A Self-Regulation Intervention for Older Adults with Asthma

患有哮喘的老年人的自我调节干预措施

• 批准号: 8527997
• 负责人: ALAN P. BAPTIST
• 金额: $ 36.17万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-15 至 2017-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8527997
• 关键词: Accident and Emergency department; Accounting; Address; Adult; Affect; Age; Asthma; Behavior; Behavioral; Caring; Cessation of life; Child; Childhood; Chronic; Clinical; Communication; Comorbidity; Data Set; Diagnosis; Diagnostic; Disease; Distress; Education; Effectiveness of Interventions; Elderly; Etiology; Evidence Based Medicine; Exhalation; Face; Goals; Health; Healthcare; Hospitalization; Hospitals; Individual; Informal Social Control; Intervention; Length of Stay; Life; Locales; Measures; Mental Depression; Minority; Mission; Motivation; National Institute on Aging; Nitric Oxide; Outcome; Participant; Patients; Physicians; Pilot Projects; Polypharmacy; Population; Population Heterogeneity; Primary Care Physician; Process; Protocols documentation; Public Health; Pulmonary function tests; Qualitative Research; Quality of life; Questionnaires; Randomized Controlled Trials; Research; Respiratory physiology; Rural; Sample Size; Sampling; Self Efficacy; Spirometry; Symptoms; Techniques; Teenagers; Testing; Time; United States; Visit; Woman; age group; asthmatic patient; base; cohort; cost effectiveness; diaries; experience; follow-up; health care service utilization; improved; inner city; innovation; interest; intervention effect; intervention program; mortality; novel strategies; programs; public health relevance; respiratory; skills; suburb; theories; urgent care

DESCRIPTION (provided by applicant): Asthma in older adults has been overlooked, understudied, and inadequately treated. While asthma programs targeting the unique needs of children, teenagers, women, minorities, and other populations have been successfully developed, there are currently none for older adults. This is particularly distressing as the asthma hospitalization rates, mortality rates, quality of life, and control are significantly worsein the elderly as compared to other age groups. It is clear that novel approaches are needed to improve the care in this population. Our group has been active in the research of asthma in the elderly. We have analyzed national asthma data sets to look for disparities in older adults, have conducted qualitative research to determine factors associated with poor control in the elderly, and have performed a pilot study of a self- regulation intervention which was able to improve outcomes. We also have over 20 years of experience in asthma self-regulation interventions and physician communication enhancement for multiple populations of asthma patients. We will combine these strengths into our current protocol. The intervention program will be based on the self-regulation theory of behavior, which will enhance the participants' ability to self-manage this chronic condition, actively involve the participant in their own health care management, and produce sustained results. In this application, we will evaluate a self-regulation asthma intervention in a diverse population of older adults. The intervention will be personalized to the challenges and goals each individual faces, which will enhance its applicability in different populations. This intervention will incorporate standard asthma education, complementary techniques for which older adults have expressed a strong interest, and enhanced communication with each participant's physician. Asthma specific outcomes will be assessed at one, six, and 12 months. The primary goal of this intervention is to decrease health care utilization (emergency department, urgent care, hospital, and unscheduled visits) for older adults with asthma. We will also assess the ability to improve quality of life, asthma symptoms, asthma control, lung function parameters, self-efficacy, and cost effectiveness.

描述（由申请人提供）：老年人的哮喘一直被忽视、研究不足和治疗不充分。虽然针对儿童、青少年、妇女、少数民族和其他人群独特需求的哮喘项目已经成功制定，但目前还没有针对老年人的哮喘项目。这尤其令人痛苦，因为与其他年龄组相比，老年人的哮喘住院率、死亡率、生活质量和控制能力明显较差。显然，需要新的方法来改善这一人群的护理。 我们课题组一直积极致力于老年人哮喘的研究。我们分析了全国哮喘数据集，以寻找老年人之间的差异，进行了定性研究，以确定与老年人控制不良相关的因素，并进行了一项自我调节干预的试点研究，该研究能够改善结果。我们还在针对多种哮喘患者群体的哮喘自我调节干预和增强医生沟通方面拥有 20 多年的经验。我们将把这些优势结合到我们当前的协议中。 干预方案将以行为自我调节理论为基础，增强参与者的自我管理能力 对于这种慢性病，积极让参与者参与自己的医疗保健管理，并产生持续的结果。在此应用中，我们将评估对不同老年人群的自我调节哮喘干预措施。干预措施将根据每个人面临的挑战和目标进行个性化，这将增强其在不同人群中的适用性。该干预措施将包括标准的哮喘教育、老年人对此表示强烈兴趣的补充技术，以及加强与每位参与者的医生的沟通。将在 1、6 和 12 个月时评估哮喘的具体结果。该干预措施的主要目标是减少患有哮喘的老年人的医疗保健利用率（急诊室、紧急护理、医院和不定期就诊）。我们还将评估改善生活质量、哮喘症状、哮喘控制、肺功能参数、自我效能和成本效益的能力。