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

AbstractOBJECTIVE:
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.
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.
Topics
  • 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

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