A community-based asthma program: Study design and methods of RVA Breathes.
A community-based asthma program: Study design and methods of RVA Breathes.
复制标题
DOI：
10.1016/j.cct.2020.106121
复制
发表时间：
2020-10
影响因子：
2.2
通讯作者：
Schechter MS
中科院分区：
文献类型：
--
作者：
Everhart RS;Mazzeo SE;Corona R;Holder RL;Thacker LR 2nd;Schechter MS
儿童哮喘发病率和医疗保健利用率因种族、民族、环境和收入而存在差异；需要采取干预措施来解决这些不平等问题。以下方案描述了一种循证干预措施，RVA呼吸，旨在协调家庭、家庭、社区和医疗部门的儿科哮喘护理。社区利益相关者的反馈被用来完善专门针对弗吉尼亚州里士满社区的干预措施。这项研究的目的是评估RVA呼吸对哮喘相关医疗保健利用的影响，以及哮喘控制、哮喘症状和生活质量的次要结果。我们将从里士满公立学校系统招收300名小学生。参与者的年龄在5-11岁之间，有哮喘的诊断，并在过去两年中有哮喘加重(如哮喘相关的急诊科就诊、住院、非计划的PCP就诊或使用全身类固醇)。参与者将被随机分为三组：哮喘教育+家庭环境补救+学校干预，哮喘教育+家庭环境补救，或对照条件。数据将在18个月期间的一次基线研究访问、四次干预会议和四次后续研究访问中收集。将使用通用线性混合模型(GLMM)来测试主要目标。我们预计这些发现将为跨部门哮喘护理的协调提供支持。此外，我们希望RVA呼吸将成为以社区为基础的儿童哮喘护理的典范。
Disparities in pediatric asthma morbidity and healthcare utilization exist on the basis of race, ethnicity, environment, and income; interventions are needed to address these inequities. The following protocol describes an evidence-based intervention, RVA Breathes, designed to coordinate pediatric asthma care across family, home, community, and medical sectors. Community stakeholder feedback was utilized to refine the intervention specifically for the Richmond, Virginia community. The aims of this study are to assess the effect of RVA Breathes on asthma-related healthcare utilization, as well as secondary outcomes of asthma control, asthma symptoms, and quality of life. We will enroll 300 elementary school children from the Richmond City Public School system. Participants will be between the ages of 5–11, have a diagnosis of asthma, and have had an asthma exacerbation (as indicated by an asthma-related ED visit, hospitalization, unscheduled PCP visit, or use of systemic steroids) in the last two years. Participants will be randomized to one of three groups: asthma education + home environment remediation + school intervention, asthma education + home environment remediation, or a comparator condition. Data will be collected across one baseline research visit, four intervention sessions, and four follow-up research visits over the course of 18 months. A General Linear Mixed Model (GLMM) will be used to test primary aims. We expect the findings will provide support for coordination of asthma care across sectors. Further, we hope RVA Breathes will serve as a model of community-based pediatric asthma care.
登录
查看更多内容
DOI：
10.1016/j.jaci.2014.05.037
发表时间：
2014-09
期刊：
The Journal of allergy and clinical immunology
影响因子：
--
作者：
Akinbami LJ;Moorman JE;Simon AE;Schoendorf KC
通讯作者：
Schoendorf KC
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
3.6
作者：
Everhart, Robin S.;Fiese, Barbara H.
通讯作者：
Fiese, Barbara H.
影响因子：
5.1
作者：
Evans, R;Gergen, PJ;Wedner, HJ
通讯作者：
Wedner, HJ
影响因子：
12.7
作者：
Krieger, JW;Takaro, TK;Weaver, M
通讯作者：
Weaver, M