Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: New York (cont’d)
Asthma Self-Regulation in Families
Center for Urban Epidemiologic Studies, New York Academy of Medicine
New York, NY
Sebastian Bonner, PhD
Asthma Self-Regulation in Families was developed by the Center for Urban Epidemiologic Studies of the New York Academy of Medicine. Researchers 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, researchers 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 based 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.
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