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A web-based, tailored asthma management program for urban African-American high school students
Christine L M Joseph1, Edward Peterson, Suzanne Havstad
1Senior Staff Epidemiologist, Henry Ford Health System, Department of Biostatistics & Research Epidemiology, Detroit, MI 48202, USA. cjoseph1@hfhs.org
American Journal of Respiratory and Critical Care Medicine
|February 10, 2007
Summary
A web-based asthma management program effectively improved health outcomes for urban African-American youth. This tailored intervention is cost-effective and feasible for engaging this hard-to-reach population.
Area of Science:
- Public Health
- Health Disparities
- Digital Health Interventions
Background:
- Urban African-American youth (15-19 years) experience disproportionately high asthma fatality rates.
- This demographic is traditionally considered difficult to engage in health programs.
- Few targeted interventions exist for this high-risk population.
Purpose of the Study:
- To develop and evaluate a multimedia, web-based asthma management program for urban high school students.
- To utilize tailored, theory-based messages to modify asthma management behaviors.
- To address individual user beliefs, attitudes, and barriers to change.
Main Methods:
- Randomized controlled trial comparing a tailored web-based program to generic asthma websites.
- Intervention delivered via school computers to students with asthma symptoms.
- Outcomes measured at baseline and 12 months post-intervention.
Main Results:
- The tailored program significantly reduced asthma symptom days, nights, and school absences.
- Treatment group showed fewer asthma-related hospitalizations and restricted activity days.
- Positive management behaviors increased, with a low delivery cost of $6.66 per student.
Conclusions:
- A web-based, tailored asthma management program is economical, feasible, and effective.
- This approach successfully improves asthma outcomes in a hard-to-reach urban youth population.
- Personalized digital health interventions can bridge gaps in care for underserved communities.
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