ACTION Intervention: Physical Activity in Minority Women with Asthma

摘要 哮喘是一种高度流行的慢性疾病，对非裔美国人(AA)妇女的影响不成比例。 AA女性与哮喘相关的生活质量较差，哮喘恶化的比率较高，医疗保健 与高加索妇女的使用率和死亡率进行比较。此外，AA级女性的体力活动比任何女性都要少 其他成人亚群，这可能有助于解释哮喘健康差异，发现在AA和 高加索女性。哮喘患者缺乏运动与哮喘控制不良有关 和呼吸功能，更高的卫生保健利用率，以及更差的生活质量。鉴于两者之间的联系 哮喘预后差和缺乏体力活动，解决久坐不动的AA女性的体力活动(PA)问题 哮喘是势在必行的。体力活动显示哮喘的转归有明显改善 哮喘控制、生活质量和医疗保健利用。尽管有这些好处，只有不到25%的再障女性 患有哮喘的人应定期进行体育锻炼。行动干预：少数民族的体育活动 女性哮喘是一项为期8个月的社区步行干预措施，适用于 久坐不动的哮喘再生障碍性贫血妇女。此应用程序建议获取并纳入利益相关者的意见 哮喘患者参与体力活动的障碍和促进者是一个有效的社区基础 步行干预。一旦修改，我们将在10名参与者中预试干预，进一步细化 对参与者的反馈进行响应，然后测试可行性、可接受性并评估 在方便实用的社区环境中对80名参与者进行随机对照试验的干预 专为久坐不动的AA女性准备的。通过课程学习、实践经验和强大的指导，这个项目将 为敬业的候选人提供成为独立调查员所需的技能，并建立 设计和实施健康促进干预措施改善哮喘的有效研究计划 在少数群体中的结果。

ABSTRACT Asthma is a highly prevalent chronic disease that disproportionately impacts African American (AA) women. AA women have poorer asthma-related quality of life and higher rates of asthma exacerbations, healthcare utilization and mortality compared to Caucasian women. Further, AA women are less physically active than any other subgroup of adults, which may help explain the asthma health disparities, found between AA and Caucasian women. Physical inactivity among individuals with asthma is associated with poor asthma control and respiratory function, greater health care utilization, and poorer quality of life. Given the connection between poor asthma outcomes and physical inactivity, addressing physical activity (PA) among sedentary AA women with asthma is imperative. Physical activity demonstrated improvement in asthma outcomes specifically asthma control, quality of life and healthcare utilization. Despite these benefits, fewer than 25% of AA women with asthma engage in regular physical activity. The ACTION intervention: physicAl aCtiviTy In minOrity womeN with asthma is a 8-month community-based walking intervention refined to be applicable for sedentary AA women with asthma. This application proposes to obtain and incorporate stakeholder input on the barriers and facilitators to engaging in physical activity with asthma to a validated community-based walking intervention. Once modified, we will pre-pilot the intervention in 10 participants, refine further in response to participant feedback and then test the feasibility, acceptability and estimate the efficacy of the intervention in a randomized controlled pilot of 80 participants within a pragmatic community setting convenient for sedentary AA women. Through coursework, hands-on experience and strong mentorship this project will provide the dedicated candidate with the necessary skills to become an independent investigator and build an impactful research program on designing and implementing health promotion interventions to improve asthma outcomes in minority populations.