An Interactive Health Communication Program For Young Urban Adults With Asthma

针对患有哮喘的城市年轻人的互动健康沟通计划

• 批准号: 8385369
• 负责人: ALAN P. BAPTIST
• 金额: $ 15.06万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8385369
• 关键词: Interactive; Health; Communication; Program; Young

DESCRIPTION (provided by applicant): Asthma is condition in which a tremendous amount of health care disparities and inequities are observed. Emergency department visits, hospitalizations, and mortality rates are often three to five times higher in African Americans compared to Caucasians. While our group and others have developed programs to improve asthma outcomes for urban adolescents (age 13 - 17), no one has developed interventions for young African American adults (age 18 - 30) with asthma. This population unfortunately has one of the highest asthma prevalence rates, as well as very poor measures of asthma control. Part of this reason is due to the fact that young adulthood represents a dramatic change for an individual, where for the first time they may be responsible for their own health care, finances, education, and employment responsibilities. An internet-based interactive health communication program offers a unique way to address challenges and improve asthma care for this difficult-to-reach population. It provides a mechanism to deliver asthma education, personalize recommendations, improve communication with health care providers, and be delivered at a time convenient to the participant. Such a program would also be delivered with minimal human support, making it ideal for urban environments which may not have the resources for health educators. We will develop and pilot test such a program, which will be tailored to the challenges each individual faces. The program will be based on the self-regulation theory of behavior, which will enhance the participants' ability to self-manage this chronic condition. Focus groups will first be utilized to ensure that the participant's perspectiveis fully conveyed. The findings from the focus groups will be incorporated into a multi-session internet based intervention. This intervention will incorporate both standard asthma education delivered by video and personalized messages of how to overcome the specific challenges each individual faces. We will assess the ability of such a program to attract potential participants, retain participants who agree to participate, communicate relevant information back to the participant's health care provider, and operate seamlessly with minimal live support. We will explore any participant preferences, challenges, and obstacles to the use of the program over the entire multi-session intervention. Asthma specific outcomes will also be assessed at 3 and 6 months. These will include quality of life, asthma symptoms, asthma control, self-efficacy, and health care utilization. This exploratory study is critical to develop a consumer health informatics intervention, which we will fully evaluate in a subsequent R01 application. PUBLIC HEALTH RELEVANCE: The proposed research is relevant to public health because asthma is one of the most common chronic conditions in the United States, and also one which displays a tremendous amount of health care disparities. This research directly addresses the AHRQ's mission to improve the efficiency and effectiveness of health care, and to facilitate wider access to health care services.

描述（由申请人提供）：哮喘是一种存在大量医疗保健差异和不平等的疾病。与白人相比，非裔美国人的急诊就诊率、住院率和死亡率通常高出三到五倍。虽然我们的小组和其他人制定了改善城市青少年（13 - 17 岁）哮喘结果的计划，但没有人为患有哮喘的年轻非裔美国成年人（18 - 30 岁）制定干预措施。不幸的是，这一人群是哮喘患病率最高的人群之一，而且哮喘控制措施也很差。部分原因是，青年期对个人来说代表着巨大的变化，他们可能第一次承担起自己的医疗保健、财务、教育和就业责任。 基于互联网的互动健康交流计划提供了一种独特的方式来应对挑战并改善这一难以接触的人群的哮喘护理。它提供了一种机制来提供哮喘教育、个性化建议、改善与医疗保健提供者的沟通，并在参与者方便的时间提供。这样的计划也将在最少的人力支持下实施，使其成为可能没有健康教育资源的城市环境的理想选择。 我们将开发并试点测试这样一个计划，该计划将根据每个人面临的挑战进行定制。该计划将基于行为自我调节理论，这将增强参与者自我管理这种慢性病的能力。首先将利用焦点小组来确保参与者的观点得到充分传达。焦点小组的调查结果将被纳入基于互联网的多轮会议干预中。该干预措施将结合通过视频提供的标准哮喘教育和关于如何克服每个人面临的特定挑战的个性化信息。我们将评估此类计划吸引潜在参与者、保留同意参与的参与者、将相关信息传达给参与者的医疗保健提供者以及在最少的现场支持下无缝运行的能力。我们将在整个多会话干预过程中探讨参与者的偏好、挑战和使用该程序的障碍。还将在 3 个月和 6 个月时评估哮喘的具体结果。这些包括生活质量、哮喘症状、哮喘控制、自我效能和医疗保健利用。这项探索性研究对于制定消费者健康信息学干预措施至关重要，我们将在后续的 R01 应用中对其进行全面评估。 公共健康相关性：拟议的研究与公共健康相关，因为哮喘是美国最常见的慢性疾病之一，也是一种显示出巨大的医疗保健差异的疾病。这项研究直接涉及 AHRQ 的使命，即提高医疗保健的效率和有效性，并促进更广泛地获得医疗保健服务。