The Efficacy of CAMP Air, a Web-based Asthma Intervention, Among Urban Adolescents with Uncontrolled Asthma
CAMP Air(一种基于网络的哮喘干预措施)对哮喘不受控制的城市青少年的疗效
基本信息
- 批准号:10452871
- 负责人:
- 金额:$ 79.43万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-07-07 至 2026-06-30
- 项目状态:未结题
- 来源:
- 关键词:AddressAdministratorAdolescenceAdolescentAdoptedAdoptionAffectAfrican AmericanAftercareAgeAsthmaBlack raceCaregiversCharacteristicsChildChildhoodChronic DiseaseCollectionConsolidated Framework for Implementation ResearchCost AnalysisCost Effectiveness AnalysisCost effectiveness researchDataDevelopmentDissemination and ImplementationEducationEnrollmentFutureGoalsGrowthHealthHealth behaviorHealth educationHigh PrevalenceHispanicHispanic AmericansInterventionIntervention StudiesInterviewLatinoLearningMaintenanceMeasuresMethodologyMethodsModelingMorbidity - disease rateOnline SystemsOutcomeParticipantPatternPharmaceutical PreparationsPilot ProjectsPlayPopulationProcessPublic HealthQuality ControlQuality of lifeQuality-Adjusted Life YearsRandomizedRandomized Controlled TrialsReach Effectiveness Adoption Implementation and MaintenanceRecommendationReduce health disparitiesResearchResourcesRiskRoleSchoolsScienceSelf CareSelf ManagementSpirometrySteroidsStudentsSymptomsTechnologyTeenagersTestingTimeVisitYouthage groupbaseclinical efficacyclinical implementationcostcost effectivenesscost-effectiveness ratiodisparity reductioneHealtheconomic valueefficacy evaluationefficacy testingethnic minorityexperiencefollow-uphealth disparity populationshigh schoolimplementation determinantsimplementation researchimplementation scienceimplementation studyincremental cost-effectivenessintervention costintervention deliveryintervention effectmarkov modelminority childrenmortalitymotivational enhancement therapyonline interventionpilot trialpost interventionprimary outcomeprocess evaluationprogramspublic health relevancepulmonary functionrandomized trialscale upsecondary outcomeskillssocial cognitive theorysuccessurgent care
项目摘要
PROJECT SUMMARY / ABSTRACT
Background and Rationale: Asthma has high prevalence and morbidity among minority adolescents. Yet,
few interventions are tested in adolescents, with only one being web-based. Given asthma's significant impact
on this group, and the important role technology plays in their lives, this oversight is a significant public health
concern. There is a dearth of cost-effectiveness analyses and implementation studies in asthma intervention
research. This study addresses these treatment and methodological gaps. We developed and established the
preliminary impact of the Controlling Asthma Program for Adolescents (CAMP Air), a seven-module
personalized, e-health intervention for adolescents with uncontrolled asthma. Objective: We aim to: (1)
systematically evaluate CAMP Air's efficacy in 370 urban adolescents with uncontrolled asthma; (2) assess its
cost-effectiveness; and (3) identify multi-level factors associated with successful implementation of CAMP Air
to inform its future scale-up. Hypotheses: Relative to controls, over 1-year CAMP Air participants will have
significantly better asthma control as indicated by (a) higher scores on the Asthma Control Test (ACT) and (b)
fewer asthma-related urgent care visits (primary outcomes). CAMP Air participants will also have significantly
better (a) asthma self-care skills, (b) controller medication use, (c) lung function (measured by spirometry),
and (d) quality of life; and significantly lower rates of (e) steroid bursts, (f) symptoms days, (g) nights woken,
(h) activity limitations, and (i) school absences. We hypothesize that compared to the control, CAMP Air will
have favorable value (incremental cost-effectiveness ratio<$100,000/ quality adjusted life years [QALYs]).
