Adolescents' Disease Empowerment and Persistency Technology for Asthma

青少年哮喘疾病赋权和持续技术

• 批准号: 7740550
• 负责人: Giselle Sarah Mosnaim
• 金额: $ 13.28万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7740550
• 关键词: Accident and Emergency department; Acute; Adherence; Admission activity; Adolescent; African American; Aftercare; Applications Grants; Area; Asthma; Attention; Award; Base Ratios; Behavior Control; Behavior Therapy; Behavioral; Clinical; Control Groups; Controlled Study; Development Plans; Disease; Drops; Effectiveness; Enrollment; Ensure; Event; Focus Groups; Frequencies; Goals; Health; Hospitalization; Instruction; Intensive Care Units; Intervention; Intubation; Knowledge; Life Style; Low income; Mediator of activation protein; Medical; Mentors; Mentorship; Methodology; Modeling; Morbidity - disease rate; Music; Oral; Outcome; Participant; Peer Group; Pharmaceutical Preparations; Pilot Projects; Population; Positioning Attribute; Prednisone; Problem Solving; Qualitative Research; Randomized Controlled Clinical Trials; Research; Research Personnel; Risk; Screening procedure; Self Efficacy; Series; Subgroup; System; Target Populations; Technology; Testing; Training and Education; Urban Health; Visit; Work; abstracting; base; behavior change; behavioral/social science; career; career development; control trial; coping; design; efficacy testing; empowerment; improved; inner city; innovation; mortality; peer; social; theories

DESCRIPTION (provided by applicant): The applicant is an Allergist/lmmunologist who seeks to develop a career as an independent investigator of behavioral interventions that promote the health of urban African American adolescents with persistent asthma. The proposed intervention focuses on peer support, coping peer group problem-solving sessions to record messages about barriers to taking controller medications for asthma and ways to overcome these barriers, and the delivery of these messages developed by study participants themselves to each other throughout the week between music tracks on an MPS player known as the Media Hub. The messages are delivered via the Adolescents' Disease Empowerment and Persistency Technology (ADEPT) for asthma Network Control System to the Media Hub. The career development plan provides further education, training, and mentorship needed to conduct behavioral controlled trials of culturally sensitive, technologybased interventions to promote sustained change. The research plan benefits from prior pilot work, proposes a conceptual model for increasing adherence, and then tests each step in this model. The primary mentor for this award. Dr. Lynda H. Powell, is an expert in behavioral trial methodology and will ensure the applicant applies appropriate theory and methodology to test her conceptual model. The Co-Mentor and Advisors will provide additional guidance in the specific areas of qualitative research, behavioral and social principles of behavior change, and adherence. The research plan aims to: identify ways to improve the ability of ADEPT and other newly proposed technology based platforms to increase adherence; conduct a "proof of concept" pilot study of the newly refined intervention; and conduct a behavioral controlled trial testing the efficacy of ADEPT to improve adherence. At the end of this award, the applicant will be uniquely positioned to submit an ROl grant application to conduct a large-scale behavioral randomized trial evaluating the effectiveness of the ADEPT intervention to improve important health outcomes in urban African American adolescents with asthma. RELEVANCE (See instructions): Alarming rates of emergency room visits and hospitalizations for asthma in inner-city African American adolescents require urgent intervention. The ultimate goal of this research is to reduce the morbidity and mortality of asthma in this population through the use of peer support, enhanced by a culturally sensitive, technology-based MP3 player platform aimed at increasing adherence to daily controller medications. (End of Abstract)

描述（由申请人提供）：申请人是一名过敏症专科医生/免疫学家，寻求发展作为独立调查员的职业生涯，研究促进患有持续性哮喘的城市非裔美国青少年的健康的行为干预措施。拟议的干预措施侧重于同伴支持、应对同伴小组问题解决会议，以记录有关服用哮喘控制药物的障碍以及克服这些障碍的方法的信息，以及研究参与者自己在一周内向彼此传递这些信息称为媒体中心的 MPS 播放器上的音乐曲目之间。这些消息通过针对哮喘的青少年疾病赋权和持久性技术 (ADEPT) 网络控制系统传递到媒体中心。职业发展计划提供对文化敏感、基于技术的干预措施进行行为对照试验所需的进一步教育、培训和指导，以促进持续变革。该研究计划受益于之前的试点工作，提出了一个提高依从性的概念模型，然后测试该模型中的每个步骤。该奖项的主要导师。 Lynda H. Powell 博士是行为试验方法方面的专家，将确保申请人应用适当的理论和方法来测试她的概念模型。共同导师和顾问将在定性研究、行为改变的行为和社会原则以及遵守等特定领域提供额外指导。该研究计划旨在： 找出提高 ADEPT 和其他新提出的基于技术的平台的能力的方法，以提高依从性；对新完善的干预措施进行“概念验证”试点研究；并进行行为对照试验，测试 ADEPT 提高依从性的功效。在该奖项结束时，申请人将处于独特的地位，可以提交 ROl 拨款申请，以进行大规模行为随机试验，评估 ADEPT 干预措施的有效性，以改善患有哮喘的城市非裔美国青少年的重要健康结果。相关性（参见说明）：内城区非裔美国青少年因哮喘而去急诊室和住院的比例惊人，需要紧急干预。这项研究的最终目标是通过使用同伴支持来降低该人群中哮喘的发病率和死亡率，并通过文化敏感、基于技术的 MP3 播放器平台来增强，旨在提高日常控制药物的依从性。 （摘要完）