School-Based Approaches to Help Pre-Teens Manage Asthma

帮助青少年控制哮喘的学校方法

• 批准号: 6569878
• 负责人: NOREEN M CLARK
• 金额: $ 73.45万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-02-07 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6569878
• 关键词: African American; adolescence (12-20); asthma; behavior therapy; behavioral /social science research tag; clinical research; education evaluation /planning; health behavior; health education; health service demonstration project; health services research tag; human subject; low socioeconomic status; medically underserved population; middle childhood (6-11); outcomes research; patient care management; patient oriented research; socioenvironment; student health services

DESCRIPTION (provided by applicant): To date, no data provide information on the effects of middle school based interventions for pre-teens with asthma or the advantages of an approach that recognizes the importance of peer influence on pre-teen's asthma behavior. Interventions to reach low-income minority populations are particularly needed. This random trial will deploy 2 interventions and a control group with 972 eleven and twelve year old, low income, African American students in middle schools. The goals are to determine if (1) a self-management program focused on pre-teen capabilities designed for middle schools produces desired outcomes, and (2) if the program enhanced by a peer component, improves upon outcomes. Outcomes of interest are symptom experience, quality of life, self-management, and school grades. The first intervention will be Open Airways, a proven self-management program adapted for pre-teen self-regulation capacity and the middle school setting. The second intervention will combine intervention one with a highly successful peer led asthma program assessed with multi ethnic urban students. The peer program blends aspects of social influence with active learning methods. The peer component aims to modify the social environment of the school to create support for pro-teens managing asthma. The interventions will be tested in a trial where 18 middle schools in Detroit, Michigan will be randomized into a control, intervention 1 or intervention 2 group. Data to assess outcomes will be collected at baseline, and 12 and 24 months post program through parent interviews, student surveys, and review of school records. Asthma rates for this age group continue to rise and the problems associated with the disease are especially difficult in poor communities. This study will assess innovative interventions for low-income minority preteens with asthma.

描述（由申请人提供）： 迄今为止，尚无数据提供有关基于中学的干预措施对哮喘前青春期的影响的信息，或者是认识到同伴对青春期前哮喘行为的重要性的方法的优势。特别需要采取干预措施以达到低收入少数民族。这项随机试验将部署2种干预措施，并在中学中有972年和十二岁的对照组，低收入的学生。 目标是确定（1）针对中学设计的青少年能力的自我管理计划是否会产生预期的结果，并且（2）如果该计划通过同伴组成部分增强，则可以改善结果。感兴趣的结果是症状经验，生活质量，自我管理和学校成绩。 第一次干预将是露天道，这是一项经过验证的自我管理计划，适用于青春期前的自我调节能力和中学环境。第二种干预措施将与多民族城市学生评估的非常成功的同伴LED哮喘计划相结合。同行计划将社会影响力的各个方面与主动学习方法融为一体。同行组成部分旨在修改学校的社会环境，以为管理哮喘的亲人提供支持。这些干预措施将在一项试验中进行测试，在该试验中，密歇根州底特律的18个中学将被随机分为对照，干预1或干预2组。评估结果的数据将在基线时收集，并通过父母访谈，学生调查和学校记录的审查来收集计划后12和24个月。 该年龄段的哮喘率继续上升，与贫困社区相关的问题尤其困难。这项研究将评估与哮喘低收入少数族裔青春期的创新干预措施。