An Interactive Story for Asthma Adaptation: A Pilot Test

描述：（由申请人提供）估计15%的美国人 儿童（530万）患有哮喘。尽管有更好的治疗和改善 自我保健计划，哮喘的患病率继续上升，更多的 因哮喘而住院的儿童比其他任何慢性病都多。健康 专家认为，认知、情感和行为变量 与疾病的严重程度有关。促进心理社会适应的方案 更有可能改善儿童的生活对于哮喘的态度， 减少哮喘发作。卫生保健提供者经常使用讲故事，故事 写作和叙事疗法，并鼓励心理社会适应， 患有慢性病的儿童。多媒体也被用来教育孩子 通过适应短暂的注意力集中和鼓励 响应性和用户控制。该项目的目的是开发和 试点测试哮喘好，一个基于互联网的互动程序， 讲故事和写故事的技巧，以增加儿童？的哮喘 提高他们对哮喘的认识和态度。该计划是基于 在奥斯汀？的儿童和家庭适应慢性病模式，并整合 适应过程中的学校环境。哮喘专家盖尔医生 Kieckhefer，将建立该计划的内容有效性和 讲故事的专家将建立互动故事的有效性。 该项目将在30名8 - 12岁的哮喘儿童中进行试点 Albemarle县，位于弗吉尼亚州的公立学校。为了进行试点测试， 有效性的程序好与哮喘，一个中断的时间序列， 将采用准实验设计。

DESCRIPTION: (provided by applicant) An estimated 15 percent of American children (5.3 million) have asthma. Despite better treatments and improved self-care programs, the prevalence of asthma continues to rise, with more children hospitalized for asthma than for any other chronic illness. Health experts suggest that cognitive, emotional, and behavioral variables contribute to the severity of the disease. Programs that promote psychosocial adaptation are more likely to improve children?s attitude about having asthma and may reduce asthma episodes. Health care providers often use storytelling, story writing and narrative therapy to and encourage psychosocial adaptation in children with chronic illnesses. Multimedia also are used to educate children and promote health by accommodating brief attention spans and encouraging responsiveness and user control. The aim of this project is to develop and pilot test Okay with Asthma, an Internet-based interactive program using storytelling and story writing techniques to increase children?s asthma knowledge and improve their attitude toward having asthma. The program is based on Austin?s Child and Family Adaptation to Chronic Illness Model and integrates the school environment in the adaptation process. An asthma expert, Dr. Gail Kieckhefer, will establish the content validity of the program and a storyteller expert will establish the effectiveness of the interactive story. The program will be piloted with 30, 8-12 year old asthmatic children attending Albemarle County, public schools located in Virginia. To pilot test the effectiveness of the program Okay with Asthma, an interrupted time series, quasi-experimental design will be used.