School-Based Approaches to Help Pre-Teens Manage Asthma

描述(由申请人提供)： 到目前为止，还没有数据提供关于以中学为基础的干预措施对青少年哮喘患者的影响的信息，也没有数据提供认识到同伴影响对青少年哮喘行为的重要性的方法的优势。尤其需要对低收入少数群体采取干预措施。这项随机试验将对972名11岁和12岁的低收入非裔美国中学生进行2次干预和一次控制组。目标是确定(1)为中学设计的专注于青春期前能力的自我管理计划是否产生了预期的结果，以及(2)如果该计划由同行加强，是否会在结果上有所改善。感兴趣的结果是症状体验、生活质量、自我管理和学校成绩。 第一个干预措施将是Open Airways，这是一个经过验证的自我管理程序，适合青少年的自我调节能力和中学环境。第二项干预将结合干预一项非常成功的同伴主导的哮喘项目，对多种族的城市学生进行评估。同龄人计划将社会影响力的各个方面与积极的学习方法相结合。同伴部分旨在改变学校的社会环境，为管理哮喘的亲青少年提供支持。这些干预措施将在一项试验中进行测试，密歇根州底特律的18所中学将被随机分为对照组、干预1组或干预2组。评估结果的数据将在基线上收集，并在计划结束后12个月和24个月通过家长访谈、学生调查和审查学校记录来收集。 这一年龄段的哮喘率继续上升，与这种疾病相关的问题在贫困社区尤其困难。这项研究将评估针对患有哮喘的低收入少数民族青少年的创新干预措施。

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.