BREATHE-BRinging Exercise, Asthma Assessments, TeacHing to Everyone

呼吸运动、哮喘评估、向所有人进行教学

• 批准号: 10757190
• 负责人: Sheryl Flynn
• 金额: $ 30.64万
• 依托单位: BLUE MARBLE REHAB, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10757190
• 关键词: Absenteeism at work; Address; Adult; Aerobic Exercise; Affect; Agreement; Asthma; Benchmarking; Bronchial Spasm; Caring; Chest; Child; Chronic; Chronic Disease; Chronic Obstructive Pulmonary Disease; Clinical Practice Guideline; Clinical Trials; Collaborations; Coughing; Development; Devices; Direct Costs; Dissemination and Implementation; Economics; Education; Educational process of instructing; Emergency department visit; Ensure; Equilibrium; Evidence based intervention; Exercise; Facilities and Administrative Costs; Foundations; Funding; Goals; Grant; Health; Health Care Costs; Health Diary; Health Personnel; Health Professional; Heart Rate; Hospitalization; Hypersensitivity; Improve Access; Inflammation; Internet; Intervention; Learning Module; Lower Extremity; Lung diseases; Marble; Medication Management; Medicine; Minority; Mission; National Heart, Lung, and Blood Institute; Operating System; Oxygen; Participant; Patient Self-Report; Persons; Phase; Population; Procedures; Quality of life; Recommendation; Reporting; Request for Proposals; Research; Research Personnel; Risk Factors; Self Management; Shortness of Breath; Small Business Innovation Research Grant; Smoking History; Socioeconomic Status; Standardization; Stigmatization; Symptoms; System; Testing; United States National Institutes of Health; Update; Visit; Voice; Wheezing; aged; asthma exacerbation; asthma prevention; behavior change; comorbidity; cost; design; digital; digital tool; effective intervention; experience; health disparity; improved; information gathering; preventable death; promoter; prototype; pulmonary rehabilitation; quality assurance; self-management program; success; systematic review; tool; tool development; treatment planning; usability; user centered design; virtual

Project Summary /Abstract Asthma is a long-term lung disease that causes episodes of coughing, wheezing, chest tightness, and shortness of breath due to inflammation or bronchospasms that narrow the airways. Asthma is a growing chronic condition that affects over 30 million people in the US, and 20 million (9% of the US population) of whom are adults. Adults are five times more likely to die from asthma than children. A third of adults with asthma have had an asthma attack and approximately ten people die every day from asthma. While asthma cannot be cured, it can be managed. According to Global Initiative for Management and Prevention of Asthma (GINA) report, asthma is best managed with repeated cycles of assessment, treatment, and adjustment of interventions for asthma symptoms, risk factors, and comorbidities. Education is also recommended for all people with asthma and has been shown to reduce unscheduled doctor visits, days of missed work, asthma-related ED visits, hospitalization, and to also improve quality of life. The problem is only 21% of adults with asthma receive asthma education and the number is lower with minoritized adults or those with health disparities. With funding from an NIH/NHLBI Fast-Track grant (R44HL137502), we developed a COPD self-management platform for use with virtual pulmonary rehabilitation. This product is now in the clinical trial phase with promising preliminary results. This application’s broad, long-term objectives are to leverage the Blue Marble Health chronic disease self-management platform to develop BREATHE, an Asthma self-management tool which will include asthma-related education, assessments, exercise, and an action plan. Aim 1: Use input from SMEs to design and develop BREATHE. Aim 2: Evaluate the feasibility and usability of BREATHE and evaluate the extent to which BREATHE is inclusive of minoritized adults and those with health disparities. Participants will include subject matter experts such as adults with asthma and healthcare professionals who are asthma experts. Participants will complete the asthma self-management tool for 2 weeks and evaluate its usability using the System Usability Scale (SUS). Benchmark for success include a mean SUS score of >65th percentile, mean net promoter score >5, less than 50% of the study participants will have trouble with downloading the app to their personal device, 50% or more participants will agree that DEI was addressed well, and 50% or more participants will report that they considered making a behavior change. The relevance to the NHLBI mission related to health relatedness, is that asthma is a costly condition that is often poorly managed, and this is more pronounced in minoritized adults and those with health disparities. This application also directly addresses the NHLBI SBIR requests for proposals for the development of tools and platforms to improve the dissemination and implementation of evidence- based interventions for lung diseases and disorders.

项目概要/摘要 哮喘是一种长期肺部疾病，会导致咳嗽、气喘、胸闷和呼吸急促等症状 由于炎症或支气管痉挛导致气道狭窄。哮喘是一种日益严重的慢性疾病，影响超过 美国有 3000 万人，其中 2000 万人（占美国人口的 9%）是成年人。成年人的可能性是其五倍 比儿童更容易死于哮喘。三分之一患有哮喘的成年人曾有过哮喘发作，大约十人 每天都会死于哮喘。虽然哮喘无法治愈，但可以控制。根据全球倡议 哮喘管理和预防 (GINA) 报告指出，哮喘的最佳管理方式是重复评估周期， 治疗以及针对哮喘症状、危险因素和合并症调整干预措施。教育也是 推荐给所有哮喘患者，并已被证明可以减少计划外就诊、缺勤天数、 哮喘相关的急诊就诊、住院治疗以及改善生活质量。问题是只有 21% 的成年人患有哮喘 接受哮喘教育，少数成年人或存在健康差异的人的人数较低。有资金 根据 NIH/NHLBI 快速通道拨款 (R44HL137502)，我们开发了一个 COPD 自我管理平台，用于虚拟 肺康复。该产品目前正处于临床试验阶段，初步结果令人鼓舞。这 应用程序的广泛、长期目标是利用 Blue Marble Health 慢性病自我管理 开发 BREATHE 的平台，这是一种哮喘自我管理工具，其中包括哮喘相关教育、 评估、练习和行动计划。目标 1：利用中小企业的意见来设计和开发 BREATHE。目标 2：评估 BREATHE 的可行性和可用性，并评估 BREATHE 对少数成年人的包容程度 那些有健康差异的人。参与者将包括主题专家，例如患有哮喘和医疗保健的成年人 专业人士是哮喘专家。参与者将完成为期两周的哮喘自我管理工具，并 使用系统可用性量表 (SUS) 评估其可用性。成功的基准包括平均 SUS 分数 > 65 百分位数，平均净推荐值 >5，少于 50% 的研究参与者在下载 应用程序到他们的个人设备，50% 或更多的参与者会同意 DEI 得到了很好的解决，并且 50% 或更多 参与者将报告他们考虑改变行为。与 NHLBI 任务的相关性 与健康相关的一点是，哮喘是一种代价昂贵的疾病，而且往往管理不善，这一点在以下国家更为明显： 少数成年人和健康状况存在差异的人。该应用程序还直接解决了 NHLBI SBIR 请求 关于开发工具和平台以改善证据传播和实施的建议 针对肺部疾病和病症的干预措施。