Asthma and Technology in Emerging African American Adults (The ATHENA Project): Protocol for a Trial Using the
Alan Baptist1,2, Wanda Gibson-Scipio3, April Idalski Carcone4
1Department of Internal Medicine, University of Michigan, Ann Arbor, MI, United States.
JMIR Research Protocols
|May 10, 2022
Summary
This study developed a mobile asthma management program for African American emerging adults (AAEAs). The intervention uses technology to improve asthma control and health outcomes in this underserved population.
Area of Science:
- Digital health interventions
- Behavioral science
- Asthma management
Background:
- Asthma significantly impacts African American emerging adults (AAEAs; 18-30 years) in the US, yet few programs target them.
- Effective asthma management requires education and addressing motivation, but intensive interventions are challenging for this group.
Purpose of the Study:
- To develop an effective mobile asthma management intervention tailored to improve asthma control in AAEAs.
Main Methods:
- Utilized a multiphase optimization strategy (MOST) framework to test and combine technological components: a mobile motivational enhancement system, nurse-delivered supportive accountability via calls, SMS reminders, and wearable physical activity tracking.
- A factorial design experiment with 180 participants randomized into 6 arms to identify the most effective intervention combination.
- Data collected at baseline, 3, 6, and 12 months post-intervention.
Main Results:
- An empirically supported, optimized mobile asthma management intervention will be developed.
- Hypothesized clinically significant improvements in asthma control at 3, 6, and 12 months post-intervention.
- Anticipated improvements in asthma management behaviors, quality of life, symptoms, adherence, and reduced exacerbations.
Conclusions:
- AAEAs are disproportionately affected by asthma and underrepresented in research.
- Mobile interventions offer a promising approach to enhance asthma control and improve health.
- This project employs an innovative strategy to optimize a mobile intervention combining education, an app, and text messaging.
Keywords:
African American emerging adultsasthma controlasthma managementmHealthmobile healthmotivational interviewingphysical activityMore Related Videos
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