More than half of the adults with asthma in the US are female. Prevalence of asthma in women appears to be increasing, and morbidity and mortality rates for this group are significantly higher than rates for men. Recent studies point to unique features in women's management of asthma potentially attributable to gender. These include, for example, factors associated with hormonal cycles, (e.g. menses, pregnancy, menopause) and social roles (e.g. household tasks exposing one to environmental triggers, caregiving to children and relatives interfering with asthma management etc.) To date, no rigorously evaluated intervention expressly designed for women with asthma has been reported in the literature. The proposed study will evaluate an asthma education program in a study of 512 women with asthma modeled on a successful intervention for women with heart disease shown to improve physical and psychosocial functioning. The study will assess the impact of an innovative asthma management program based on principles of self- regulation and tailored to unique needs of women with asthma. It is expected that when compared to women randomly assigned to the treatment group will exhibit fewer gender-related asthma management problems, higher levels of physical functioning, fewer days of missed work, increased satisfaction with their quality of life, less frequent symptoms, and reduced use of health services.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Demonstration and Dissemination Projects (R18)
Project #
5R18HL060884-03
Application #
6530703
Study Section
Special Emphasis Panel (ZHL1-CSR-I (O1))
Program Officer
Taggart, Virginia
Project Start
2000-03-01
Project End
2005-02-28
Budget Start
2002-03-01
Budget End
2003-02-28
Support Year
3
Fiscal Year
2002
Total Cost
$731,193
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Miscellaneous
Type
Schools of Public Health
DUNS #
791277940
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
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Clark, Noreen M; Gong, Z Molly; Wang, Si Jian et al. (2007) A randomized trial of a self-regulation intervention for women with asthma. Chest 132:88-97