A randomized clinical trial of a culturally responsive intervention for African American women with asthma.
Ann Allergy Asthma Immunol
; 118(2): 212-219, 2017 02.
Article
em En
| MEDLINE
| ID: mdl-28034579
ABSTRACT
BACKGROUND:
Few interventions have focused on the difficulties that African American women face when managing asthma.OBJECTIVE:
To evaluate a telephone-based self-regulation intervention that emphasized African American women's management of asthma in a series of 6 sessions.METHODS:
A total of 422 African American women with persistent asthma were randomly assigned to either an intervention or control group receiving usual care. Behavioral factors, symptoms and asthma control, asthma-related quality of life, and health care use at baseline and 2 years after baseline were assessed. Generalized estimating equations were used to assess the long-term effect of the intervention on outcomes.RESULTS:
Compared with the control group, those who completed the full intervention (6 sessions) had significant gains in self-regulation of their asthma (B estimate, 0.73; 95% CI, 0.17-1.30; P < .01), noticing changes to their asthma during their menstrual cycle (B estimate, 1.42; 95% CI, 0.69-2.15; P < .001), and when having premenstrual syndrome (B estimate, 1.70; 95% CI, 0.67-2.72; P < .001). They also had significant reductions in daytime symptoms (B estimate, -0.15; 95% CI, -0.27 to -0.03; P < .01), asthma-related hospitalization (B estimate, 0.51; 95% CI, 0.00-1.02; P < .05), and improved asthma control (B estimate, 1.34; 95% CI, 0.57-2.12; P < .001). However, neither grouped changed over time in outcomes.CONCLUSION:
Despite high comorbidity, African American women who completed a culturally responsive self-management program had improvements in asthma outcomes compared with the control group. Future work should address significant comorbidities and psychosocial issues alongside asthma management to improve asthma outcomes in the long term. TRIAL REGISTRATION clinicaltrials.gov Identifier NCT01117805.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Asma
/
Negro ou Afro-Americano
/
Educação de Pacientes como Assunto
/
Cultura
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Ann Allergy Asthma Immunol
Assunto da revista:
ALERGIA E IMUNOLOGIA
Ano de publicação:
2017
Tipo de documento:
Article