YOUNG CHILDREN W/ ASTHMA--HOME-BASED NURSE INTERVENTION

患有哮喘的幼儿——家庭护士干预

• 批准号: 2735476
• 负责人: JOSEPHINE V BROWN
• 金额: $ 36.53万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-07-01 至 1999-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2735476
• 关键词: asthma; caregivers; child (0-11); clinical research; education evaluation /planning; health care cost /financing; health education; health services research tag; home health care; human subject; longitudinal human study; low socioeconomic status; nursing care evaluation; nursing intervention; outcomes research; patient care management; pediatric nursing; quality of life; respiratory airflow measurement; self care; urban poverty area

DESCRIPTION (Adapted from the Investigator's Abstract): Young inner-city children are disproportionately affected by asthma. Although clinic-based and school-based asthma education programs have been shown to increase effective asthma self management of families, such programs repeatedly report failure to secure attendance of low-income parents. The aim of the randomized control study is to demonstrate that a home-based nursing asthma-education program targeting young inner-city children with moderate to severe asthma and their families is feasible and will: increase the utilization of effective asthma self-management practices of primary caregivers and children; improve the quality of life of the primary caregivers and the children; increase the control of asthma in the children; and decrease medical visits (regardless of site) for acute asthma exacerbations. The sample will consist of 80 low-income children and their families, who will be recruited from an Asthma/Allergy Clinic in an inner-city, public, children's hospital. Criteria for participation of the child include, age 1 year to 6.99 years, and having moderate to severe asthma. The children will be randomly assigned to an intervention and a comparison (usual clinic treatment) group, each group consisting of 40 children; groups will be stratified with respect to age (<3 years and >3 years) and severity of asthma (moderate or severe). The intervention consists of 8 weekly 1.5 hour home visits utilizing the Wee Wheezers Educational Program for Parents of children with Asthma Under the Age of Seven, which has been adapted for home visiting and has been pilot tested with 10 families. Measures will be collected at enrollment (baseline) and at 3 months (immediately following the intervention for the intervention group) and 12 months following enrollment. Primary outcome variables will be: Asthma symptoms (including peak expiratory flow measures) and medical visits for acute asthma exacerbations. Secondary outcome variables will be: Quality of life, asthma management practices, and asthma management skills of caregivers and children. The feasibility of the intervention program will also be assessed, using program implementation measures, and a comparative cost assessment of medical visits made by the children in the intervention and comparison groups.

描述（改编自研究者摘要）：年轻的内城区 儿童尤其容易受到哮喘的影响。 虽然以临床为基础 事实证明，以学校为基础的哮喘教育计划有所增加 有效的哮喘家庭自我管理，这样的项目反复进行 报告未能确保低收入父母的入学。 该组织的目标是 随机对照研究旨在证明家庭护理 针对患有中度哮喘的内城区儿童的哮喘教育计划 向严重哮喘及其家人提供帮助是可行的，并且将： 利用初级儿童有效的哮喘自我管理实践 照顾者和儿童；提高小学的生活质量 照顾者和儿童；加强儿童哮喘的控制； 并减少急性哮喘的就诊次数（无论地点） 病情加重。 样本将包括 80 名低收入儿童及其 将从哮喘/过敏诊所招募的家庭 市中心、公立、儿童医院。 参与标准 儿童包括，年龄 1 岁至 6.99 岁，患有中度至重度 哮喘。 孩子们将被随机分配到干预组和 对照组（常规临床治疗），每组40例 孩子们;小组将根据年龄进行分层（<3 岁和 >3 岁） 年）和哮喘的严重程度（中度或重度）。 干预 包括每周 8 次利用 Wee Wheezers 进行 1.5 小时的家访 针对 1 岁以下哮喘儿童家长的教育计划 七、已适应家访并已试点 和10个家庭。 措施将在注册时（基线）和 3个月时（干预后立即 组）和入组后 12 个月。 主要结果变量将 是：哮喘症状（包括呼气峰流量测量）和医疗 因哮喘急性发作而就诊。 次要结果变量将是： 生活质量、哮喘管理实践和哮喘管理技能 的照顾者和儿童。 干预方案的可行性 还将利用计划实施措施进行评估，并 对儿童就诊的费用进行比较评估 干预组和对照组。