Multi-component technology intervention for African American emerging adults with asthma
针对非洲裔美国新兴成人哮喘患者的多成分技术干预
基本信息
- 批准号:9753332
- 负责人:
- 金额:$ 67.18万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2016
- 资助国家:美国
- 起止时间:2016-09-01 至 2021-06-30
- 项目状态:已结题
- 来源:
- 关键词:Accident and Emergency departmentAdherenceAdolescenceAdolescent and Young AdultAdultAfrican AmericanAgeAsthmaBehavior TherapyBehavioralCaregiversCaringCaucasiansCessation of lifeChildhoodChronic DiseaseCitiesClinicClinicalCommunity HealthComputersControl GroupsCountyDataData CollectionDevelopmentDevicesDoseEcological momentary assessmentElementsEmergency department visitFrequenciesFundingHealthIncidenceInterventionKnowledgeLearning ModuleLengthLiteratureLocationMediationMediator of activation proteinMedical centerMethodsMichiganMinorityModelingMonitorMorbidity - disease rateMotivationNational Heart, Lung, and Blood InstituteOutcomeParticipantPatient Self-ReportPersonsPharmaceutical PreparationsPilot ProjectsPopulationPopulation ResearchPrevalenceProtocols documentationPulmonary Function Test/Forced Expiratory Volume 1Quality of lifeRandomizedRandomized Clinical TrialsRegimenReportingResearchRespiratory physiologyRisk BehaviorsSamplingSelf EfficacySeriesSymptomsTechnologyTestingText MessagingTimeUnited StatesUniversitiesWorkYouthage groupasthma exacerbationasthma inhalerasthma modelbasecostdiarieseHealthefficacy testingemerging adultemerging adulthoodethnic minority populationexperiencehealth care settingshigh riskimprovedinner cityinnovationmedication compliancemortalitymotivational enhancement therapypost interventionprimary outcomeprogramsracial minorityrecruitsecondary outcomeskillssocioeconomicstreatment effect
项目摘要
Racial and ethnic minority youth have poorer asthma status than Caucasian youth, even after controlling for
socioeconomic variables. Proper use of asthma controller medications is critical in reducing asthma mortality
and morbidity. The clinical consequences of poor asthma management include increased illness complications,
excessive functional morbidity, and fatal asthma attacks. There are significant limitations in research on
interventions to improve asthma management in racial minority populations, particularly minority adolescents
and young adults, though illness management tends to deteriorate after adolescence during emerging
adulthood, the unique developmental period beyond adolescence but before adulthood. All elements of the
proposed study protocol were piloted in an NHLBI-funded pilot study (1R34HL107664-01A1 MacDonell).
Results suggested feasibility and acceptability of the study protocol as well as proof of concept. We are now
ready to test the intervention in a larger randomized clinical trial. The proposed study will include 192 African
American emerging adults with moderate to severe persistent asthma and low controller medication adherence
recruited from clinic and emergency department settings. Half of the sample will be randomized to receive a
multi-component technology-based intervention (MCTI) targeting adherence to daily controller medication. The
MCTI consists of two components: 1) 2 sessions of computer-delivered motivational interviewing targeting
medication adherence, and 2) individualized text messaging focused on medication adherence between the
sessions. Text messages will be individualized based on Ecological Momentary Assessment (EMA). The
remaining half of participants will complete a series of computer-delivered asthma education modules matched
for length, location, and method of delivery of the intervention session. Control participants will also receive
text messages between intervention sessions. Message content will be the same for all control participants and
contain general facts about asthma (not tailored). Youth will be recruited from the Detroit Medical Center, the
only university affiliated medical center in Detroit, Michigan. It is hypothesized that youth randomized to MCTI
will show improvements in adherence to medication (primary outcome) and asthma control (secondary
outcome) compared to the comparison condition at all post-intervention follow ups (3, 6, 9, and 12 months).
种族和少数民族青年的哮喘状况比白人青年更差,即使在控制
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Karen MacDonell其他文献
Karen MacDonell的其他文献
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{{ truncateString('Karen MacDonell', 18)}}的其他基金
Adapting mHealth interventions to improve self-management of HIV and substance use among emerging adults in Zambia
采用移动医疗干预措施,改善赞比亚新兴成年人对艾滋病毒和药物滥用的自我管理
- 批准号:
10813460 - 财政年份:2023
- 资助金额:
$ 67.18万 - 项目类别:
Optimizing an mHealth intervention to improve uptake and adherence of the HIV pre-exposure prophylaxis (PrEP) in vulnerable adolescents and emerging adults
优化移动医疗干预措施,以提高弱势青少年和新生成年人对艾滋病毒暴露前预防 (PrEP) 的接受度和依从性
- 批准号:
10311830 - 财政年份:2021
- 资助金额:
$ 67.18万 - 项目类别:
Optimizing an mHealth intervention to improve uptake and adherence of the HIV pre-exposure prophylaxis (PrEP) in vulnerable adolescents and emerging adults
优化移动医疗干预措施,以提高弱势青少年和新生成年人对 HIV 暴露前预防 (PrEP) 的接受度和依从性
- 批准号:
10912991 - 财政年份:2021
- 资助金额:
$ 67.18万 - 项目类别:
Optimizing an mHealth intervention to improve uptake and adherence of the HIV pre-exposure prophylaxis (PrEP) in vulnerable adolescents and emerging adults
优化移动医疗干预措施,以提高弱势青少年和新生成年人对 HIV 暴露前预防 (PrEP) 的接受度和依从性
- 批准号:
10469457 - 财政年份:2021
- 资助金额:
$ 67.18万 - 项目类别:
SHARE Program: Innovations in Translational Behavioral Science to Improve Self-management of HIV and Alcohol Reaching Emerging adults
SHARE 计划:转化行为科学创新,以改善新兴成年人对艾滋病毒和酒精的自我管理
- 批准号:
10678982 - 财政年份:2021
- 资助金额:
$ 67.18万 - 项目类别:
SHARE Program: Innovations in Translational Behavioral Science to Improve Self-management of HIV and Alcohol Reaching Emerging adults
SHARE 计划:转化行为科学创新,以改善新兴成年人对艾滋病毒和酒精的自我管理
- 批准号:
10304691 - 财政年份:2021
- 资助金额:
$ 67.18万 - 项目类别:
Multi-component technology intervention for African American emerging adults with asthma
针对非洲裔美国新兴成人哮喘患者的多成分技术干预
- 批准号:
9158851 - 财政年份:2016
- 资助金额:
$ 67.18万 - 项目类别:
Development of an MI Implementation Intervention in Adolescent HIV Care Settings
在青少年艾滋病毒护理环境中制定 MI 实施干预措施
- 批准号:
8990069 - 财政年份:2015
- 资助金额:
$ 67.18万 - 项目类别:
Multi-component technology intervention for minority emerging adults with asthma
针对少数新兴成人哮喘患者的多成分技术干预
- 批准号:
8399080 - 财政年份:2011
- 资助金额:
$ 67.18万 - 项目类别:
Multi-component technology intervention for minority emerging adults with asthma
针对少数新兴成人哮喘患者的多成分技术干预
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8244143 - 财政年份:2011
- 资助金额:
$ 67.18万 - 项目类别:
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