Enhancing Childrens' and Parents' Asthma Management

加强儿童和家长的哮喘管理

• 批准号: 7062104
• 负责人: Sharon D Horner
• 金额: $ 31.88万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-01 至 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7062104
• 关键词: African American; Mexican Americans; absenteeism; asthma; caucasian American; clinical research; education evaluation /planning; emergency health services; epidemiology; family; gender difference; geographic difference; health care service utilization; health education; hospital utilization; human subject; medically underserved population; middle childhood (6-11); parents; patient oriented research; racial /ethnic difference; respiratory disorder chemotherapy; rural area; schools; socioeconomics; therapy compliance

DESCRIPTION (provided by applicant): Asthma affects 4.8 million children under 18 years of age. Since 1985, asthma prevalence has increased 84% among children 5-14 years of age. Their utilization of health care resources have increased 128% for office visits and 13% for hospitalizations. School absences have increased more than 50% from 1980 to 1996 among children with asthma, and the economic impact of asthma is estimated to be $10.7 billion with half attributed to the indirect costs associated with caring for children with asthm. The purpose of this study is to: 1) Evaluate the effectiveness of an asthma education program in improving child health outcomes (ED visits, hospitalizations, absenteeism); 2) Evaluate the effectiveness of an asthma education program in improving parents' asthma knowledge and management behaviors, self-efficacy and perceptions of access to care, and children's asthma knowledge, asthma management, metered dose inhaler (MDI) technique, self-efficacy, and coping; and 3) Explore the effects of background variables (socioeconomic status, ethnicity, gender, knowledge, self-efficacy, asthma severity, school) and intervening process factors (access to care, coping, asthma management behaviors, MDI technique) on health outcomes. An asthma education intervention is proposed with a tri-ethnic sample of 276 Mexican American, African American, and Anglo American rural school-aged children (8-11 years) who have asthma and their parents. The quasi-experimental design will include random assignment to control and experimental conditions at the school level to prevent intra-school contamination. After study enrollment and collection of baseline data (Time 1), asthma classes will be provided to the experimental group in 16 classes with small groups of 4-6 children (12-18 children per school). At the same time, the control group will receive an attention control intervention with 16 general health classes. One month (Time 2) after the asthma classes, a home visit will be made to (1) collect data from all participants and (b) provide individualized family education to the experimental group. Family education includes (a) completing the Home Asthma Plan; (b) clarifying asthma medication use; and (c) reducing environmental asthma triggers with specific strategies for rural homes. Follow-up data will be collected 4 months (Time 3) and 8 months (Time 4) later and analyzed.

描述（由申请人提供）：哮喘影响480万18岁以下的儿童。自1985年以来，哮喘患病率在5-14岁的儿童中增加了84％。他们对医疗保健资源的利用率增加了128％，用于办公室就诊，住院治疗13％。从1980年到1996年，哮喘儿童的缺勤量增长了50％以上，哮喘的经济影响估计为107亿美元，一半归因于与照顾哮喘儿童相关的间接费用。这项研究的目的是：1）评估哮喘教育计划在改善儿童健康成果方面的有效性（ED访问，住院，缺席）； 2）评估哮喘教育计划在改善父母的哮喘知识和管理行为，自我效能和对护理机会的看法以及儿童哮喘知识，哮喘管理，计量剂量吸入器（MDI）技术，自我效能，自我效能感，自我效能感，自我效能感，和应对； 3）探索背景变量（社会经济地位，种族，性别，知识，自我效能感，哮喘严重性，学校）和中间过程因素（获得护理，应对，哮喘管理行为，MDI技术）的影响。提出了哮喘教育干预措施，其中包括276名墨西哥裔美国人，非裔美国人和盎格鲁美国乡村学龄儿童（8-11岁）的三族样本，他们患有哮喘及其父母。准实验设计将包括在学校级别进行控制和实验条件的随机分配，以防止学校内部污染。在研究招生和收集基线数据（时间1）之后，将向16个班级的实验组提供哮喘类别，其中有4-6名儿童（每所学校12-18个孩子）。同时，对照组将通过16个通用健康班获得注意力控制干预措施。哮喘课后一个月（时间2），将进行（1）从所有参与者那里收集数据，（b）向实验组提供个性化的家庭教育。家庭教育包括（a）完成家庭哮喘计划； （b）澄清使用哮喘药物的使用； （c）减少具有特定策略的环境哮喘触发者 农村房屋。后续数据将在4个月（时间3）和8个月（时间4）之后收集并进行分析。