Coping with Asthma through Life Management (CALM)

通过生活管理 (CALM) 应对哮喘

基本信息

  • 批准号:
    10687263
  • 负责人:
  • 金额:
    $ 16.2万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2021
  • 资助国家:
    美国
  • 起止时间:
    2021-09-20 至 2026-08-31
  • 项目状态:
    未结题

项目摘要

Project Summary/Abstract: Stress is a key barrier to asthma medication adherence and asthma control. The Lazarus Folkman's Model of Stress states that a person experiences stress when a stimulus, appraised as exceeding their resources, endangers their well-being. In my preliminary focus groups, Black adults with asthma reported that increased psychosocial stress (e.g., perceived discrimination, job stress, caregiver burden), health-related stress (e.g., difficulty self-managing asthma), and economic stress (e.g., economic strain) were barriers to asthma medication adherence and control. However, interventions simultaneously targeting these stressors are not commonly evaluated in Black adults with asthma. To fill this evidence gap, I will identify types of minor stress, chronic stress, and coping strategies associated with increased asthma severity in a NHLBI-funded cohort (i.e., Jackson Heart Study) of Black adults (Aim 1). I will then use these findings to develop and culturally tailor a novel stress management intervention, called CALM (Coping with Asthma through Life Management) (Aim 2), and pilot its implementation in a health system (Aim 3). CALM will be an innovative, culturally-adapted, stress management intervention designed to promote adaptive coping by targeting 3 common sources of stress in Black adults with asthma—psychosocial issues, poor asthma self-management, and economic strain—with the aim of managing the effects of stress and ultimately improving asthma medication adherence and asthma control. My central hypothesis is that CALM, targeting multiple sources of stress specifically faced by Black adults with asthma, will be feasibly implemented in a health system, will be acceptable to program participants, and will provide a potentially effective intervention to increase asthma medication nonadherence and asthma control. The proposed research will be conducted under the mentorship of Dr. L. Ebony Boulware, MD, MPH (primary mentor, health disparities, qualitative methods), Dr. Loretta G. Que, MD (co-primary mentor, asthma research), Dr. Laura Porter, PhD (co-mentor, clinical psychology, health behavior), Dr. Christopher E. Cox, MD, MPH (collaborator, coping skills training), and Dr. Maren Olsen, PhD (collaborator, biostatistics). By accomplishing the research aims, I will yield a finalized CALM intervention that will be ready for a randomized controlled trial and will serve as foundation for an independent research career in asthma health disparities.
项目总结/文摘:

项目成果

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Isaretta Riley其他文献

Isaretta Riley的其他文献

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{{ truncateString('Isaretta Riley', 18)}}的其他基金

Coping with Asthma through Life Management (CALM)
通过生活管理 (CALM) 应对哮喘
  • 批准号:
    10491368
  • 财政年份:
    2021
  • 资助金额:
    $ 16.2万
  • 项目类别:
Coping with Asthma through Life Management (CALM)
通过生活管理 (CALM) 应对哮喘
  • 批准号:
    10282682
  • 财政年份:
    2021
  • 资助金额:
    $ 16.2万
  • 项目类别:

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