ACTION Intervention: Physical Activity in Minority Women with Asthma

行动干预：少数民族哮喘妇女的体力活动

• 批准号: 9163908
• 负责人: Sharmilee Maria Nyenhuis
• 金额: $ 18.52万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-15 至 2020-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9163908
• 关键词: Address; Adult; Affect; African American; Asthma; Caucasians; Chronic; Chronic Disease; Communities; Data; Evaluation; Exhibits; Face; Feedback; Focus Groups; Fright; Goals; Guidelines; Health Promotion; Healthcare; Individual; Intervention; Interview; Life Style; Light; Lung diseases; Mentorship; Minority; Moderate Exercise; Modification; Morbidity - disease rate; Outcome; Participant; Physical activity; Physicians; Population; Quality of life; Randomized; Recommendation; Research; Research Design; Research Personnel; Respiratory physiology; Safety; Scientist; Subgroup; Surveys; Symptoms; Testing; Training; Treatment Efficacy; Vulnerable Populations; Walking; Woman; asthmatic patient; base; community setting; cost; design; efficacy trial; exercise regimen; experience; health care service utilization; health disparity; improved; moderate-to-vigorous physical activity; mortality; neighborhood safety; physical inactivity; power analysis; programs; public health priorities; response; role model; sedentary; skills; therapy design; therapy development; walking intervention

ABSTRACT Asthma is a highly prevalent chronic disease that disproportionately impacts African American (AA) women. AA women have poorer asthma-related quality of life and higher rates of asthma exacerbations, healthcare utilization and mortality compared to Caucasian women. Further, AA women are less physically active than any other subgroup of adults, which may help explain the asthma health disparities, found between AA and Caucasian women. Physical inactivity among individuals with asthma is associated with poor asthma control and respiratory function, greater health care utilization, and poorer quality of life. Given the connection between poor asthma outcomes and physical inactivity, addressing physical activity (PA) among sedentary AA women with asthma is imperative. Physical activity demonstrated improvement in asthma outcomes specifically asthma control, quality of life and healthcare utilization. Despite these benefits, fewer than 25% of AA women with asthma engage in regular physical activity. The ACTION intervention: physicAl aCtiviTy In minOrity womeN with asthma is a 8-month community-based walking intervention refined to be applicable for sedentary AA women with asthma. This application proposes to obtain and incorporate stakeholder input on the barriers and facilitators to engaging in physical activity with asthma to a validated community-based walking intervention. Once modified, we will pre-pilot the intervention in 10 participants, refine further in response to participant feedback and then test the feasibility, acceptability and estimate the efficacy of the intervention in a randomized controlled pilot of 80 participants within a pragmatic community setting convenient for sedentary AA women. Through coursework, hands-on experience and strong mentorship this project will provide the dedicated candidate with the necessary skills to become an independent investigator and build an impactful research program on designing and implementing health promotion interventions to improve asthma outcomes in minority populations.

摘要 哮喘是一种高度流行的慢性疾病，不成比例地影响非洲裔美国人（AA）妇女。 AA女性哮喘相关的生活质量较差，哮喘急性发作率较高，医疗保健 与白人女性相比，此外，AA女性的身体活动比任何 其他成年人的亚组，这可能有助于解释哮喘健康的差异，发现AA和 白种女人哮喘患者缺乏体力活动与哮喘控制不良有关 和呼吸功能，更大的医疗保健利用率和更差的生活质量。考虑到 哮喘预后不良和缺乏体力活动，解决久坐AA女性的体力活动（PA） 哮喘是必须的。体力活动证明了哮喘结局的改善， 哮喘控制、生活质量和医疗保健利用。尽管有这些好处，但只有不到25%的AA女性 哮喘患者要经常参加体育活动。行动干预：少数人的身体活动 哮喘妇女是一项为期8个月的社区步行干预， 患有哮喘的久坐不动的AA女性此应用程序建议获取并纳入利益相关者的输入， 哮喘患者参加体育活动的障碍和促进因素， 步行干预。一旦修改，我们将在10名参与者中进行预试点干预， 对参与者的反馈进行回应，然后测试可行性、可接受性并评估其有效性。 在一个方便的实用社区环境中对80名参与者进行随机对照试验干预 适合久坐的戒酒女性通过课程，实践经验和强大的指导，这个项目将 为专门的候选人提供必要的技能，成为一名独立的调查员，并建立一个 设计和实施健康促进干预措施以改善哮喘的有效研究计划 少数民族的结果。