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

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).
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.
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.
ASMA-Undx is a feasible and promising intervention to assist urban adolescents with undiagnosed asthma obtain a diagnosis and treatment.
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.
AuthorsJean-Marie Bruzzese, Sharon Kingston, Beverley J Sheares, Amarilis Cespedes, Hossein Sadeghi, David Evans
JournalPatient education and counseling (Patient Educ Couns) Vol. 85 Issue 2 Pg. 290-4 (Nov 2011) ISSN: 1873-5134 [Electronic] Ireland
PMID20970946 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, N.I.H., Extramural)
CopyrightCopyright © 2010 Elsevier Ireland Ltd. All rights reserved.
  • Adolescent
  • Asthma (diagnosis, ethnology, prevention & control)
  • Feasibility Studies
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Minority Groups
  • Outcome and Process Assessment (Health Care)
  • Patient Education as Topic
  • Pilot Projects
  • Primary Health Care
  • School Health Services (organization & administration)
  • Urban Population

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research network!

Choose Username:
Verify Password: