SELF-MGMT. EDUCATIONAL PROGRAM FOR HISPANIC ASTHMA

UNM-PPP和CMS联合起来评估新的 全州范围的计划，以加强识别、转介和提供护理 对于中重度到重度西班牙裔儿童的农村家庭 哮喘。因为新墨西哥州广大的农村和大量的西班牙裔 人口，这是一个理想的环境，以确定有效的方法对案件 管理、自我管理教育计划和有效的高等教育 初级保健提供协作。 这个项目的具体目标是确定全面的医疗 CARE(CMC)外加针对农村拉美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，因为 以及费用和家庭适应。 将使用随机区组设计，随机分配受试者 按县到1.CMC或标准三级护理的治疗组 教育，或2.CMC-Plus增加了一个结构化的自我管理计划--开放 Airways/Respiro Abierto(在NHLBI的支持下开发和测试)。CMC- PLUS还将接受来自社区的家庭教育和干预 以西班牙裔为基础的家庭教育者接受家庭赋权模式培训 干预、家庭支持和教育。案例管理将是 由CMS提供；CMC和CMC-Plus将在UNM-PPP上提供 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的其他教育联系 房间将通过新墨西哥州家庭、社区和事务部提供 将利用美国国立卫生研究院的急诊医学 国家哮喘教育计划循序渐进护理指南 哮喘。哮喘发病率、护理费用、家庭适应和家庭 满意度将使用标准化工具进行评估。

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.