An Interactive Story for Asthma Adaptation: A Pilot Test

描述：(申请人提供)估计有15%的美国人 儿童(530万)患有哮喘。尽管有更好的治疗和改善 在自我护理项目中，哮喘的患病率继续上升，有更多 因哮喘住院的儿童比因其他任何慢性病住院的儿童更多。健康状况 专家认为，认知、情绪和行为变量对 疾病的严重性。促进心理社会适应的方案 更有可能改善孩子？S对哮喘的态度和可能 减少哮喘发作。医疗保健提供者经常使用讲故事、讲故事 写作和叙事治疗，以促进和鼓励心理社会适应 患有慢性病的儿童。多媒体也被用来教育儿童。 并通过适应短暂的注意力持续时间和鼓励 响应性和用户控制力。该项目的目标是开发和开发 试点测试可以使用哮喘，这是一个基于互联网的互动程序，使用 讲故事和写故事的技巧能增加儿童哮喘吗？S 了解和改善他们对哮喘的态度。该计划是基于 论奥斯汀·S儿童与家庭慢性病适应模式及其整合 学校环境在适应过程中。哮喘专家盖尔博士 Kieckhefer，将建立节目的内容有效性和 说书人专家将确定互动故事的有效性。 该计划将在30名8-12岁的哮喘儿童中试行 Albemarle县位于弗吉尼亚州的公立学校。以试行测试 该计划的有效性可以接受哮喘，这是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.