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 and gender on control. It will use highly tailor, telephone counseling approach designed to foster partnership with the clinician, resolution of specific asthma 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, 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 #
5R18HL094272-05
Application #
8511786
Study Section
Special Emphasis Panel (ZHL1-CSR-Z (O2))
Program Officer
Freemer, Michelle M,
Project Start
2009-09-30
Project End
2014-06-30
Budget Start
2013-07-01
Budget End
2014-06-30
Support Year
5
Fiscal Year
2013
Total Cost
$660,418
Indirect Cost
$232,963
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
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