Women of Color and Asthma Control

有色人种女性与哮喘控制

• 批准号: 8289329
• 负责人: NOREEN M CLARK
• 金额: $ 86.53万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8289329
• 关键词: Accident and Emergency department; Address; Adult; Adult asthma; Affect; African American; American; Asthma; Caring; Color; Communities; Control Groups; Counseling; Data; Disease; Elements; Environmental Risk Factor; Ethnic Origin; Extrinsic asthma; Female; Fostering; Gender; Gender Role; Health Educators; Healthcare; Healthcare Systems; Hypersensitivity; Individual; Informal Social Control; Intervention; Intervention Trial; Medical Records; Minority; Nurses; Outcome; Participant; Patients; Physicians; Physicians' Offices; Population; Process; Quality of life; Randomized Controlled Trials; Research; Research Design; Resolution; Risk; Role; Services; Subgroup; Symptoms; Telephone; Telephone Interviews; Treatment Efficacy; Ursidae Family; Vulnerable Populations; Woman; Work; atopy; base; design; experience; group intervention; high risk; innovation; programs; randomized trial; sex; social

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.

描述（由申请人提供）： 哮喘的研究和实践努力继续忽略了美国人，少数妇女最脆弱的亚组之一。有色妇女，尤其是非洲裔美国人，成人哮喘的负担很大。但是，没有对干预措施进行严格的试验，以帮助他们应对他们的特定挑战。拟议的随机对照试验将评估420名哮喘的420名非裔美国妇女的创新干预。这将是第一个和性别。它将采用高度裁缝，电话咨询方法来促进与临床医生建立伙伴关系，解决特定的哮喘误解或被妇女本身以及医疗保健系统所忽视。由于非洲裔美国人群中的患者，它将紧密与过敏在哮喘管理中的作用紧密相关，其过敏性哮喘的风险更大。 数据将在基线，12和24和24个月通过电话访谈和医疗记录收集。该研究的假设是，与对照组相比，干预组的女性将： *具有更高水平的与哮喘相关的生活质量； *哮喘的症状更少； *使用急诊室服务的哮喘频率较低，需要在医生办公室需要紧急护理； *因哮喘而住院的频率较低。 该干预措施旨在减轻大量成年人口子群体所承担的哮喘负担。它采用艺术状态哮喘管理策略和创造性手段来吸引和帮助患者哮喘患者高风险和医疗保健的高风险。