Adolescents' Disease Empowerment and Persistency Technology for Asthma

申请者描述(由申请人提供)：申请者是一名过敏症专科医生/免疫学家，希望发展自己的职业生涯，成为一名行为干预的独立调查员，以促进患有持续性哮喘的城市非裔美国青少年的健康。拟议的干预措施侧重于同伴支持，应对同龄人小组问题解决会议，以记录有关服用哮喘控制器药物的障碍以及克服这些障碍的方法的信息，以及研究参与者自己在MPS播放器(称为Media Hub)上的音乐曲目之间整个星期相互传递这些信息。这些信息通过青少年哮喘网络控制系统的青少年疾病授权和持久性技术(ADEPT)传递到Media Hub。职业发展计划提供进一步的教育、培训和指导，以对文化敏感的、以技术为基础的干预措施进行行为控制试验，以促进持续变化。该研究计划受益于先前的试点工作，提出了一个增加遵从性的概念模型，然后测试了该模型中的每个步骤。这一奖项的主要导师。琳达·H·鲍威尔博士是行为试验方法论方面的专家，将确保申请者应用适当的理论和方法论来测试她的概念模型。联合导师和顾问将在定性研究、行为改变的行为和社会原则以及遵守等特定领域提供额外指导。该研究计划旨在：确定如何提高ADEPT和其他新提出的基于技术的平台提高依从性的能力；对新改进的干预进行概念验证试点研究；并进行行为对照试验，测试ADEPT提高依从性的效果。在该奖项结束时，申请者将处于独特的地位，可以提交ROL赠款申请，进行一项大规模的行为随机试验，评估熟练干预措施改善患有哮喘的城市非裔美国青少年的重要健康结局的有效性。相关性(见说明)：市中心非裔美国青少年因哮喘而去急诊室就诊和住院的比率令人震惊，需要紧急干预。这项研究的最终目标是通过使用同伴支持来降低这一人群中哮喘的发病率和死亡率，这种支持通过一个文化敏感的、基于技术的MP3播放器平台来加强，旨在增加对日常控制器药物的依从性。(摘要结束)

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)