Adolescents' Disease Empowerment and Persistency Technology for Asthma

青少年哮喘疾病赋权和持续技术

• 批准号: 7898828
• 负责人: Giselle Sarah Mosnaim
• 金额: $ 13.28万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7898828
• 关键词: Accident and Emergency department; Acute; Adherence; Admission activity; Adolescent; African American; Aftercare; Applications Grants; Area; Asthma; Attention; Award; Base Ratios; Behavior Control; Behavior Therapy; Behavioral; Clinical; Control Groups; Controlled Study; Development Plans; Disease; Drops; Effectiveness; Enrollment; Ensure; Event; Focus Groups; Frequencies; Goals; Health; Hospitalization; Instruction; Intensive Care Units; Intervention; Intubation; Knowledge; Life Style; Low income; Mediator of activation protein; Medical; Mentors; Mentorship; Methodology; Modeling; Morbidity - disease rate; Music; Oral; Outcome; Participant; Peer Group; Pharmaceutical Preparations; Pilot Projects; Population; Positioning Attribute; Prednisone; Problem Solving; Qualitative Research; Research; Research Personnel; Risk; Screening procedure; Self Efficacy; Series; Subgroup; System; Target Populations; Technology; Testing; Training and Education; Urban Health; Visit; Work; abstracting; base; behavior change; behavioral/social science; career; career development; control trial; coping; design; efficacy testing; empowerment; improved; inner city; innovation; mortality; peer; randomized trial; social; theories

DESCRIPTION (provided by applicant): The applicant is an Allergist/lmmunologist who seeks to develop a career as an independent investigator of behavioral interventions that promote the health of urban African American adolescents with persistent asthma. The proposed intervention focuses on peer support, coping peer group problem-solving sessions to record messages about barriers to taking controller medications for asthma and ways to overcome these barriers, and the delivery of these messages developed by study participants themselves to each other throughout the week between music tracks on an MPS player known as the Media Hub. The messages are delivered via the Adolescents' Disease Empowerment and Persistency Technology (ADEPT) for asthma Network Control System to the Media Hub. The career development plan provides further education, training, and mentorship needed to conduct behavioral controlled trials of culturally sensitive, technologybased interventions to promote sustained change. The research plan benefits from prior pilot work, proposes a conceptual model for increasing adherence, and then tests each step in this model. The primary mentor for this award. Dr. Lynda H. Powell, is an expert in behavioral trial methodology and will ensure the applicant applies appropriate theory and methodology to test her conceptual model. The Co-Mentor and Advisors will provide additional guidance in the specific areas of qualitative research, behavioral and social principles of behavior change, and adherence. The research plan aims to: identify ways to improve the ability of ADEPT and other newly proposed technology based platforms to increase adherence; conduct a "proof of concept" pilot study of the newly refined intervention; and conduct a behavioral controlled trial testing the efficacy of ADEPT to improve adherence. At the end of this award, the applicant will be uniquely positioned to submit an ROl grant application to conduct a large-scale behavioral randomized trial evaluating the effectiveness of the ADEPT intervention to improve important health outcomes in urban African American adolescents with asthma. RELEVANCE (See instructions): Alarming rates of emergency room visits and hospitalizations for asthma in inner-city African American adolescents require urgent intervention. The ultimate goal of this research is to reduce the morbidity and mortality of asthma in this population through the use of peer support, enhanced by a culturally sensitive, technology-based MP3 player platform aimed at increasing adherence to daily controller medications. (End of Abstract)

描述（由申请人提供）：申请人是一名过敏者/LMMUNOSTORS，他试图发展职业为行为干预措施的独立研究者，以促进持续性哮喘的城市非裔美国人青少年的健康。拟议的干预措施着重于同伴支持，应对同伴小组解决问题的会议，以记录有关服用哮喘控制器药物的障碍的信息，以及克服这些障碍的方法，以及研究参与者在整个星期之间在音乐轨道之间互相开发的这些信息，以在MPS播放器中互相媒体介绍。这些信息是通过青少年疾病的赋权和持久性技术（Adept）传递的，用于哮喘网络控制系统到媒体中心。职业发展计划提供了进一步的教育，培训和指导，以对基于技术敏感的，基于技术的干预措施进行行为对照试验，以促进持续的变化。该研究计划受益于先前的飞行员工作，提出了一种概念模型，以提高依从性，然后在此模型中测试每个步骤。该奖项的主要导师。 Lynda H. Powell博士是行为试验方法的专家，将确保申请人应用适当的理论和方法来测试其概念模型。联盟和顾问将在定性研究，行为和社会行为改变以及坚持的特定领域提供其他指导。该研究计划的目的是：确定提高熟练和其他基于技术基于技术的平台提高依从性的能力的方法；对新精制干预措施进行“概念证明”试点研究；并进行行为对照试验，以测试熟练的效力提高依从性。在该奖项的结尾，申请人将被唯一地提交ROL赠款申请，以进行大规模的行为随机试验，以评估熟练干预措施的有效性，以改善非裔美国人青少年患有哮喘的重要健康状况。相关性（请参阅说明）：急诊室就诊和哮喘的急诊率率令人震惊。这项研究的最终目的是通过使用同伴支持来降低该人群中哮喘的发病率和死亡率，这是通过具有文化敏感的，基于技术的MP3播放器平台增强的，旨在增加对每日控制器药物的依从性。 （抽象的结尾）