A Patient-Centered Asthma Management Communication Intervention for Rural Latino Children

K23摘要 以患者为中心的哮喘管理沟通干预 为农村拉美裔儿童服务 描述：患有哮喘的拉美裔农村儿童患哮喘的几率很高 症状、急诊科就诊和重复住院。这很容易受到攻击 人们必须应对影响哮喘管理的微观和宏观层面的挑战， 包括语言障碍、初级保健服务、父母休假时间、保险 覆盖范围、距专业站点的距离和文档状态。几乎没有得到证实的 解决这一独特背景下的哮喘管理的干预措施。使用 生物生态学的方法，我们将确定以患者为中心的协作的可行性 农村拉丁裔哮喘儿童及其家庭之间的计划，学校为基础的护理，以及 初级保健提供者，通过使用基于智能手机的移动应用程序(移动电话 应用程序)，具有西班牙语界面。我们假设通过以下方式改善沟通 以患者为中心的协作式干预将改善哮喘管理，增强 患者和家庭，减少结果差异，降低直接和间接成本。这个 这项研究的具体目标包括：1)制作和验证现有的 哮喘管理应用程序，并评估其与患有哮喘儿童的拉丁裔父母的可用性； 2)开发和评估以患者为中心的三项哮喘干预初步方案， 由AIM 1中验证的双语移动应用程序提供帮助；以及3)调查 使用等待名单随机对照试验(RCT)的AIM 2以患者为中心的哮喘干预 调查干预对旷课天数和服药依从性的影响。 这项研究的结果将被用于支持一项全面的随机对照试验R01赠款 本奖项第四年的申请。职业发展奖将为埃斯特拉达博士提供 需要指导和培训，以发展农村哮喘差距的知识和技能 研究、干预开发和计划评估，以及技术集成- 以干预为基础。在颁奖结束时，她将负责设计、实施和 评估将对农村哮喘差异产生重大影响的研究。

K23 Abstract A Patient-Centered Asthma Management Communication Intervention for Rural Latino Children DESCRIPTION: Rural Latino children with asthma suffer high rates of uncontrolled asthma symptoms, emergency department visits, and repeat hospitalizations. This vulnerable population must negotiate micro and macro level challenges that impact asthma management, including language barriers, primary care access, parental time off from work, insurance coverage, distance from specialty sites, and documentation status. There are few proven interventions that address asthma management embedded within this unique context. Using a bio-ecological approach, we will determine the feasibility of a patient-centered collaborative program between rural Latino children with asthma and their families, school based nursing, and primary care providers, facilitated by the use of a smart phone based mobile application (mobile app) with a Spanish-language interface. We hypothesize that improving communication through a collaborative, patient-centered intervention will improve asthma management, empower the patient and family, decrease outcome disparities, and decrease direct and indirect costs. The specific aims of this study include: 1) Produce and validate a Spanish translation of an existing asthma management app and evaluate its usability with Latino parents of children with asthma; 2) Develop and evaluate a triadic, patient-centered asthma intervention preliminary protocol, facilitated by the bilingual mobile app validated in aim 1; and 3) Investigate the feasibility of the patient-centered asthma intervention from aim 2 using a wait list randomized control trial (RCT) to investigate the effects of the intervention on school days missed and medication adherence. The results of this study will be used to support a full scale randomized control trial R01 grant application in Year 4 of this award. The career development award will provide Dr. Estrada the mentoring and training needed to develop knowledge and skills in rural asthma disparities research, intervention development and program evaluation, and integration of technology- based interventions. At the close of the award, she will be positioned to design, implement, and evaluate research that will significantly impact rural asthma disparities.