SELF-MGMT. EDUCATIONAL PROGRAM FOR HISPANIC ASTHMA

联合国-人民党和CMS共同评估了新的 全州范围内加强识别、转诊和提供护理的方案 西班牙裔儿童的农村家庭， 哮喘因为新墨西哥州有大片的乡村和大量的西班牙裔 人口，这是一个理想的设置，以确定有效的方法， 管理，自我管理教育计划和有效的高等教育， 初级保健提供合作。 该项目的具体目标是确定是否全面的医疗 护理（CMC）加上农村西班牙裔的教育自我管理计划 儿童及其家庭将对哮喘发病率产生影响， 以及成本和家庭适应性。 将采用随机区组设计，随机分配受试者， 按县分为1个治疗组。CMC或标准三级护理， 教育，2。CMC-Plus增加结构化自我管理程序-开放 Airways/Respiro Abierto（在NHLBI的支持下开发和测试）。 CMC- Plus还将接受家庭教育和社区干预 西班牙裔家庭教育工作者接受家庭赋权模式培训 干预、家庭支持和教育。案件管理将是 由CMS提供; CMC和CMC-Plus将在UNM-PPP提供， 与主治医生合作并将护理转移给主治医生。 与初级保健提供者和紧急情况提供者的额外教育联系 房间将通过UNM家庭，社区和 急诊医学将利用美国国立卫生研究院 国家哮喘教育计划的逐步护理指南 哮喘哮喘发病率、护理费用、家庭适应和家庭 将使用标准化工具评估满意度。

The UNM-PPP and CMS, join together to evaluate the effects of a new statewide program to enhance identification, referral and provision of care to rural families of Hispanic children with moderately severe to severe asthma. Because of New Mexico's large rural and heavily Hispanic population, it is an ideal setting to determine effective methods for case management, self-management educational programs and effective tertiary to primary care delivery collaboration. The specific aim of this project is to determine if comprehensive medical care (CMC) plus an educational self-management program for rural Hispanic children and their families will have an impact on asthma morbidity, as well as on cost and family adaptation. A randomized block design will be used with random assignment of ,subjects by county to treatment groups of 1. CMC, or standard tertiary care and education, or 2. CMC-Plus adding a structured self-management program--Open Airways/Respiro Abierto (developed and tested with support of NHLBI). CMC- Plus will also receive in home education and intervention from community based Hispanic family educators trained in an empowerment model of family intervention, in-home support, and education. Case management will be provided by CMS; CMC and CMC-Plus will be provided at the UNM-PPP in close collaboration with and transfer of care to the primary physician. Additional educational contact with primary care providers and emergency rooms will be provided through the UNM Department of Family, Community & Emergency Medicine which will utilize the National Institutes of Health National Asthma Education Program's Guidelines for Step-Wise Care of Asthma. Asthma morbidity, cost of care, family adaptation and family satisfaction will be evaluated using standardized instruments.