Feasibility and preliminary outcomes of a school-based intervention for inner-city, ethnic minority adolescents with undiagnosed asthma.
Feasibility and preliminary outcomes of a school-based intervention for inner-city, ethnic minority adolescents with undiagnosed asthma.
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对内城区未确诊哮喘的少数民族青少年进行学校干预的可行性和初步结果。
DOI：
10.1016/j.pec.2010.09.019
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发表时间：
2011
影响因子：
3.5
通讯作者：
Evans,David
中科院分区：
文献类型：
--
作者：
Bruzzese,Jean-Marie;Kingston,Sharon;Sheares,BeverleyJ;Cespedes,Amarilis;Sadeghi,Hossein;Evans,David
目的描述和测试哮喘自我管理对未确诊哮喘的青少年的可行性（ASMA-Undx），一个为期8周的以学校为基础的城市青少年干预，包括三个小组和五个个人辅导课程，并为他们的初级保健提供者（PCP）提供学术细节。（平均年龄15.9岁; 92%女性; 72%拉丁裔/a）报告持续性哮喘症状，但未诊断的患者被随机分配至ASMA-Undx或无治疗对照组。干预前后进行了访谈。所有干预学生参加了三个小组会议，64%的人接受了所有五个单独的辅导课程。儿科肺病学家拨打的学术详细电话达到了83%的学生PCP。相对于对照组，ASMA-Undx学生被诊断出哮喘的比例显著更高（分别为79%和6%），并开了哮喘药物（分别为57%和6%）。诊断和治疗的障碍，包括学生和家长的知识缺乏asthene.CONCLUSIONASMA-Undx是一个可行的和有前途的干预，以帮助城市青少年未确诊哮喘获得诊断和治疗。它可以作为针对其他儿科疾病的干预措施的模式。
OBJECTIVETo describe and test the feasibility of asthma self-management for adolescents with undiagnosed asthma (ASMA-Undx), an 8-week school-based intervention for urban adolescents comprised of three group and five individual coaching sessions, and academic detailing for their primary care providers (PCPs).METHODSThirty high school students (mean age 15.9; 92% female; 72% Latino/a) who reported symptoms of persistent asthma, but no diagnosis were randomized to ASMA-Undx or a no-treatment control group. Interviews were conducted pre- and post-intervention.RESULTSAll intervention students participated in the three group sessions; 64% received all five individual coaching sessions. Academic detailing telephone calls made by a pediatric pulmonologist reached 83% of the students’ PCPs. Relative to controls, a significantly greater proportion of ASMA-Undx students were diagnosed (79% versus 6%, respectively), and prescribed asthma medication (57% versus 6%, respectively). Barriers to diagnosis and treatment included students’ and parents’ lack of knowledge about asthma.CONCLUSIONASMA-Undx is a feasible and promising intervention to assist urban adolescents with undiagnosed asthma obtain a diagnosis and treatment.PRACTICE IMPLICATIONSASMA-Undx has the potential to reach many adolescents because it is school-based. It can serve as a model for interventions targeting other pediatric illnesses.