Multimedia Asthma Self-Management Program

描述（由申请人提供）：哮喘是一种气道慢性炎症性疾病，影响超过2000万美国人。如果没有适当的管理，它可能会危及生命。0-17岁的儿童哮喘患病率最高，哮喘发作、急诊和住院的发生率较高;所有这些都是哮喘不受控制的指标。沿着疾病的负担，哮喘儿童比非哮喘儿童更容易表现出焦虑和应激障碍，学习成绩也更差。缺课和工作日增加了父母的疾病经济负担。该提案的目标是为父母及其5-10岁的哮喘儿童创建一个互动的互联网/CD-ROM程序，以建立他们的哮喘管理技能。这种基于行为的计划将强调增加：（a）关于哮喘和正确使用药物的知识，（B）有效使用预防方法的动机，（c）管理哮喘的自我效能，以及（d）遵守卫生保健提供者的指示。内容将基于临床实践指南（NHLBI），并将包括（a）了解哮喘，（B）预防哮喘发作，（c）制定哮喘管理计划。材料将以不同的形式提供给儿童和家长。还将为学校和护理提供者制作更多的材料。

DESCRIPTION (provided by applicant): Asthma is a chronic inflammatory disease of the airway, effecting more than 20 million Americans. Without proper management it can be life-threatening. Children aged 0-17 have the highest prevalence of asthma, and report higher incidences of asthma attacks, emergency room visits and hospitalizations; all are indicators of uncontrolled asthma. Along with the burden of the disease, children with asthma are more likely to exhibit anxiety and stress disorders and lower school performance than their non-asthmatic peers. Missed school and work days add to the financial burden of the disease for parents. The goal of this proposal is to create an interactive Internet/CD-ROM program for parents and their asthmatic children aged 5-10 that builds their asthma management skills. This behaviorally based program will emphasize increasing: (a) knowledge regarding asthma and proper use of medications, (b) motivation to use prevention methods effectively, (c) self-efficacy in managing asthma, and (d) compliance with health care provider directions. Content will be based on clinical practice guidelines (NHLBI) and will include (a) understanding asthma, (b) preventing asthma attacks, and (c) creating an asthma management plan. Materials would be presented in different formats for children and parents. Additional materials for schools and care providers would also be created.