A culturally tailored, scalable asthma intervention for Mexican American children

针对墨西哥裔美国儿童的文化定制、可扩展的哮喘干预措施

• 批准号: 10646230
• 负责人: Elizabeth C. Matsui
• 金额: $ 27.74万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-15 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10646230
• 关键词: Acute; Advocacy; Affect; Airborne Particulate Matter; Allergens; Asthma; Behavioral Sciences; Belief; Black race; Caregivers; Caring; Child; Clinical; Clinics and Hospitals; Communication; Communities; Community Health Aides; Community Services; Development; Dust; Education; Educational Materials; Environment; Face; Family; Focus Groups; Foundations; Geography; Goals; Health behavior; Home; Home environment; Hospitalization; Housing; Intervention; Language; Latinx; Letters; Measures; Mexican Americans; Modeling; Morbidity - disease rate; Only Child; Outcome; Parents; Pharmacy facility; Population; Positioning Attribute; Prevalence; Process Measure; Randomized; Research; Research Personnel; Risk; Self Management; Services; Shapes; Specialist; Testing; Texas; Time; Travel; Visit; Work; communication behavior; design; education access; educational atmosphere; efficacy trial; empowerment; environmental intervention; family support; geographic barrier; health care availability; health care quality; improved; indoor exposure; multidimensional data; online community; pilot test; pilot trial; prototype; randomized, clinical trials; skills; socioeconomics; tool; web platform

Project Summary Mexican American children are the only demographic group whose asthma prevalence is increasing and Mexican American children with asthma have a ~2-3-fold greater risk of being hospitalized than their non- Latinx white counterparts. This excess burden of morbidity affects the ~ 200,000 Mexican American children with asthma in Texas. Thus, we propose to develop and pilot a scalable, culturally-tailored, multilayered asthma intervention, Asma Guardián, designed to reduce asthma morbidity among Mexican American children. Asma Guardián will be modeled on efficacious community-based asthma interventions and will include three “tool kits”: (1) support for accessing asthma specialist care, (2) asthma management education and support, and (3) home environment education, access to housing advocacy services, and access to environmental intervention supplies. Asma Guardián will be developed in partnership with Mexican American children with asthma and their parents and will be grounded in communication and behavioral science to maximize engagement. The primary objectives of the project are 1) To develop Asma Guardián, a culturally- tailored asthma intervention that facilitates access to asthma specialist care and provides education and support for asthma self-management and home environmental interventions and 2) To conduct a pilot trial to inform the planning of a state-wide trial of Asma Guardián. The proposed work is both necessary and sufficient to inform the planning of a state-wide trial of Asma Guardián, which will be the first scalable, culturally-tailored asthma intervention for Mexican American children and will serve as a model for delivering a population-scale intervention.

项目概要 墨西哥裔美国儿童是唯一哮喘患病率不断上升的群体 患有哮喘的墨西哥裔美国儿童住院的风险比非哮喘儿童高约 2-3 倍 这种过度的发病率影响了约 200,000 名墨西哥裔美国儿童。 因此，我们建议开发和试点一个可扩展的、适合文化的、多层的。 哮喘干预措施 Asma Guardián，旨在降低墨西哥裔美国人的哮喘发病率 阿斯玛·瓜迪安 (Asma Guardián) 将以有效的社区哮喘干预措施为蓝本，并将 包括三个“工具包”：(1) 支持获得哮喘专家护理，(2) 哮喘管理教育 和支持，以及 (3) 家庭环境教育、获得住房倡导服务以及获得 Asma Guardián 将与墨西哥裔美国人合作开发。 患有哮喘的儿童及其父母，将以沟通和行为科学为基础， 该项目的主要目标是 1) 发展 Asma Guardián，一个文化- 量身定制的哮喘干预措施，有助于获得哮喘专家护理并提供教育和治疗 支持哮喘自我管理和家庭环境干预措施，以及 2) 进行试点试验 为 Asma Guardián 的全州审判计划提供信息 拟议的工作既必要又有效。 足以为 Asma Guardián 的全州试验计划提供信息，这将是第一个可扩展的、 针对墨西哥裔美国儿童的文化定制哮喘干预措施，并将作为提供 人口规模的干预。