Methods: We will enroll 370 9th – 11th graders with uncontrolled asthma from up to 19 NYC high schools. We
will randomize participants to CAMP Air or an asthma education control intervention and follow them for 12
months post-treatment. Using a decision-analytic Markov model, we will estimate CAMP Air's incremental cost
per QALY gained and cost per symptom free days, from both the societal and payer perspectives. For the
process evaluation, which is built on the RE-AIM and Consolidated Framework for Implementation Research
(CFIR) models, we will collect qualitative and quantitative data from students, caregivers, and school
administrators. Together with stakeholders we will develop strategies for widespread implementation of CAMP
Air, informed by our clinical efficacy, cost-effectiveness, and implementation results. Significance: The study
has high public health significance because it (1) targets an understudied population impacted greatly by
asthma, (2) leverages technology in a health disparate population to promote self-care, (3) assesses CAMP
Air's economic value using QALYs and symptom-free days, and (4) bridges a gap between research and
practice by identifying implementation factors to inform strategies for widespread implementation of CAMP Air.
项目摘要/摘要
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Jean-Marie Bruzzese其他文献
Jean-Marie Bruzzese的其他文献
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{{ truncateString('Jean-Marie Bruzzese', 18)}}的其他基金
The Efficacy of CAMP Air, a Web-based Asthma Intervention, Among Urban Adolescents with Uncontrolled Asthma
CAMP Air(一种基于网络的哮喘干预措施)对哮喘不受控制的城市青少年的疗效
- 批准号:
10677621 - 财政年份:2021
- 资助金额:
$ 79.43万 - 项目类别:
The Development and Pilot Testing of a Caregiver-Child Shared Decision-Making Intervention to Improve Asthma in Urban Youth
改善城市青少年哮喘的看护者-儿童共同决策干预措施的开发和试点测试
- 批准号:
10458106 - 财政年份:2021
- 资助金额:
$ 79.43万 - 项目类别:
The Development and Pilot Testing of a Caregiver-Child Shared Decision-Making Intervention to Improve Asthma in Urban Youth
改善城市青少年哮喘的看护者-儿童共同决策干预措施的开发和试点测试
- 批准号:
10302390 - 财政年份:2021
- 资助金额:
$ 79.43万 - 项目类别:
Development and Pilot Testing of Sleeping Healthy/Living Healthy a Comprehensive Sleep Intervention for Adolescents in Urban SBHCs
城市SBHC青少年睡眠健康/健康生活综合睡眠干预措施的开发和试点测试
- 批准号:
10057549 - 财政年份:2020
- 资助金额:
$ 79.43万 - 项目类别:
Development and Pilot Testing of Sleeping Healthy/Living Healthy a Comprehensive Sleep Intervention for Adolescents in Urban SBHCs
城市SBHC青少年睡眠健康/健康生活综合睡眠干预措施的开发和试点测试
- 批准号:
10228081 - 财政年份:2020
- 资助金额:
$ 79.43万 - 项目类别:
Translating an Evidence-based Urban Asthma Program for Rural Adolescents: Testing Effectiveness & Cost-effectiveness and Understanding Factors Associated with Implementation
将循证城市哮喘方案转化为农村青少年:测试有效性
- 批准号:
9521522 - 财政年份:2017
- 资助金额:
$ 79.43万 - 项目类别:
Translating an Evidence-based Urban Asthma Program for Rural Adolescents: Testing Effectiveness & Cost-effectiveness and Understanding Factors Associated with Implementation
将循证城市哮喘方案转化为农村青少年:测试有效性
- 批准号:
10487397 - 财政年份:2017
- 资助金额:
$ 79.43万 - 项目类别:
Translating an Evidence-based Urban Asthma Program for Rural Adolescents: Testing Effectiveness & Cost-effectiveness and Understanding Factors Associated with Implementation
将循证城市哮喘方案转化为农村青少年:测试有效性
- 批准号:
10226972 - 财政年份:2017
- 资助金额:
$ 79.43万 - 项目类别:
A Pilot Study to Improve Sleep Quality in Urban High School Students with Asthma
改善城市哮喘高中生睡眠质量的试点研究
- 批准号:
9427957 - 财政年份:2016
- 资助金额:
$ 79.43万 - 项目类别:
Mobile Technology and Online Tools to Improve Asthma Control in Adolescents
移动技术和在线工具可改善青少年哮喘控制
- 批准号:
8905986 - 财政年份:2015
- 资助金额:
$ 79.43万 - 项目类别:
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