Using Mobile Health to Improve Asthma Self-Management in Early Adolescence: A Pilot Randomized Controlled Trial.
Using Mobile Health to Improve Asthma Self-Management in Early Adolescence: A Pilot Randomized Controlled Trial.
复制标题
使用移动健康改善青春期早期哮喘的自我管理：一项随机对照试验。
DOI：
10.1016/j.jadohealth.2021.06.011
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Gurka,MatthewJ
中科院分区：
文献类型：
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作者：
Fedele,DavidA;Thomas,JGraham;McConville,Andrew;McQuaid,ElizabethL;Voorhees,Sara;Janicke,DavidM;Abu-Hasan,Mutasim;Chi,Xiaofei;Gurka,MatthewJ
目的青少年早期是哮喘自我管理的重要发育时期。在这段时间里，有帮助的照顾者的支持是决定早期青少年是否成功发展哮喘自我管理行为的关键。AIM 2ACT是一种双向的移动的健康干预措施，旨在增加早期青少年参与哮喘自我管理行为时有益的护理人员支持。我们进行了一项试点随机对照试验，以确定AIM 2ACT的可行性和可接受性，并进行初步测试的effictiveness.MethodsWe随机青少年（12-15岁）和照顾者接受AIM 2ACT（n = 17）或自我指导的注意力控制条件（n = 16）为20周。我们在基线、干预后和4个月随访时进行了评估访问。结果包括家庭哮喘管理（主要结果），青少年哮喘控制，肺功能（用力呼气容积在1秒），哮喘相关的生活质量，哮喘管理自我效能，和家庭communication.ResultsWe随机33 dyads和100%保留在试验AIM 2ACT参与者之间。二人组经常参与AIM 2ACT（青少年M = 21天，照顾者32.65天），并报告对内容，功能和帮助的满意度非常高。与对照组相比，随机分配至AIM 2ACT组的受试者的哮喘控制评分显著改善（p= 0.04），超过了最低临床重要差异阈值。虽然没有统计学意义，但AIM 2ACT组在家庭哮喘管理、哮喘相关生活质量和家庭沟通方面的改善幅度更大。结论AIM 2ACT是一种可行且可接受的双向移动的健康哮喘自我管理干预，可改善哮喘控制。
PurposeEarly adolescence is an important developmental period where youth take primary responsibility for asthma self-management. Helpful caregiver support during this time is pivotal in determining whether early adolescents successfully develop asthma self-management behaviors. AIM2ACT is a dyadic mobile health intervention designed to increase helpful caregiver support as early adolescents engage in asthma self-management behaviors. We conducted a pilot randomized controlled trial to determine the feasibility and acceptability of AIM2ACT and conduct preliminary tests of efficacy.MethodsWe randomized adolescents (12–15 years old) and a caregiver to receive AIM2ACT (n = 17) or a self-guided attention control condition (n = 16) for 20 weeks. We conducted assessment visits at baseline, postintervention, and 4-month follow-up. Outcomes included family asthma management (primary outcome), adolescent asthma control, lung function (forced expiratory volume in 1 second), asthma-related quality of life, asthma management self-efficacy, and family communication.ResultsWe randomized 33 dyads and had 100% retention in the trial among AIM2ACT participants. Dyads frequently engaged with AIM2ACT (M = 21 days for adolescents, 32.65 days for caregivers) and reported very high satisfaction with content, functionality, and helpfulness. Participants randomized to AIM2ACT had significant improvements in asthma control scores (p= .04) compared to control that surpassed the minimally clinically important difference threshold. Although not statistically significant, the magnitude of improvements in family asthma management, asthma-related quality of life, and family communication was larger in the AIM2ACT group.ConclusionsAIM2ACT is a feasible and acceptable dyadic mobile health asthma self-management intervention that improves asthma control.