Self-Management Telehealth Application

青少年哮喘自我管理远程医疗应用

基本信息

批准号：
6802337
负责人：
Marc Cohen
金额：
$ 17.5万
依托单位：
SIXTYSEVEN KILOHERTZ, INC.
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-09-30 至 2006-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): We theorize that a low-intensity disease self-management intervention consisting of asthma related health messages based on the Health Belief Model and delivered regularly over an extended period via a personal digital music player, can improve asthma outcomes among low-income urban adolescents. The objective of the proposed study is to test this hypothesis and to obtain proof-of-principle that will serve as the basis for further research. Almost 25% of students in Chicago Public Schools located in high poverty neighborhoods have been diagnosed with asthma. Less than half of these children exhibit appropriate use of inhaled steroids or maintain regular visits with a physician. Through a grant from the National Institute on Drug Abuse, Sixty-Seven Kilohertz, Inc. and Northwestern University have developed a novel messaging platform for anti-drug PSAs called X-CD. X-CD delivers updateable content via long-distance wireless transmission to personal (Walkman type) digital music players. Because it does not require a PC or Internet connection, X-CD is an appropriate telehealth medium for the target population since most low-income urban adolescents do not have regular access to these tools. We have designed and built a personal CD player to work with the X-CD technology platform. However we do not believe this device is optimal for the target population since CDs may not be the primary music medium for low-income adolescents due to their high cost. Therefore, we will adapt the X-CD player to a personal music player that can tune commercial radio stations and receive, store and play MP3 music tracks that we transmit to the players. We propose to conduct a 24-week application efficacy study with non-randomized experimental and control groups, 20-30 subjects in each. Participants will be recruited from the pediatric asthma clinic at Cook County Hospital. Outcome measures including: number and severity of asthma attacks, and disease knowledge and asthma self-management skills, will be assessed prior to the intervention and at 2, 6, 12, 18, and 24 weeks.

描述（由申请人提供）：我们推测，低强度疾病自我管理干预措施包括基于健康信念模型的哮喘相关健康信息，并通过个人数字音乐播放器在较长时间内定期提供，可以改善哮喘患者的预后低收入城市青少年。拟议研究的目的是检验这一假设并获得原理证明，作为进一步研究的基础。位于高度贫困社区的芝加哥公立学校中，近 25% 的学生被诊断患有哮喘。这些儿童中只有不到一半表现出适当使用吸入类固醇或保持定期去看医生。通过国家药物滥用研究所的资助，67 Kilohertz, Inc. 和西北大学开发了一种名为 X-CD 的新型抗毒 PSA 消息传递平台。 X-CD 通过长距离无线传输向个人（随身听型）数字音乐播放器提供可更新的内容。由于 X-CD 不需要 PC 或互联网连接，因此它是适合目标人群的远程医疗媒介，因为大多数低收入城市青少年无法定期使用这些工具。我们设计并制造了一款个人 CD 播放器，可与 X-CD 技术平台配合使用。然而，我们不认为该设备最适合目标人群，因为 CD 由于成本高昂，可能不是低收入青少年的主要音乐媒介。因此，我们将X-CD播放器改造为个人音乐播放器，可以调谐商业广播电台并接收、存储和播放我们传输到播放器的MP3音乐曲目。我们建议对非随机实验组和对照组（每组 20-30 名受试者）进行为期 24 周的应用功效研究。参与者将从库克县医院的小儿哮喘诊所招募。结果指标包括：哮喘发作的次数和严重程度，以及疾病知识和哮喘自我管理技能，将在干预前以及第 2、6、12、18 和 24 周进行评估。