HomeBASE (Home-Based Asthma Support and Education for Adults)

HomeBASE（成人家庭哮喘支持和教育）

• 批准号: 7825312
• 负责人: JAMES W KRIEGER
• 金额: $ 42.18万
• 依托单位: SEATTLE-KING COUNTY PUBLIC HEALTH DEPT
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-13 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7825312
• 关键词: Adherence; Adopted; Adult; Affect; Age; Area; Asthma; Behavior; Caring; Child; Clinic; Clinics and Hospitals; Collaborations; Communication; Communities; Community Health; Community Participation; County; Data; Development; Economic Burden; Education; Enrollment; Ensure; Environment; Evaluation; Exposure to; Goals; Health; Health Services; Health financing; Healthcare; Home environment; House Dust Mite Allergens; Housing; Insurance Carriers; Intervention; Interview; Laboratories; Low income; Measures; Medical; Methods; Modeling; Morbidity - disease rate; Outcome; Participant; Persons; Private Sector; Protocols documentation; Provider; Public Hospitals; Quality of life; Randomized Controlled Trials; Relative (related person); Research; Research Design; Research Methodology; Resources; Self Efficacy; Self Management; Social support; Stress; Symptoms; Telephone Interviews; Testing; United States; Universities; Visual; Washington; base; behavior change; cost; cost effectiveness; design; health care delivery; health care service utilization; improved; member; metropolitan; primary outcome; programs; tool

DESCRIPTION (provided by applicant): The number of adults affected by asthma in the United States has grown dramatically in the past two decades and asthma now affects 14 million adults. Control of asthma is inadequate for many of them, leading to substantial morbidity and economic burden. The primary goal of our proposal is to develop and assess the value of a home-based education and support intervention called HomeBASE (Home-Based Asthma Support and Education) for reducing asthma morbidity among low-income, ethnically diverse adults with asthma ages 18-65. The value of an in-home intervention, while effective among children with asthma and theoretically appealing, has not been assessed among adults. Specifically, the project will test the hypothesis that community health workers providing education and support for self-management of asthma, assessment of the home for environmental triggers, resources for asthma control, and assistance in effective communication with medical providers over the course of one year will reduce asthma morbidity, asthma- related urgent health care use and exposure to indoor asthma triggers. A randomized controlled trial using participatory research methods will be used. Four hundred twenty participants will be enrolled and followed for two years. Primary outcomes include asthma symptom-free days, asthma-related quality of life and urgent health service use. Full data will be collected in person at baseline, and one and two years later. Interim data will be obtained through telephone interviews. Exposure to asthma triggers will be assessed through interviews, home inspection and analysis of house dust for mite allergen. The incremental cost- effectiveness (dollars per symptom-free day) will be measured. Other aims include (1) ensuring community participation in study design, implementation, evaluation and dissemination and (2) and disseminating protocols and tools for program replication should HomeBASE prove successful. The proposal was initiated by and is sponsored by the King County Asthma Forum, the local asthma coalition. It has been developed through existing collaborative relationships among partners who are members of the HomeBASE Steering Committee: people with asthma, private sector clinics and hospitals, community clinics, the local public hospital, the local health department, community-based organizations and the University of Washington. The Community Advisory Group, consisting of people with asthma, has advised on proposal development.

描述（由申请人提供）：过去 20 年来，美国受哮喘影响的成年人数量急剧增加，目前有 1400 万成年人患有哮喘。对他们中的许多人来说，哮喘控制不够，导致严重的发病率和经济负担。我们提案的主要目标是开发和评估称为 HomeBASE（家庭哮喘支持和教育）的家庭教育和支持干预措施的价值，以减少 18-65 岁低收入、多种族哮喘患者的哮喘发病率。家庭干预的价值虽然对哮喘儿童有效并且理论上很有吸引力，但尚未在成人中进行评估。具体来说，该项目将检验以下假设：社区卫生工作者在一年内提供哮喘自我管理教育和支持、对家庭环境触发因素的评估、哮喘控制资源以及协助与医疗提供者进行有效沟通，将减少哮喘发病率、哮喘相关紧急医疗保健的使用和室内哮喘触发因素的暴露。将使用使用参与性研究方法的随机对照试验。将招募四百二十名参与者并进行为期两年的跟踪。主要结局包括哮喘无症状天数、哮喘相关的生活质量和紧急医疗服务的使用。完整数据将在基线以及一年和两年后亲自收集。中期数据将通过电话采访获得。将通过访谈、家庭检查和室内灰尘螨过敏原分析来评估哮喘触发因素的暴露情况。将衡量增量成本效益（每无症状日的美元）。其他目标包括 (1) 确保社区参与研究设计、实施、评估和传播，以及 (2) 如果 HomeBASE 证明成功，则传播计划复制的协议和工具。该提案由当地哮喘联盟金县哮喘论坛发起并赞助。它是通过 HomeBASE 指导委员会成员之间现有的合作关系开发的：哮喘患者、私营部门诊所和医院、社区诊所、当地公立医院、当地卫生部门、社区组织和华盛顿大学。由哮喘患者组成的社区咨询小组就提案的制定提供了建议。