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.

项目总结/摘要 哮喘是一种长期的肺部疾病，它会引起咳嗽、喘息、胸闷和呼吸急促的发作 因为炎症或支气管痉挛导致呼吸道狭窄哮喘是一种日益严重的慢性疾病， 美国有3000万人，其中2000万人（占美国人口的9%）是成年人。成年人比成年人 死于哮喘的几率更高三分之一的成年哮喘患者曾有过哮喘发作， 每天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，哮喘最好通过重复评估周期进行管理， 治疗和调整哮喘症状、危险因素和合并症的干预措施。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的医生就诊，错过工作的天数， 哮喘相关的艾德就诊、住院，并改善生活质量。只有21%的成年哮喘患者存在这个问题 接受哮喘教育的人数较少，少数群体成年人或健康状况不佳的人的人数较少。资助下 从NIH/NHLBI快速通道基金（R44 HL 137502）中，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，长期目标是利用蓝色大理石健康慢性病自我管理 平台开发呼吸，哮喘自我管理工具，其中将包括哮喘相关的教育， 评估、练习和行动计划。目标1：利用中小企业的投入设计和开发呼吸。目标2：评估 呼吸的可行性和可用性，并评估呼吸在多大程度上包括少数群体的成年人， 那些健康不平等的人。与会者将包括主题专家，如成人哮喘和医疗保健 哮喘专家。参与者将完成哮喘自我管理工具2周， 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评分> 65分 百分位数，平均净推广得分>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%或更多的参与者将同意DEI得到了很好的解决，50%或更多的参与者将同意DEI得到了很好的解决， 参与者将报告他们考虑改变行为。与国家HLBI使命的相关性涉及 健康相关性，是哮喘是一种昂贵的疾病，往往管理不善，这是更明显的， 少数群体的成年人和健康状况不均衡的人。该应用程序还直接解决了NHLBI SBIR的以下请求： 关于开发工具和平台以改进证据的传播和实施的建议- 为肺部疾病和紊乱采取的干预措施。