An individualized intervention to improve asthma management among urban Latino and African-American families

被引：96

作者：

Bonner, S ^{[1
]}

Zimmerman, BJ ^{[1
]}

Evans, D ^{[1
]}

Irigoyen, M ^{[1
]}

Resnick, D ^{[1
]}

Mellins, RB ^{[1
]}

机构：

[1] New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY 10029 USA

来源：

JOURNAL OF ASTHMA | 2002年 / 39卷 / 02期

基金：

美国国家卫生研究院;

关键词：

asthma; self-management; self-regulation; intervention program; urban population; health education; prevention; individualized; behavioral change;

D O I：

10.1081/JAS-120002198

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

We hypothesized that an educational intervention based on a readiness model would lead to improved health outcomes among patients with asthma. Within a randomized control design in an urban Latino and African-American community, we conducted an intensive three-month pediatric intervention. A Family Coordinator provided patient education based on a readiness-to-learn model, and facilitated improved interactions between the patient and the doctor. Family education addressed the most basic learning needs of patients with asthma by improving their perception of asthma symptom persistence using asthma diaries and peak flow measures. The physician intervention focused clinicians' attention on patients' diary records and peak flow measures, and encouraged physicians to use stepped action plans. Patients were also tested for allergic sensitization and provided strategies to reduce contact with allergens and other asthma triggers. The results showed significant improvements by intervention group families on measures of knowledge, health beliefs, self-efficacy, self-regulatory skill, and adherence: decreases in symptom persistence and activity restriction: and increased prescription of anti-inflammatory medication by the physicians of the intervention group families.

引用

页码：167 / 179

页数：13

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