Illness Representations and Self Management Behaviors of African American Adolesc

非裔美国青少年的疾病表征和自我管理行为

• 批准号: 7657450
• 负责人: Sharron Johnson Crowder
• 金额: $ 3.14万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7657450
• 关键词: 16 year old; Accident and Emergency department; Adolescence; Adolescent; Affect; African American; Age; American; Asthma; Behavior; Belief; Cessation of life; Chronic; Cognitive; Complex; Controlled Environment; Data; Development; Emotional; Ethnic group; Female; Future; Gender; Goals; Guidelines; Health behavior; High Prevalence; Hospitalization; Impairment; Individual; Informal Social Control; Intervention; Lead; Male Adolescents; Medication Management; Mission; Modeling; Morbidity - disease rate; Office Visits; Outcome; Patients; Public Health; Questionnaires; Relative (related person); Reporting; Research; Research Personnel; Risk; Self Management; Symptoms; Visit; base; behavior influence; design; experience; improved; male; medication compliance; mortality; nursing intervention; patient oriented; pre-doctoral; racial and ethnic; respiratory; symptom management; young adult

DESCRIPTION (provided by applicant): Asthma in African American adolescents is a significant public health problem. Self-management of their illness is often inadequate, which can lead to increased morbidity and mortality. Asthma self-management involves an array of behaviors such as symptom management, medication management, and controlling the environment. There is a need to investigate ways to improve adolescents' self-management. One potential framework to increase understanding and guide interventions is the illness representations concept from The Common Sense Self-Regulation Model [14]. The model proposes that beliefs about an illness (i.e., illness representations) influence health behaviors and, subsequently, illness outcomes. Little is known about the relationship between illness representations and asthma self-management in adolescents with asthma. If adolescents' inaccurate illness representations (cognitive or emotional) about asthma are found to be associated with poor self-management behaviors, they would be excellent targets for nursing interventions because such beliefs would potentially be changeable. There has been little research examining how illness representations are related to asthma impairment and gender. Therefore, a descriptive correlational study will be conducted to achieve the following aims: (a) To explore differences in illness representations (cognitive and emotional) and self-management behaviors (symptom management, medication management, and environmental control) by gender and asthma impairment (well controlled, not well controlled, or very poorly controlled) of African American adolescents with asthma; (b) To explore relationships between illness representations (cognitive and emotional) and asthma self-management behaviors (symptom management, medication management, and environmental control) and their interactions with gender and asthma impairment in African American adolescents with asthma. Data will be collected through questionnaires with 120 African American adolescents. The findings will provide guidance for future interventions that improve African American adolescents' asthma self-management. Consistent with NINR's mission, this application is designed to enhance the goals of the predoctoral applicant to become an established researcher focusing on adolescents with asthma. Relevance: Asthma is a significant public health problem for African American adolescents. This study will provide an understanding of African American adolescents' beliefs about asthma as related to their asthma self-management. This understanding will guide the development of patient-centered interventions.

描述（由申请人提供）：非裔美国青少年的哮喘是一个重要的公共卫生问题。他们对疾病的自我管理往往不足，这可能导致发病率和死亡率上升。哮喘自我管理涉及一系列行为，如症状管理，药物管理和控制环境。有必要研究如何改善青少年的自我管理。增加理解和指导干预的一个潜在框架是常识自我调节模型中的疾病表征概念[14]。该模型提出，关于疾病的信念（即，疾病表征）影响健康行为，并随后影响疾病结果。关于青少年哮喘患者的疾病表征和哮喘自我管理之间的关系知之甚少。如果发现青少年对哮喘的不准确的疾病陈述（认知或情感）与不良的自我管理行为相关，他们将是护理干预的最佳目标，因为这种信念可能是可变的。很少有研究探讨疾病表征与哮喘损害和性别之间的关系。因此，本研究将进行描述性相关研究，以达到以下目的：（a）探讨不同疾病表征的差异（认知和情感）和自我管理行为（症状管理、药物管理和环境控制）（控制良好、控制不好或控制极差）的非裔美国青少年哮喘患者;（B）探讨非裔美国哮喘青少年的疾病表征（认知和情感）与哮喘自我管理行为（症状管理、药物管理和环境控制）之间的关系及其与性别和哮喘损害的相互作用。将通过问卷调查收集120名非裔美国青少年的数据。这些发现将为未来改善非洲裔美国青少年哮喘自我管理的干预措施提供指导。与NINR的使命一致，本申请旨在提高博士前申请人的目标，成为一个既定的研究人员专注于青少年哮喘。相关性：哮喘是非洲裔美国青少年的一个重要公共卫生问题。这项研究将提供一个非洲裔美国青少年的信念，哮喘有关他们的哮喘自我管理的理解。这种理解将指导以患者为中心的干预措施的发展。