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(申请人提供)：哮喘是一种慢性呼吸道炎症性疾病，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能够控制他们哮喘的药物和环境养生法。已查明的有效管理的障碍包括：缺乏对哮喘和治疗选择的了解，对药物成瘾和副作用的恐惧，以及与医疗保健提供者沟通技能差。改善遵从性和自我管理的干预措施可以减少住院、医疗成本、错过的工作日并提高生活质量。这项提议的目标是为18岁及以上的哮喘成年人创建一个互动的互联网/光盘计划，以培养他们的哮喘自我管理技能。这一以行为为基础的计划将强调通过增加以下方面来提高对卫生保健提供者方案的遵从性：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)与卫生保健提供者的沟通技能培养。内容将以临床实践指南(NHLBI)为基础，包括：1)了解哮喘，2)改善治疗指南的遵从性，3)与医疗保健提供者沟通。哮喘是一种潜在威胁生命的呼吸道炎症性疾病，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，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、医疗费用和缺勤天数。