School-Based Approaches to Help Pre-Teens Manage Asthma

描述（由申请人提供）： 到目前为止，没有数据提供信息的影响，中学为基础的干预措施，为学龄前哮喘或一种方法，认识到同龄人的影响，对学龄前的哮喘行为的重要性的优势。特别需要采取干预措施，帮助低收入的少数群体。这项随机试验将部署两种干预措施和一个对照组，其中包括972名11岁和12岁的低收入非洲裔美国中学生。 目标是确定（1）为中学设计的以青少年前能力为重点的自我管理计划是否产生了预期的结果，以及（2）通过同伴组件增强的计划是否改善了结果。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开放式航空公司，这是一个经过验证的自我管理计划，适用于青少年自我调节能力和中学环境。第二次干预将结合联合收割机干预一个非常成功的同伴领导的哮喘计划评估与多种族的城市学生。同伴计划将社会影响力与主动学习方法相结合。同伴组成部分旨在改变学校的社会环境，为青少年管理哮喘创造支持。这些干预措施将在一项试验中进行测试，密歇根州底特律市的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时收集，并通过家长访谈，学生调查和学校记录的审查计划后12个月和24个月。 这一年龄组的哮喘发病率继续上升，与疾病有关的问题在贫困社区尤其困难。这项研究将评估低收入少数民族学龄前哮喘患者的创新干预措施。

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.