SCHOOL-BASED ASTHMA INTERVENTION PROGRAM
学校哮喘干预计划
基本信息
- 批准号:2073437
- 负责人:
- 金额:$ 16.85万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1994
- 资助国家:美国
- 起止时间:1994-09-30 至 1998-08-31
- 项目状态:已结题
- 来源:
- 关键词:African American Hispanic Americans asthma child (0-11) community health services disease /disorder prevention /control elementary school health behavior human morbidity human subject human therapy evaluation low socioeconomic status quality of life respiratory airflow measurement respiratory disorder chemotherapy spirometry
项目摘要
While validated guidelines exist for the management of childhood asthma,
effective asthma intervention in low-income populations suffers from poor
access to the health care and inadequate asthma education. The objectives
of this proposal are to determine if a standardized asthma intervention
program at school reduces asthma morbidity and if medical intervention
(drug therapy) combined with educational-behavioral intervention is
superior to medical intervention alone. In seven elementary schools
serving children of predominantly Hispanic, low-income families, 180 (5-8
year old) children with asthma will be identified and randomized into two
groups (60 children each) in which medical intervention will be compared
to medical intervention plus educational-behavioral intervention in a
cross-over design, and compared with a historical control group (60
children) receiving currently available community treatment. The
evaluations and interventions will take place at school using a mobile
health van. The duration of the interventions will be 12 months and their
short-term and carry-over effects will be assessed by measures of asthma
related morbidity (number of hospitalizations, ER visits, days absent from
school), quality of life, spirometry and peak-flow variability, growth and
regimen adherence. The relationship between outcome variables and
sociodemographics and environmental factors will also be examined. With
this approach we will determine if school-based medical and educational-
behavioral intervention programs are an effective means of reducing asthma
morbidity in and improving school attendance of children of low-income,
medically under-served families.
虽然存在有效的儿童哮喘管理指南,
对低收入人群进行有效的哮喘干预
获得医疗保健和哮喘教育不足。目标
是为了确定标准化的哮喘干预措施
学校的项目减少哮喘发病率,如果医疗干预
(drug治疗)结合教育行为干预,
上级单纯的医疗干预。 在七所小学
为主要是西班牙裔,低收入家庭的儿童提供服务,180(5-8
将确定患有哮喘的儿童,并随机分为两组
将比较医疗干预的两组(每组60名儿童)
医疗干预加上教育行为干预,
交叉设计,并与历史对照组(60
儿童)接受目前可用的社区治疗。的
评估和干预将在学校使用移动的
卫生货车。干预措施为期12个月,
将通过哮喘指标评估短期和遗留效应
相关发病率(住院次数、急诊就诊次数、缺席天数)
学校),生活质量,肺功能测定和峰流量变异性,生长和
方案依从性。 结果变量与
社会人口和环境因素也将得到审查。与
这种方法,我们将确定是否以学校为基础的医疗和教育-
行为干预计划是减少哮喘的有效手段
提高低收入家庭儿童的入学率,
医疗服务不足的家庭
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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{{ truncateString('Adam Wanner', 18)}}的其他基金
ALPHA ADRENERGIC REGULATION OF AIRWAY BLOOD FLOW
气道血流的 ALPHA 肾上腺素调节
- 批准号:
2865284 - 财政年份:1998
- 资助金额:
$ 16.85万 - 项目类别:
ALPHA ADRENERGIC REGULATION OF AIRWAY BLOOD FLOW
气道血流的 ALPHA 肾上腺素调节
- 批准号:
2901299 - 财政年份:1998
- 资助金额:
$ 16.85万 - 项目类别:
ALPHA-ADRENERGIC REGULATION OF AIRWAY BLOOD FLOW
气道血流的α-肾上腺素调节
- 批准号:
2471560 - 财政年份:1998
- 资助金额:
$ 16.85万 - 项目类别:
ALPHA ADRENERGIC REGULATION OF AIRWAY BLOOD FLOW
气道血流的 ALPHA 肾上腺素调节
- 批准号:
6183929 - 财政年份:1998
- 资助金额:
$ 16.85万 - 项目类别:
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