Managing Adolescent Asthma Virtually (MAAV)

虚拟管理青少年哮喘 (MAAV)

• 批准号: 10481220
• 负责人: Laverne Morrow Carter
• 金额: $ 25.5万
• 依托单位: HEALTH IN COLOR, INC.
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-21 至 2024-01-20
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10481220
• 关键词: Acute; Address; Adherence; Adolescent; Adoption; Affect; Age; Air Pollution; Algorithms; Allergens; American; Android; Assessment tool; Asthma; Behavior; Behavioral; Black Populations; Black race; Caring; Categories; Cause of Death; Cessation of life; Chest; Child; Childhood; Childhood Asthma; Chronic; Chronic lung disease; Collaborations; Communication; Coughing; Custom; Decision Making; Development; Developmental Delay Disorders; Developmental Disabilities; Diagnosis; Education; Emergency Care; Emergency department visit; Environment; Environmental Risk Factor; Ethnic group; Evaluation; Exposure to; Family; Feedback; Genetic; Goals; Guidelines; Health; Health Personnel; Health Technology; Healthcare Systems; Hospital Costs; Individual; Inhalators; Inherited; Inpatients; Intervention; Intervention Studies; Knowledge; Link; Literature; Lung Capacity; Medical; Medicine; Mental Depression; Monitor; Motivation; National Heart, Lung, and Blood Institute; Obesity; Outcome; Participant; Patient Preferences; Patients; Persons; Pharmaceutical Preparations; Phase; Population; Poverty; Prevalence; Prevention program; Preventive service; Process; Provider; Public Health; Randomized; Recommendation; Recording of previous events; Recurrence; Reporting; Research; Risk; Risk Assessment; Schools; Self Care; Self Efficacy; Self Management; Self Perception; Shortness of Breath; Smoke; Socioeconomic Status; Surveys; System; Technology; Toxin; United States National Institutes of Health; Update; Wheezing; Work; acceptability and feasibility; acute care; asthma exacerbation; asthmatic patient; base; behavioral adherence; commercialization; design; digital; digital health; digital intervention; digital media; disorder control; disorder prevention; economic outcome; empowered; experience; family management; follow-up; health care availability; health care service utilization; health economics; high risk; improved; low socioeconomic status; lung injury; mortality; mortality risk; patient oriented; people of color; personalized care; post intervention; prevent; preventable death; primary care services; programs; prototype; psychosocial stressors; racial and ethnic; recruit; risk stratification; satisfaction; sex; skills; social media; theories; usability; virtual; web platform

ABSTRACT MANAGING ADOLESCENT ASTHMA VIRTUALLY (MAAV) The Issue: Although asthma may affect people of all ages, backgrounds, or sex, people of color are disproportionally burdened [1]. Nearly 25 million Americans are diagnosed with asthma, and the U.S. reports over 3,000 preventable deaths annually with 75% higher risk for Black populations compared to Whites [1, 2]. However, Black adolescents experience the highest asthma prevalence and mortality compared to all other pediatric groups [2]. In fact, Blacks experience risks for death caused by asthma at double to triple the likelihood of death for all other racial/ethnic groups[1, 2]. People living in poverty also experience higher rates of asthma, but as socioeconomic status increases, asthma rates wane [1, 2]. Conversely, asthma self- management education and support (ASMES) is associated with multiple positive health and economic outcomes (e.g., improved knowledge/self-care behaviors, increased lung capacity, increased use of primary care and preventive services, and reduced acute care and inpatient hospital costs) [1, 3, 4]. The REESSI Solution: The goal of this Phase I project, Managing Adolescent Asthma Virtually (MAAV), is to examine the feasibility and acceptability of a multi-component interactive digital app designed to help Black adolescents and their families manage and control childhood asthma by risk stratification algorithms or ASRA. As part of the proposed study, we will work with our End-User and Expert Advisory Panels to design a culturally and developmentally appropriate mobile-based intervention using a web platform. We will focus on seven potential key topics – 1-Asthma Overview and Risks Categories, 2-Management Through Behavioral Changes, 3-Psychosocial Stressors, 4-Asthma Medications, 5-Asthma Monitoring and Self- Management, 6-Preventing Acute and Chronic Complications, and 7- Managing Acute and Chronic Complications, each with six proposed intervention components in the final commercial version – (a) a medically accurate animated ELesson, tailored to risk, (b) follow-up group chat with a certified asthma educator, (c) provider/expert video, (d) offline scripted adolescent-caretaker discussion, (e) AI driven answers- solutions to frequent questions-issues and (f) daily customized adherence booster texts for one year. During Phase I, the project team will develop the content for (1) all seven modules and (2) the prototype, which will consist of the first two topics–each including a portion of the six components, respectively. The Project Team: The 10-month Phase I project will engage an accomplished transdisciplinary team of experts from the fields of public health, medicine, intervention research, and digital media technology who have successfully worked together on similar projects. The Study: Our study is guided by two primary aims: (1) develop the prototype with a focus on two of the seven topics in collaboration with our End-User Panel, Expert Advisory Panel, and (2) evaluate scientific merit (knowledge) and feasibility (usability, appeal, and satisfaction), while using the NIH Commercialization programs to dive deeper into markets and sustainable reimbursements for MAAV.

