SCHOOL-BASED ASTHMA INTERVENTION PROGRAM

学校哮喘干预计划

• 批准号: 2073436
• 负责人: Adam Wanner
• 金额: $ 18.43万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 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: https://reporter.nih.gov/project-details/2073436
• 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

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.

虽然存在经过验证的童年哮喘管理指南，但 低收入人群的有效哮喘干预遭受贫困 获得医疗保健和哮喘教育不足。目标 该提议的内容是确定是否标准化哮喘干预 学校的计划降低了哮喘发病率和医疗干预 （药物疗法）与教育行为的干预相结合是 仅凭医疗干预就优于医疗干预措施。 在七所小学 为主要是西班牙裔，低收入家庭的孩子，180（5-8） 一岁的）哮喘儿童将被识别并随机分为两个 比较医疗干预的小组（每个60名儿童） 进行医疗干预以及教育行为干预 跨界设计，并与历史对照组进行比较（60 儿童）接受当前可用的社区治疗。这 评估和干预将在学校使用手机进行 健康货车。干预措施的持续时间为12个月，他们 短期和背负效应将通过哮喘的措施评估 相关发病率（住院数量，急诊就诊，几天 学校），生活质量，肺活量测定和峰流量变异性，增长和 方案依从性。 结果变量与 还将检查社会人口统计学和环境因素。和 这种方法我们将确定是否是基于学校的医学和教育 - 行为干预计划是减少哮喘的有效手段 低收入儿童的上学和改善上学的发病率， 医学不足的家庭。