A Tailored Asthma Education Program for Urban Teens

为城市青少年量身定制的哮喘教育计划

• 批准号: 6620906
• 负责人: Christine LM Joseph
• 金额: $ 63.49万
• 依托单位: HENRY FORD HEALTH SYSTEM
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-12-01 至 2005-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6620906
• 关键词: adolescence (12-20); asthma; behavior modification; behavioral /social science research tag; clinical research; computer assisted instruction; computer program /software; disease /disorder prevention /control; education evaluation /planning; educational resource design /development; health behavior; health care cost /financing; health care service; health education; health services research tag; human subject; longitudinal human study; outcomes research; patient care management; urban area

DESCRIPTION (provided by applicant): Teenagers are among an age group that has seen dramatic increases in deaths from asthma. In Detroit, asthma death rates for teenagers are high relative to younger ages, despite a higher prevalence in the latter age group. Early studies suggest that inadequate asthma management plays a significant role in these grim statistics. The goal of this project is to develop and evaluate a tailored, school-based, computerized asthma education program for urban teenagers. The use of computers to change behavior in teenagers is extremely promising, both in reach and in efficacy. Through pilot studies, we have identified key issues in managing asthma in urban youth; e.g., smoking is not uncommon among teenagers with asthma, yet few asthma programs address smoking cessation/reduction. Our team will incorporate asthma management issues into an existing program that was successful in decreasing smoking among teenagers in a previous study to produce a more comprehensive program. This process will be greatly facilitated as the computer software serving as the template for our project has already been developed. Our research team will work in collaboration with the Health Media Research Laboratory at University of Michigan to modify the existing program. A randomized effectiveness trial will be conducted to evaluate the program in 9th-l0th graders attending six Detroit high schools where over 90 percent of students are African American and 60 percent are eligible for free lunch. Students with uncontrolled asthma will be identified, and then randomized within school to a treatment or control group. The intervention includes the essential elements needed for success in this population: use of a theory-based approach to bringing about desired behavioral changes; use of "tailoring" to address individual concerns while being delivered to large groups; identification of teen behaviors that preclude effective management of asthma; delivery of the intervention through a multi-media vehicle; and provision of assistance in the form of an asthma counselor to address health care related issues students and their families may face. The treatment group will receive four tailored computer sessions and access to an asthma counselor who will respond to requests for assistance/referral. The control group will receive four computerized general asthma informational sessions. Both groups will be followed for 1 year post-intervention. The result of this research will be an evaluated, computerized asthma management program that tailors an intervention to the specific needs, motives and barriers of teens with asthma.

描述（由申请人提供）：青少年是一个年龄段之一 发现哮喘死亡的死亡人数急剧增加。在底特律，哮喘死亡率 对于青少年来说，相对于年轻年龄较高，尽管患病率较高 后期年龄段。早期研究表明哮喘管理不足 在这些严峻的统计数据中起着重要作用。这个项目的目标是 开发和评估量身定制的，基于学校的，计算机化的哮喘教育 城市青少年计划。使用计算机改变行为 在覆盖范围和功效上，青少年非常有前途。通过飞行员 研究，我们已经确定了在城市青年管理哮喘方面的关键问题。例如。， 在患有哮喘的青少年中，吸烟并不少见，但哮喘计划很少 解决戒烟/减少。我们的团队将融合哮喘 管理问题进入现有计划，该计划成功地减少了 在先前的研究中，青少年吸烟，以产生更全面的 程序。作为计算机软件，此过程将大大促进 作为我们项目的模板已经开发了。我们的 研究团队将与健康媒体研究合作 密歇根大学实验室修改现有计划。一个 将进行随机有效性试验以评估该程序 9年级的9年级学生就读六所底特律高中，其中90％以上 学生是非裔美国人，有60％的学生有资格获得免费午餐。 将确定患有不受控制的哮喘的学生，然后随机分组 在学校内到治疗或对照组。干预包括 在这个人群中成功所需的基本要素：使用基于理论的使用 实现所需的行为改变的方法；使用“裁缝”到 在交付给大型团体的同时解决个人问题； 识别青少年行为，这些行为排除了有效管理哮喘的行为； 通过多媒体车进行干预措施；和提供 以哮喘顾问的形式提供帮助，以解决有关医疗保健相关的 发出学生及其家人可能会面对的。治疗组将接收 四个量身定制的计算机会议和哮喘顾问的访问权限 回应要求/推荐的请求。对照组将收到 四个计算机化的哮喘信息信息会议。两组将是 紧随干预后1年。这项研究的结果将是 评估，计算机化的哮喘管理计划，量身定制干预措施 满足哮喘的特定需求，青少年的动机和障碍。