青少年哮喘虚拟管理(MAAV) 问题：尽管哮喘可能影响所有年龄、背景或性别的人，但有色人种 负担过重[1]。近2500万美国人被诊断出患有哮喘，美国报告称 每年超过3,000例可预防的死亡，黑人人群的风险比白人高75%[1，2]。 然而，与其他青少年相比，黑人青少年的哮喘患病率和死亡率最高 儿科小组[2]。事实上，黑人因哮喘而死亡的风险是 所有其他种族/族裔群体死亡的可能性[1，2]。生活在贫困中的人也经历了更高的比率 但随着社会经济地位的提高，哮喘率下降[1，2]。相反，哮喘本身 管理教育和支持(ASMES)与多种积极的健康和经济相关 结果(例如，知识/自我保健行为的改善，肺活量的增加，初级保健的使用增加 护理和预防服务，以及减少急性护理和住院费用)[1、3、4]。 REESSI解决方案：这个名为虚拟管理青少年哮喘(MAAV)的第一阶段项目的目标是 检查旨在帮助Black的多组件交互式数字应用程序的可行性和可接受性 青少年及其家人通过风险分层算法(ASRA)管理和控制儿童哮喘。 作为拟议研究的一部分，我们将与我们的最终用户和专家咨询小组合作，设计一个 使用网络平台进行文化上和发展上合适的基于移动的干预。我们将重点关注 七个潜在的关键主题-1-哮喘概述和风险类别，2-管理通过 行为变化，3-心理社会应激源，4-哮喘药物，5-哮喘监测和自我 管理，6--预防急性和慢性并发症，7--管理急性和慢性 复杂情况，在最后的商业版本中每个都有六个拟议的干预部分--(A)a 医学上准确的动画ELesson，为风险量身定做，(B)经证实患有哮喘的后续群聊 教育者，(C)提供者/专家视频，(D)离线脚本青少年-照顾者讨论，(E)人工智能驱动的答案- 常见问题的解决方案-问题和(F)一年内每日定制的遵从性增强文本。在.期间 第一阶段，项目组将开发(1)所有七个模块和(2)原型的内容，这将 由前两个主题组成--每个主题分别包括六个组成部分的一部分。 项目团队：为期10个月的第一阶段项目将聘请一支经验丰富的跨学科团队 来自公共卫生、医学、干预研究和数字媒体技术领域的专家 在类似的项目上成功合作。 研究：我们的研究以两个主要目标为指导：(1)开发原型，重点放在两个 与我们的最终用户小组、专家咨询小组合作的七个主题，以及(2)评估科学价值 (知识)和可行性(可用性、吸引力和满意度)，同时使用NIH商业化 更深入地进入市场和可持续报销MAAV的计划。