Feasibility and preliminary outcomes of a school-based intervention for inner-city, ethnic minority adolescents with undiagnosed asthma

PATIENT EDUCATION AND COUNSELING

卷:85

Article

Bruzzese, Jean-Marie¹  Kingston, Sharon²  Sheares, Beverley J.³  Cespedes, Amarilis¹  Sadeghi, Hossein³  Evans, David³ 

[1] NYU, Sch Med, New York, NY 10016 USA

[2] Dickinson Coll, Carlisle, PA 17013 USA

[3] Columbia Univ Coll Phys & Surg, New York, NY USA

关键词: Asthma;    Adolescents;    Ethnic minorities;    Intervention;    Undiagnosed asthma;   

DOI  :  10.1016/j.pec.2010.09.019

来源: Elsevier

【 摘 要 】

Objective: To describe and test the feasibility of asthma self-management for adolescents with undiagnosed asthma (ASMA-Undx), an 8-week school-based intervention for urban adolescents comprised of three group and five individual coaching sessions, and academic detailing for their primary care providers (PCPs). Methods: Thirty high school students (mean age 15.9; 92% female; 72% Latino/a) who reported symptoms of persistent asthma, but no diagnosis were randomized to ASMA-Undx or a no-treatment control group. Interviews were conducted pre- and post-intervention. Results: All intervention students participated in the three group sessions; 64% received all five individual coaching sessions. Academic detailing telephone calls made by a pediatric pulmonologist reached 83% of the students' PCPs. Relative to controls, a significantly greater proportion of ASMA-Undx students were diagnosed (79% versus 6%, respectively), and prescribed asthma medication (57% versus 6%, respectively). Barriers to diagnosis and treatment included students' and parents' lack of knowledge about asthma. Conclusion: ASMA-Undx is a feasible and promising intervention to assist urban adolescents with undiagnosed asthma obtain a diagnosis and treatment. Practice implications: ASMA-Undx has the potential to reach many adolescents because it is school-based. It can serve as a model for interventions targeting other pediatric illnesses. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free