Project Details - Ended
- Grant Number:R21 HS020977
- Funding Mechanism:
- AHRQ Funded Amount:$296,716
- Principal Investigator:
- Project Dates:9/30/2012 to 3/31/2015
- Medical Condition:
- Type of Care:
- Health Care Theme:
Asthma is a condition for which a tremendous amount of health care disparities and inequities are observed. African American adults aged 18-30 have some of the highest asthma prevalence rates, as well as very poor measures of asthma control. This is due in part to the fact that young adulthood represents a dramatic change for an individual, where for the first time they may be responsible for their own health care, finances, education, and employment.
An Internet-based interactive health communication program offers a unique way to address challenges and improve asthma care for this population. It provides a mechanism to deliver asthma education, personalize recommendations, and improve communication with health care providers at a time convenient to the participant. Such a program can be provided with minimal human support, making it ideal for urban environments that may not have the resources for health educators.
The specific aims of this project are to:
- Determine challenges to asthma management, and to investigate the benefits and potential pitfalls of an Internet-based asthma intervention for young adult African American patients.
- Develop a consumer health informatics application for young adult asthma patients in urban areas.
- Determine the feasibility of using a health informatics application as a way to improve asthma-specific outcomes.
The program will be based on the self-regulation theory of behavior, which will enhance the participants’ ability to self-manage this chronic condition. Focus groups will be utilized to ensure that the participant’s perspective is fully conveyed. The findings from the focus groups will be incorporated into a multi-session Internet-based intervention. This intervention will incorporate both standard asthma education delivered by video and personalized messages of how to overcome each individual’s specific challenges. Asthma-specific outcomes will be assessed at 3 and 6 months. These will include quality of life, asthma symptoms, asthma control, self-efficacy, and health care utilization.