Improving Asthma Self-Management for Adults

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，它可能危及生命，然而许多患有持续性哮喘的成年人不愿意或无法实施可以控制哮喘的药物和环境方案。已查明的妨碍有效管理的障碍包括：缺乏关于哮喘和治疗方案的知识，害怕药物成瘾和副作用；与医疗服务提供者的沟通技巧也很差。改善依从性和自我管理的干预措施可以减少住院、医疗费用、减少工作日并改善生活质量。本提案的目标是为18岁及以上的成人哮喘患者创建一个交互式互联网/CD-ROM程序，以建立他们的哮喘自我管理技能。这个以行为为基础的项目将强调通过增加：1)关于哮喘和正确使用药物的知识，2)有效使用预防方法的动机，3)管理哮喘的自我效能，以及4)与卫生保健提供者的沟通技巧建设来提高对卫生保健提供者方案的依从性。内容将基于临床实践指南（NHLBI），包括：1)了解哮喘，2)提高治疗指南的依从性，以及3)与医疗保健提供者沟通。哮喘是一种可能危及生命的气道炎症性疾病，影响着超过2000万美国人，但许多患有哮喘的成年人难以实施控制疾病的策略。这个项目将建立一个以行为为基础的项目，帮助哮喘患者了解并坚持自我管理策略，以努力提高他们的生活质量，减少住院、医疗费用和旷工。

DESCRIPTION (provided by applicant): Asthma is a chronic inflammatory disease of the airway, affecting more than 20 million Americans. Without proper management it can be life-threatening, yet many adults with persistent asthma are unwilling or unable to implement medication and environmental regimens that can keep their asthma under control. Identified barriers to effective management include; lack of knowledge about asthma and treatment options, fear of addiction to and side effects of medications; and poor communication skills with healthcare providers. Interventions that improve compliance and self-management can reduce hospitalizations, medical costs, missed work days and improve quality of life. The goal of this proposal is to create an interactive Internet/CD-ROM program for adults aged 18 and older with asthma to build their asthma self-management skills. This behaviorally based program will emphasize improving compliance with health care provider regimens by increasing: 1) knowledge regarding asthma and proper use of medications, 2) motivation to use prevention methods effectively, 3) self-efficacy in managing asthma, and 4) communication skill-building with health care providers. Content will be based on clinical practice guidelines (NHLBI) and will include: 1) understanding asthma, 2) improving compliance with treatment guidelines, and 3) communicating with healthcare providers. Asthma is a potentially life-threatening inflammatory disease of the airway, affecting more than 20 million Americans, but many adults with asthma have difficulty implementing the strategies to control their disease. This project will create a behaviorally based program to help asthma sufferers understand and adhere to self management strategies, in an effort to improve their quality of life and reduce hospitalizations, medical costs, missed work days.