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ACT-asthma control y tratamiento para niños: a progress report
M A Lewis1, A de la Sota, G Rachelefsky
1Department of Medicine, School of Medicine, University of California, Los Angeles 90024.
Health Education Quarterly
|January 1, 1987
Summary
This study evaluates a redesigned asthma educational program, "ACT-Asma Control y Tratamiento Para Niños," for Latino children and parents. The program addresses healthcare access barriers through nurse-led care coordination and experiential learning.
Area of Science:
- Pediatric Asthma Management
- Health Disparities in Minority Populations
- Community Health Interventions
Background:
- Asthma disproportionately affects Latino children, compounded by significant barriers to healthcare access and continuity.
- Previous asthma self-management programs require adaptation to address socioeconomic factors and cultural contexts.
- Pilot study findings highlighted socioeconomic status as a critical variable influencing program design.
Purpose of the Study:
- To evaluate the effectiveness of a culturally adapted asthma educational program for Latino children and their parents.
- To address and mitigate barriers to medical care access and continuity experienced by Latino families.
- To enhance asthma self-management skills through a redesigned, community-linked intervention.
Main Methods:
- A randomized clinical trial is currently evaluating the "ACT-Asma Control y Tratamiento Para Niños" program.
- The intervention is an adaptation of the "ACT for Kids" program, incorporating nurse-led care coordination.
- Program design emphasizes concrete, experiential learning with repeated key messages.
Main Results:
- Pilot data indicated socioeconomic status significantly impacts program design needs.
- The redesigned intervention aims to reduce healthcare access barriers for Latino families.
- Ongoing trial will assess program outcomes in pediatric asthma self-management.
Conclusions:
- Culturally adapted and barrier-reducing asthma programs are essential for Latino children.
- Integrating care coordination and experiential learning enhances self-management support.
- Further research is needed to confirm the efficacy of this redesigned intervention.