Enhancing Children's and Parents' Asthma Management

加强儿童和家长的哮喘管理

基本信息

批准号：
8081199
负责人：
Sharon D Horner
金额：
$ 1.88万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-01 至 2013-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8081199
关键词：
14 year old Absenteeism Achievement Address Administrator Affect African American Air Asthma Attention Biological Markers Breathing Camping Caring Child Childhood Childhood Asthma Chronic Chronic Disease Communities Control Groups Data Collection Diagnosis Education Educational Curriculum Educational Intervention Educational process of instructing Educational workshop Environmental Risk Factor Environmental Tobacco Smoke Epidemiology Exhalation Family Frequencies Funding Group Homes Health Health Personnel Health Services Accessibility Home environment Home visitation Hospitalization Hospitals Hour House Call Intervention Knowledge Life Literature Lung Measures Metered Dose Inhaler Device Mexican Americans Morbidity - disease rate Nitric Oxide Nitrogen Dioxide Not Hispanic or Latino Office Visits Outcome Ozone Pamphlets Parents Particulate Matter Pharmaceutical Preparations Physiological Play Quality of life Randomized Reporting Research Design Resources Risk Factors Rural Rural Community Rural Population Sampling Schedule School-Age Population Schools Self Management Severities Symptoms Testing Time Tobacco smoke Translations Uninsured Visit Work airway inflammation arm base disability effective intervention ethnic minority population experience flexibility group intervention improved inner city low socioeconomic status medication compliance peer population based programs public health relevance pulmonary function rural area skills

项目摘要

DESCRIPTION (provided by applicant): Asthma is the most common chronic childhood illness and disproportionately affects children who are ethnic minorities and poor. Few studies of childhood asthma have been conducted with children who live in rural areas or have included Mexican American children in their samples. In an NIH/NINR funded study (Enhancing Children's and Parents' Asthma Management, R01 NR00770), the Asthma Plan for Kids was used to teach rural school-age children how to manage their asthma and parents received an individualized educational session during a home visit. Study findings demonstrated the intervention could improve children's asthma self-management, asthma knowledge, metered dose inhaler skill, asthma severity, and parents' asthma management and access to care. In this competing continuation, we propose adding a third arm to the current research design with schools randomized into either an in-school asthma intervention, an in-school attention-control intervention, or an alternate intervention-delivery format of a single 5.5-hour asthma day camp. The tri-ethnic sample will be composed of 320 Mexican-American, African-American, and White rural school-aged children (grades 2-5) who have asthma and their parents. In addition, we propose adding a non-invasive measure of chronic airway inflammation (exhaled nitric oxide) to assess the impact of changes in asthma management on airway inflammation. Families will be followed for a full year with data collection at baseline and at 1-month, 4-months, and 7-months after the intervention to assess improvement in children's asthma morbidity, asthma severity, airway inflammation, family asthma management and quality of life. The proposed Camp-Workshop format may be a more efficient way to deliver the intervention and if it proves to be equally as effective as the School-Home format in improving asthma management and health outcomes it may have greater potential for translation to practice in that it increases the options for intervention delivery. PUBLIC HEALTH RELEVANCE Asthma is the most common chronic childhood illness. Asthma management occurs primarily in the context of the family and as such interventions that are effective in improving children's and parents' asthma management are needed.

描述（由申请人提供）：哮喘是最常见的慢性儿童疾病，尤其影响少数民族和贫困儿童。很少有针对居住在农村地区的儿童或样本中包括墨西哥裔美国儿童的儿童哮喘的研究。在 NIH/NINR 资助的一项研究（加强儿童和家长的哮喘管理，R01 NR00770）中，儿童哮喘计划被用来教导农村学龄儿童如何管理哮喘，家长在家访期间接受了个性化的教育课程。研究结果表明，干预措施可以改善儿童的哮喘自我管理、哮喘知识、定量吸入器技能、哮喘严重程度以及父母的哮喘管理和护理机会。在这个竞争性的延续中，我们建议在当前的研究设计中添加第三组，将学校随机分为校内哮喘干预、校内注意力控制干预或单次 5.5 小时的替代干预实施形式哮喘日营。三种族样本将由 320 名患有哮喘的墨西哥裔美国人、非裔美国人和白人农村学龄儿童（2-5 年级）及其父母组成。此外，我们建议增加慢性气道炎症（呼出一氧化氮）的非侵入性测量，以评估哮喘管理变化对气道炎症的影响。将对家庭进行一整年的跟踪，收集基线以及干预后 1 个月、4 个月和 7 个月的数据，以评估儿童哮喘发病率、哮喘严重程度、气道炎症、家庭哮喘管理和治疗质量的改善情况。生活。拟议的营地-研讨会形式可能是一种更有效的干预方式，如果事实证明它在改善哮喘管理和健康结果方面与学校-家庭形式同样有效，那么它可能具有更大的转化为实践的潜力，因为它增加干预实施的选择。公共卫生相关性哮喘是最常见的慢性儿童疾病。哮喘管理主要发生在家庭背景下，因此需要有效改善儿童和父母的哮喘管理的干预措施。