Navigation Links
Web-based Asthma Program Improves Disease Management for Black Students

Low-income African-American high school students with asthma who participated in a specially-designed, web-based disease management program reported fewer days and nights with symptoms, fewer school days missed, fewer days of restricted activity, and less hospitalization for asthma during a 12-month follow-up period, as compared to non-participating asthmatic students.

Christine L. M. Joseph, M.P.H, Ph.D., Senior Staff Epidemiologist for the Henry Ford Health System in Detroit, and 10 associates studied 314 mostly black students at six high schools in Detroit. Of the group, 162 students took part in four tailored web-based asthma intervention educational sessions. By contrast, a control group of 152 students had access to generic asthma websites.

The web-based program, which the researchers call Puff City, tried to teach the teenagers positive behaviors to help them better manage their asthma. It focused on three core behaviors: controller medication adherence, rescue inhaler availability and smoking cessation or reduction.

To our knowledge, our program is the first tailored, web-based multimedia asthma program for urban high school students evaluated in a non-clinic community setting, said Dr. Joseph. Results suggest that, for students in the treatment arm, functional status was significantly improved and the state of being diseased was significantly reduced when compared with a control group with access to generic asthma education websites.

During the study, the treatment group reported slightly less than one night of symptoms every two weeks, as contrasted with the control group, which reported 1.5 symptom nights. The treatment group missed less than half a school day every 30 days, while the control group missed 1.2 school days. Likewise, the treatment group experienced 1.3 days of restrictive activity every two weeks, in contrast to the control group at 2.3.

According to the authors, the nee d for such an educational program is evidenced by the growing rate of asthma in African-Americans between the ages of 15 to 24. From 1997 to 2001, these teenagers developed asthma at a rate 75 percent higher than white people in the same age bracket.

National guidelines recommend that patient asthma education include information on asthma medication and its mechanism of action, appropriate techniques for using inhalers and spacers, asthma trigger avoidance and plans to respond to asthma symptoms, said Dr. Joseph. Asthma education for adolescents should also address depression, unresolved anger at having the disease, denial and fear of being perceived as weak or different.

The average age of participants was about 15. Female students, who comprised 63 percent of the cohort, said being labeled asthmatic concerned them less than it did the male students.

More students participated at the three high schools with school-based clinics, than did at the three that did not feature such services (35 versus 23 percent).

The investigators noted that because all schools had existing computer resources, the major cost in program delivery was associated with hiring a referral coordinator. The referral coordinator assessed student needs, helped to find a doctor and obtained medication when applicable, and referred students to appropriate agencies or community resources as needed.

Periodically, a risk assessment report was generated based on student responses to certain key questions in the program which indicated a need for assistance. These included a report of possible depression, severe and persistent asthma symptoms, sharing medication with a friend or relative, lack of a physician or health insurance and need for an inhaler.


'"/>




Related medicine news :

1. New Drug for Bronchial Asthma
2. Asthma may actually be prevented by Dust and Dirt
3. Inhaled Steroids Safe & Effective for Children with Asthma
4. What happens when Asthmatics consume Aspirin?
5. Asthma! A new warning for heart disease
6. Asthma linked to obesity
7. Higher Risk of Asthma in children with autoimmune disease
8. Asthmatics at increased risk of lung cancer
9. Cleanliness might lead to Asthma
10. Asthma is not just a childhood condition
11. Asthma not just a childhood condition
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified ... be personalized through a fitness app. The fitness app plans to fix the two major ... only offer a one size fits all type program , They don’t eliminate ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... Austin residents ... the American College of Mohs Surgery and to Dr. Russell Peckham for medical and ... highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , the ... Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. , “We ... new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary of ... award to iHire in recognition of their exemplary accomplishments in worksite health promotion. , ... Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was ...
(Date:6/24/2016)... ... 24, 2016 , ... Those who have experienced traumatic events may suffer from ... avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid this ... coping following a traumatic event. , Trauma sufferers tend to feel a range of ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016 Dehaier Medical Systems Ltd. (NASDAQ: ... markets and sells medical devices and wearable sleep respiratory ... strategic cooperation agreement with Hongyuan Supply Chain Management Co., ... June 20, 2016, to develop Dehaier,s new Internet medical ... Dehaier will leverage Hongyuan Supply Chain,s sales platform to ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... "The World Market for Companion Diagnostic Tests" report to ... World Market for Companion Diagnostics The World ... diagnostic and personalized medicine diagnostics. Market analysis in the report ... Diagnostics Test Market (In Vitro Diagnostic Kits) by Region (N. ...
(Date:6/24/2016)... --  Pulmatrix, Inc ., (NASDAQ: PULM ), ... today that it was added to the Russell Microcap ... set of U.S. and global equity indexes on June ... for Pulmatrix," said Chief Executive Officer Robert Clarke ... in developing drugs for crucial unmet medical needs, and ...
Breaking Medicine Technology: