Improving Asthma Self-Management for Adults

改善成人哮喘的自我管理

• 批准号: 7324876
• 负责人: LYNNE HG SWARTZ
• 金额: $ 23.9万
• 依托单位: OREGON CENTER FOR APPLIED SCIENCE, INC.
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-28 至 2009-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7324876
• 关键词: Absenteeism at work; Adherence; Adoption; Adrenal Cortex Hormones; Adult; Adult asthma; Adverse effects; Affect; African American; American; Area; Asthma; Attitude; Behavior; Behavioral; Breathing; CD-ROM; Characteristics; Chronic; Clinical Practice Guideline; Communication; Communities; Computers; Development; Disease; Educational process of instructing; Elements; Ensure; Environment Design; Ethnic Origin; Ethnic group; Evaluation; Exercise; Facility Construction Funding Category; Family; Feedback; Female; Flowcharts; Focus Groups; Fright; Gender; Goals; Group Interviews; Guidelines; Health Personnel; Hispanic Americans; Hispanics; Home environment; Hospitalization; Individual; Inflammatory; Inhalators; Instruction; Internet; Intervention; Intranet; Knowledge; Language; Learning; Life; Medical; Methods; Modeling; Modification; Motivation; Nurses; Office Visits; Patients; Peak Expiratory Flow; Perception; Pharmaceutical Preparations; Phase; Physicians; Population; Practice Management; Prevention; Production; Program Effectiveness; Program Evaluation; Program Reviews; Protocols documentation; Provider; Quality of life; Race; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Research Design; Self Efficacy; Self Management; Services; Smoke; Suggestion; Symptoms; Techniques; Testing; Treatment Protocols; Visit; Woman; Workplace; addiction; aged; animation; base; behavior change; computer program; cost; day; demographics; design; desire; experience; health belief; improved; interactive multimedia; interest; male; men; meter; pet animal; programs; prototype; remediation; response; skills; theories; tool; usability

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.

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，但许多患有持续性哮喘的成年人不愿意或无法实施药物和环境方案，以控制他们的哮喘。有效管理的障碍包括：缺乏哮喘和治疗选择的知识，害怕药物成瘾和副作用;与医疗保健提供者的沟通技巧差。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，错过工作日并提高生活质量。该提案的目标是为18岁及以上哮喘患者创建一个互动式互联网/CD-ROM程序，以建立他们的哮喘自我管理技能。这种基于行为的计划将强调通过增加以下内容来提高对医疗保健提供者方案的依从性：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）与医疗保健提供者的沟通技能建设。内容将基于临床实践指南（NHLBI），包括：1）了解哮喘，2）提高对治疗指南的依从性，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2000多万美国人，但许多患有哮喘的成年人难以实施控制疾病的策略。该项目将创建一个基于行为的计划，以帮助哮喘患者理解和坚持自我管理策略，努力提高他们的生活质量，减少住院，医疗费用，错过工作日。