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对城市拉丁裔中学儿童进行同行管理的喘管理干预措施的开发和定制

Daphne Koinis-Mitchell^1,2, Christina D'Angelo^1,2, Maria Teresa Coutinho³

¹Bradley/Hasbro Children's Research Center, Providence, RI, USA.

The Journal of asthma : official journal of the Association for the Care of Asthma

|August 4, 2025

概括

这项研究为城市拉丁裔青年开发了学校喘自我管理 (ASMAS) 干预措施. 文化定制的喘自我管理改善了控制,睡眠和减少了缺课时间.

科学领域:

儿科喘管理儿科喘管理
城市青年的健康差异
基于学校的健康干预措施

背景情况:

拉丁裔儿童面临着独特的喘挑战,城市压力因素加剧了这种挑战.
学校喘管理至关重要,但经常被忽视.
现有的干预措施可能无法有效解决文化和环境因素.

研究的目的:

为城市拉丁裔中学学生开发和试点测试一个文化定制的,同行促进的喘自我管理干预措施.
在学校环境中解决喘护理方面的差距.
评估ASMAS干预措施的可行性和初步有效性.

主要方法:

通过代反和重点小组开发了学校喘自我管理 (ASMAS) 干预措施.
对81名中学生进行了试点随机对照试验 (RCT).
将ASMAS与注意力控制和无治疗控制组进行比较,测量喘控制,睡眠,缺席,自我有效性和药物/行动计划的可用性.

主要成果:

与注意力控制组相比,ASMAS参与者在喘控制方面显著改善,与喘相关的睡眠障碍减少,学校缺勤减少.
参与ASMAS小组的参与者表现出更高的喘管理自我有效性.
在ASMAS组中观察到更高的喘行动计划和救援吸入器可用性.

结论:

在城市学校环境中,ASMAS干预是可行的.
文化定制,同行促进的喘自我管理显示出改善儿科喘结果的希望.
进一步的大规模RCT是有必要的,以确认有效性,实施和可持续性.

关键词:

中学学生的学生.儿科喘儿科喘儿科喘以同行为主导的干预.基于学校的干预措施

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