Complementary Medicine / Adherence in Minorities with Asthma

描述：（由申请人提供）哮喘患病率、发病率和死亡率 在低收入群体中， 城市少数民族患者。尽管有很好的药物治疗， 作为哮喘治疗基础的吸入性皮质类固醇（ICS）仍然很差。 现在有证据表明，民间和精神治疗被广泛用于内部 然而，城市少数民族患者对特定类型的 用于哮喘的治疗及其使用对患者依从性的影响 ICS。中心假设指出，城市低收入黑人，而不是西班牙裔 患有哮喘的西班牙裔成年人使用民间和精神疗法， 影响处方ICS治疗的依从性。这些疗法可以作为 由于患者对安全性的担忧， 和ICS使用的有效性。或者，积极参与的患者 对他们疾病的管理可以利用互补和 处方治疗。在目标1中，研究人员将描述使用的治疗方法 由城市，低收入黑人，而不是西班牙裔和西班牙裔成人哮喘使用 对50名患者访谈的归纳分析。在目标2中，研究人员将 确定使用替代疗法是否妨碍或促进患者 使用描述性和双变量分析ICS治疗依从性。的 确定患者使用的治疗方法可能会促进更好的 对治疗哮喘的一系列疗法的赞赏， 社区，并可能鼓励供应商之间更开放的沟通， 患者

DESCRIPTION: (provided by applicant) Asthma prevalence, morbidity and mortality are increasing and disproportionate increases have been noted in low-income urban minority patients. Despite excellent pharmacotherapy, adherence to inhaled corticosteroids (ICS), a cornerstone of asthma therapy, remains poor. Evidence now suggests that folk and spiritual healing are widely used in inner city minority patients however, little is known about the specific types of therapies used for asthma and the impact of their use on patient adherence to ICS. The central hypothesis states that urban low-income Black, not Hispanic and Hispanic adults with asthma use folk and spiritual healing and that use affects adherence to prescribed ICS therapy. These therapies may serve as alternatives to prescribed medications because of patients concerns over safety and efficacy of ICS use. Alternatively, patients who are actively engaged in the management of their disease may avail themselves of both complementary and prescribed therapies. In Aim 1, the researcher will characterize therapies used by urban, low-income Black, not Hispanic and Hispanic adults with asthma using inductive analysis of 50 patient interviews. In Aim 2, the investigator will determine whether use of alternative therapies impedes or promotes patient adherence to ICS therapy using descriptive and bivariate analysis. The identification of therapies that patients use will likely promote a better appreciation for the array of therapies available to treat asthma in the community and may encourage more open communication between providers and patients.