School-Based Approaches to Help Pre-Teens Manage Asthma

帮助青少年控制哮喘的学校方法

• 批准号: 7048660
• 负责人: NOREEN M CLARK
• 金额: $ 70.66万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-02-07 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7048660
• 关键词: African American; adolescence (12-20); asthma; behavior therapy; behavioral /social science research tag; clinical research; education evaluation /planning; health behavior; health education; health service demonstration project; health services research tag; human subject; low socioeconomic status; medically underserved population; middle childhood (6-11); outcomes research; patient care management; patient oriented research; socioenvironment; student health services

DESCRIPTION (provided by applicant): To date, no data provide information on the effects of middle school based interventions for pre-teens with asthma or the advantages of an approach that recognizes the importance of peer influence on pre-teen's asthma behavior. Interventions to reach low-income minority populations are particularly needed. This random trial will deploy 2 interventions and a control group with 972 eleven and twelve year old, low income, African American students in middle schools. The goals are to determine if (1) a self-management program focused on pre-teen capabilities designed for middle schools produces desired outcomes, and (2) if the program enhanced by a peer component, improves upon outcomes. Outcomes of interest are symptom experience, quality of life, self-management, and school grades. The first intervention will be Open Airways, a proven self-management program adapted for pre-teen self-regulation capacity and the middle school setting. The second intervention will combine intervention one with a highly successful peer led asthma program assessed with multi ethnic urban students. The peer program blends aspects of social influence with active learning methods. The peer component aims to modify the social environment of the school to create support for pro-teens managing asthma. The interventions will be tested in a trial where 18 middle schools in Detroit, Michigan will be randomized into a control, intervention 1 or intervention 2 group. Data to assess outcomes will be collected at baseline, and 12 and 24 months post program through parent interviews, student surveys, and review of school records. Asthma rates for this age group continue to rise and the problems associated with the disease are especially difficult in poor communities. This study will assess innovative interventions for low-income minority preteens with asthma.

描述（由申请人提供）： 迄今为止，还没有数据提供有关基于中学的干预措施对青少年哮喘前儿童的影响的信息，也没有提供认识到同伴影响对青少年哮喘行为的重要性的方法的优势。特别需要针对低收入少数群体的干预措施。这项随机试验将部署 2 项干预措施和一个对照组，其中包括 972 名 11 岁和 12 岁的低收入非裔美国中学学生。 目标是确定（1）专为中学设计的专注于青少年能力的自我管理计划是否会产生预期的结果，以及（2）该计划是否通过同伴组成部分得到增强，从而改善了结果。感兴趣的结果是症状体验、生活质量、自我管理和学校成绩。 第一个干预措施将是 Open Airways，这是一项经过验证的自我管理计划，适用于青少年的自我调节能力和中学环境。第二项干预措施将把干预措施一与由多民族城市学生评估的非常成功的同伴主导的哮喘计划结合起来。同伴计划将社会影响力与主动学习方法融为一体。同伴部分旨在改变学校的社会环境，为支持青少年控制哮喘提供支持。这些干预措施将在一项试验中进行测试，密歇根州底特律的 18 所中学将被随机分为对照组、干预组 1 或干预组 2。将通过家长访谈、学生调查和学校记录审查，在基线以及项目结束后 12 个月和 24 个月收集评估结果的数据。 这个年龄段的哮喘发病率持续上升，与该疾病相关的问题在贫困社区尤其困难。这项研究将评估针对患有哮喘的低收入少数民族青少年的创新干预措施。