Research and practice efforts in asthma continue to overlook one of the most vulnerable subgroups of Americans, minority women. Women of color, especially African Americans, bear a significantly disproportionate burden of asthma among adults. However, no rigorous trial of an intervention to assist them with their particular challenges can be located. The proposed randomized controlled trial will evaluate an innovative intervention in 420 African American women with asthma. It will be the first to address both specific cultural factors affecting asthma and the influence of female sex and gender on control. It will use a highly tailored, telephone counseling approach designed to foster partnership with the clinician, resolution of specific asthma management problems, and identification of important contributing influences often misunderstood or ignored by women themselves as well as the health care system. It will attend closely to the role of allergy in asthma management as patients in the African American population have been shown to be at greater risk for allergic asthma. Data will be collected at baseline, 12, and 24 months by telephone interview and from medical records. The hypotheses of the research are that women in the intervention group when compared to the control group will: ? Have higher levels of asthma-related quality of life; ? Experience fewer symptoms of asthma; ? Use emergency department services for asthma less frequently and need urgent care in a physician's office less often; ? Be hospitalized for asthma less frequently. The intervention aims to reduce the burden of asthma as carried by a large subgroup of the adult population. It employs state of the art asthma management strategies and creative means to reach and help patients at high risk of asthma exacerbations and health care use

Public Health Relevance

The proposed randomized controlled trial will evaluate an innovative intervention in 420 African American women with asthma. It will be the first to use a highly tailored, telephone counseling approach to address both specific cultural factors affecting asthma and the influence of female sex and gender on control.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Demonstration and Dissemination Projects (R18)
Project #
3R18HL094272-02S1
Application #
8194523
Study Section
Special Emphasis Panel (ZHL1-CSR-Z (O2))
Program Officer
Smith, Robert A
Project Start
2009-09-30
Project End
2014-06-30
Budget Start
2010-12-01
Budget End
2011-06-30
Support Year
2
Fiscal Year
2011
Total Cost
$84,743
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Patel, Minal R; Song, Peter X K; Sanders, Georgiana et al. (2017) A randomized clinical trial of a culturally responsive intervention for African American women with asthma. Ann Allergy Asthma Immunol 118:212-219
Aaron, Micah; Nelson, Belinda W; Kaltsas, Elena et al. (2017) Impact of Goal Setting and Goal Attainment Methods on Asthma Outcomes. Health Educ Behav 44:103-112
Patel, Minal R; Wheeler, John R C (2014) Physician-patient communication on cost and affordability in asthma care. Who wants to talk about it and who is actually doing it. Ann Am Thorac Soc 11:1538-44
Patel, Minal R; Caldwell, Cleopatra H; Song, Peter X K et al. (2014) Patient perceptions of asthma-related financial burden: public vs. private health insurance in the United States. Ann Allergy Asthma Immunol 113:398-403
Janevic, Mary R; Ellis, Katrina R; Sanders, Georgiana M et al. (2014) Self-management of multiple chronic conditions among African American women with asthma: a qualitative study. J Asthma 51:243-52
Patel, Minal R; Nelson, Belinda W; Id-Deen, Effat et al. (2014) Beyond co-pays and out-of-pocket costs: perceptions of health-related financial burden in managing asthma among African American women. J Asthma 51:1083-8
Patel, Minal R; Caldwell, Cleopatra H; Id-Deen, Effat et al. (2014) Experiences addressing health-related financial challenges with disease management among African American women with asthma. J Asthma 51:467-73
Patel, Minal R; Shah, Smita; Cabana, Michael D et al. (2013) Translation of an evidence-based asthma intervention: Physician Asthma Care Education (PACE) in the United States and Australia. Prim Care Respir J 22:29-36
Janevic, Mary R; Rosland, Ann-Marie; Wiitala, Wyndy et al. (2012) Providing support to relatives and friends managing both chronic physical illness and depression: the views of a national sample of U.S. adults. Patient Educ Couns 89:191-8
Clark, Noreen M; Ko, Yi-An; Gong, Z Molly et al. (2012) Outcomes associated with a negotiated asthma treatment plan. Chron Respir Dis 9:175-82

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