CAM use for Asthma in Low-income Black and White Adults

CAM 用于治疗低收入黑人和白人成人的哮喘

• 批准号: 6740729
• 负责人: MAUREEN GEORGE
• 金额: $ 4.11万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-07-01 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6740729
• 关键词: African American; alternative medicine; asthma; behavioral /social science research tag; caucasian American; clinical research; corticosteroids; health behavior; human subject; human therapy evaluation; inhalation drug administration; interview; low socioeconomic status; patient oriented research; postdoctoral investigator; racial /ethnic difference; respiratory disorder chemotherapy; urban area

DESCRIPTION (provided by applicant): Asthma prevalence, morbidity and mortality are disproportionately increasing in low-income minorities despite excellent asthma pharmacotherapy. Inhaled corticosteroids (ICS), the cornerstone of asthma therapy, remain poor. Preliminary data and literature reviews suggest that complementary and alternative medicine (CAM), folk and spiritual practices are common in this population. Interestingly, Blacks may use uniquely different CAMs as compared to Whites and low-income groups may use distinctly different CAMS than middle- and upper class patients. The overall aim of this proposal is to extend the preliminary work, which narrowly focused on urban Black adults with severe asthma by discovering the CAM, folk and spiritual practices of a more representative sample of low-income White and Black adults with mid-,moderate- and severe-persistent asthma, residing in 1 of 2 urban areas. In Aim 1, a rigorous inductive qualitative semistructured interview of 25 Whites and 25 Blacks will discover CAM use and provide the initial data for a new CAM tool. In Aim 2, ICS use will be objectively measured to more comprehensively characterize patients' asthma management. This knowledge is necessary before interventional studies can be designed, implemented and evaluated.

描述（由申请人提供）： 尽管出色的哮喘药物治疗，低收入少数群体的哮喘患病率，发病率和死亡率却不成比例地增加。哮喘治疗的基石吸入的皮质类固醇（ICS）仍然很差。初步数据和文献评论表明，互补和替代医学（CAM），民间和精神实践在这个人群中很普遍。有趣的是，与白人相比，黑人可能使用独特的凸轮，低收入组可能使用明显不同的凸轮与中产阶级和上层阶级患者。该提案的总体目的是扩展初步工作，该工作狭义地集中在患有严重哮喘的城市黑人成年人，通过发现凸轮，民间和精神实践的低收入白人和黑人成年人的样本，具有中度，中度和重度 - 中度和严重的哮喘，居住在2个城市地区的1中。在AIM 1中，对25名白人和25个黑人的严格归纳定性半结构化访谈将发现CAM使用，并为新的CAM工具提供初始数据。在AIM 2中，ICS的使用将被客观地衡量，以更全面地表征患者的哮喘管理。在设计，实施和评估介入研究之前，必须进行这些知识。