A culturally tailored, scalable asthma intervention for Mexican American children

项目摘要 墨西哥裔美国儿童是哮喘患病率正在上升的唯一人口群体， 患有哮喘的墨西哥裔美国儿童住院的风险是非哮喘儿童的2-3倍 拉丁裔白人对应的。这种过重的疾病负担影响到约20万墨西哥裔美国儿童 得克萨斯州的哮喘患者。因此，我们建议开发和试点一个可扩展的、文化定制的、多层次的 哮喘干预，Asma Guardián，旨在降低墨西哥裔美国人的哮喘发病率 孩子们。Asma Guardián将效仿有效的社区哮喘干预措施，并将 包括三个“工具包”：(1)支持获得哮喘专科护理，(2)哮喘管理教育 和支助，以及(3)家庭环境教育，获得住房宣传服务，以及获得 环境干预用品。Asma Guardián将与墨西哥裔美国人合作开发 哮喘儿童及其父母，并将以沟通和行为科学为基础 最大限度地提高参与度。该项目的主要目标是1)开发Asma Guardián，一种文化- 量身定制的哮喘干预措施，便于获得哮喘专家护理，并提供教育和 支持哮喘自我管理和家庭环境干预；2)开展试点试验，以 通知计划在全州范围内对Asma Guardián进行审判。拟议的工作既是必要的，也是 足以为计划在全州范围内对Asma Guardián进行试验提供信息，这将是第一个可扩展的试验， 为墨西哥裔美国儿童量身定做的哮喘干预措施，将成为提供 人口规模的干预。

Project Summary Mexican American children are the only demographic group whose asthma prevalence is increasing and Mexican American children with asthma have a ~2-3-fold greater risk of being hospitalized than their non- Latinx white counterparts. This excess burden of morbidity affects the ~ 200,000 Mexican American children with asthma in Texas. Thus, we propose to develop and pilot a scalable, culturally-tailored, multilayered asthma intervention, Asma Guardián, designed to reduce asthma morbidity among Mexican American children. Asma Guardián will be modeled on efficacious community-based asthma interventions and will include three “tool kits”: (1) support for accessing asthma specialist care, (2) asthma management education and support, and (3) home environment education, access to housing advocacy services, and access to environmental intervention supplies. Asma Guardián will be developed in partnership with Mexican American children with asthma and their parents and will be grounded in communication and behavioral science to maximize engagement. The primary objectives of the project are 1) To develop Asma Guardián, a culturally- tailored asthma intervention that facilitates access to asthma specialist care and provides education and support for asthma self-management and home environmental interventions and 2) To conduct a pilot trial to inform the planning of a state-wide trial of Asma Guardián. The proposed work is both necessary and sufficient to inform the planning of a state-wide trial of Asma Guardián, which will be the first scalable, culturally-tailored asthma intervention for Mexican American children and will serve as a model for delivering a population-scale intervention.