Women of Color and Asthma Control

描述(由申请人提供)： 对哮喘的研究和实践努力继续忽视了美国最脆弱的亚群之一--少数族裔女性。有色人种女性，特别是非裔美国人，在成年人中承担着严重不成比例的哮喘负担。然而，没有任何严格的干预措施来帮助他们应对他们的特殊挑战。拟议的随机对照试验将评估420名患有哮喘的非裔美国女性的创新干预。这将是第一次对性别进行控制。它将使用高度量身定制的电话咨询方法，旨在促进与临床医生的伙伴关系，解决被女性自己误解或忽视的特定哮喘，以及医疗保健系统。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口中的患者已被证明患有过敏性哮喘的风险更大。 数据将在基线、12个月、24个月和24个月通过电话采访和从医疗记录中收集。这项研究的假设是，与对照组相比，干预组的女性将： *哮喘相关的生活质量水平较高； *哮喘症状较少； *减少使用哮喘急诊科服务的频率，并减少在医生办公室需要紧急护理的次数； *减少因哮喘住院的次数。 这项干预措施的目的是减轻成年人口中的一大部分人患哮喘的负担。它使用最先进的哮喘管理策略和创造性的手段来接触和帮助哮喘恶化的高危患者和医疗保健使用。

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.