A Self-Regulation Intervention for Older Adults with Asthma

患有哮喘的老年人的自我调节干预措施

• 批准号: 9066103
• 负责人: ALAN P. BAPTIST
• 金额: $ 31.06万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-15 至 2017-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9066103
• 关键词: Accident and Emergency department; Accounting; Address; Adult; Affect; Age; Asthma; Behavior; Behavioral; Caring; Cessation of life; Child; Childhood; Chronic; Clinical; Communication; Comorbidity; Data Set; Diagnosis; Diagnostic; Disease; Distress; Education; Effectiveness of Interventions; Elderly; Emergency department visit; Etiology; Evidence Based Medicine; Exhalation; Face; Goals; Health; Healthcare; Hospitalization; Hospitals; Individual; Informal Social Control; Intervention; Length of Stay; Life; Locales; Measures; Mental Depression; Minority; Mission; Motivation; National Institute on Aging; Nitric Oxide; Outcome; Participant; Patients; Physicians; Pilot Projects; Polypharmacy; Population; Population Heterogeneity; Primary Care Physician; Process; Protocols documentation; Public Health; Pulmonary function tests; Qualitative Research; Quality of life; Questionnaires; Randomized Controlled Trials; Research; Respiratory Signs and Symptoms; Respiratory physiology; Rural; Sample Size; Sampling; Self Efficacy; Spirometry; Symptoms; Techniques; Teenagers; Testing; Time; United States; Visit; Woman; age group; asthmatic patient; base; cohort; cost effectiveness; diaries; experience; follow-up; health care service utilization; improved; improved outcome; inner city; innovation; interest; intervention effect; intervention program; mortality; novel strategies; programs; skills; suburb; theories; urgent care

DESCRIPTION (provided by applicant): Asthma in older adults has been overlooked, understudied, and inadequately treated. While asthma programs targeting the unique needs of children, teenagers, women, minorities, and other populations have been successfully developed, there are currently none for older adults. This is particularly distressing as the asthma hospitalization rates, mortality rates, quality of life, and control are significantly worsein the elderly as compared to other age groups. It is clear that novel approaches are needed to improve the care in this population. Our group has been active in the research of asthma in the elderly. We have analyzed national asthma data sets to look for disparities in older adults, have conducted qualitative research to determine factors associated with poor control in the elderly, and have performed a pilot study of a self- regulation intervention which was able to improve outcomes. We also have over 20 years of experience in asthma self-regulation interventions and physician communication enhancement for multiple populations of asthma patients. We will combine these strengths into our current protocol. The intervention program will be based on the self-regulation theory of behavior, which will enhance the participants' ability to self-manage this chronic condition, actively involve the participant in their own health care management, and produce sustained results. In this application, we will evaluate a self-regulation asthma intervention in a diverse population of older adults. The intervention will be personalized to the challenges and goals each individual faces, which will enhance its applicability in different populations. This intervention will incorporate standard asthma education, complementary techniques for which older adults have expressed a strong interest, and enhanced communication with each participant's physician. Asthma specific outcomes will be assessed at one, six, and 12 months. The primary goal of this intervention is to decrease health care utilization (emergency department, urgent care, hospital, and unscheduled visits) for older adults with asthma. We will also assess the ability to improve quality of life, asthma symptoms, asthma control, lung function parameters, self-efficacy, and cost effectiveness.

描述（由申请人提供）：老年人的哮喘已经被忽视，研究和不足。尽管已经成功地开发了针对儿童，青少年，妇女，少数民族和其他人群独特需求的哮喘计划，但目前没有针对老年人。这特别令人痛苦，因为与其他年龄段相比，老年人的哮喘住院率，死亡率，生活质量和控制率明显更糟。显然，需要采取新颖的方法来改善该人群的护理。 我们的小组一直活跃于老年人的哮喘研究。我们已经分析了国家哮喘数据集，以寻找老年人的差异，进行了定性研究，以确定与老年人控制不良相关的因素，并对自我调节干预措施进行了试点研究，能够改善结果。我们在哮喘自我调节干预措施和医师沟通方面也有20多年的经验，可为多个哮喘患者种群增强。我们将将这些优势结合到我们当前的协议中。 干预计划将基于行为的自我调节理论，这将增强参与者的自我管理能力 这种慢性病，积极涉及参与者自己的医疗保健管理，并产生持续的结果。在此应用中，我们将评估各种老年人人群的自我调节哮喘干预。干预措施将被个性化每个面孔的挑战和目标，这将增强其在不同人群中的适用性。这种干预措施将纳入标准的哮喘教育，老年人表达了浓厚兴趣的互补技术，并加强了与每个参与者的医生的沟通。哮喘特定结果将在一个，六个月和12个月的时间内评估。这种干预措施的主要目的是减少哮喘老年人的医疗保健利用率（急诊科，急诊室，医院和外观访问）。我们还将评估改善生活质量，哮喘症状，哮喘控制，肺功能参数，自我效能和成本效益的能力。

项目成果

Characteristics of Complementary and Alternative Medicine (CAM) use among older adults with asthma.

• DOI: 10.3109/02770903.2015.1116090
• 发表时间: 2016-06
• 期刊: The Journal of asthma : official journal of the Association for the Care of Asthma
• 作者: Ward CE;Baptist AP
• 通讯作者: Baptist AP