Women of Color and Asthma Control

描述（由申请人提供）： 哮喘的研究和实践工作继续忽视美国最脆弱的亚群之一，少数民族妇女。有色人种妇女，特别是非洲裔美国人，在成年人中承担着显着不成比例的哮喘负担。然而，没有严格的干预试验，以帮助他们与他们的特殊挑战可以找到。拟议的随机对照试验将评估420名非洲裔美国哮喘妇女的创新干预措施。这将是第一个和性别控制。它将使用高度定制的电话咨询方法，旨在促进与临床医生的伙伴关系，解决妇女本身以及医疗保健系统误解或忽视的特定哮喘问题。它将密切关注过敏在哮喘管理中的作用，因为非洲裔美国人人群中的患者已被证明有更大的过敏性哮喘风险。 将在基线、12个月、24个月和24个月时通过电话访谈和从病历中收集数据。研究的假设是，与对照组相比，干预组的妇女将： * 哮喘相关生活质量较高; * 哮喘症状较少; * 减少使用哮喘急诊服务，减少在医生办公室进行紧急护理的频率; * 减少因哮喘住院的频率。 该干预措施旨在减少成年人群中一大亚群所携带的哮喘负担。它采用最先进的哮喘管理策略和创造性的手段，以达到和帮助高风险的哮喘急性发作和医疗保健使用的患者。

DESCRIPTION (provided by applicant): Research and practice efforts in asthma continue to overlook one of the most vulnerable subgroups of Americans, minority women. Women of color, especially African Americans, bear a significantly disproportionate burden of asthma among adults. However, no rigorous trial of an intervention to assist them with their particular challenges can be located. The proposed randomized controlled trial will evaluate an innovative intervention in 420 African American women with asthma. It will be the first and gender on control. It will use highly tailor, telephone counseling approach designed to foster partnership with the clinician, resolution of specific asthma misunderstood or ignored by women themselves as well as the health care system. It will attend closely to the role of allergy in asthma management as patients in the African American population have been shown to be at greater risk for allergic asthma. Data will be collected at baseline, 12, and 24, and 24 months by telephone interview and from medical records. The hypotheses of the research are that women in the intervention group when compared to the control group will: * Have higher levels of asthma-related quality of life; * Experience fewer symptoms of asthma; * Use emergency department services for asthma less frequently and need urgent care in a physician's office less often; * Be hospitalized for asthma less frequently. The intervention aims to reduce the burden of asthma as carried by a large subgroup of the adult population. It employs state of the art asthma management strategies and creative means to reach and help patients at high risk of asthma exacerbations and health care use.