Peer-Assisted Asthma Self-Management Program for Adolescents
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Asthma
- Sponsor
- University of Rochester
- Enrollment
- 126
- Locations
- 1
- Primary Endpoint
- Pediatric Asthma Quality of Life Questionnaire (PAQLQ)
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
Aims of this study are:
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To determine the feasibility of implementing the intervention using a peer-assisted asthma day camp for adolescents with asthma.
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To determine patterns of change in knowledge, attitudes toward asthma, self-efficacy, perception of barriers, and self-management behaviors, asthma control and quality of life over time among peer leaders.
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To test the following hypothesis:
- Adolescents participating in a peer-assisted asthma camp program will report improved knowledge, attitudes toward asthma, self-efficacy, and self-management behaviors, decreased perception of barriers, and increased asthma control and quality of life at 3-, 6- and 9-months post-intervention compared with the adult-led camp group.
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To examine the moderating effect of personal factors (e.g., age, sex, socioeconomic status, race, illness status, family support) on intervention outcomes such as self-management behaviors, asthma control and quality of life in adolescents with asthma.
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To examine the effect of the peer-assisted camp program on self-reported health care utilization including emergency department visits, days of hospitalization, outpatient visits by comparing between baseline and 9-months post-camp data and between the peer-led camp and the adult-camp programs.
Investigators
Hyekyun Rhee
Associate Professor
University of Rochester
Eligibility Criteria
Inclusion Criteria
- •age between 13-18 years
- •mild, moderate or severe persistent asthma specified by the NHLBI Asthma guidelines
- •asthma diagnosis \> 1 year
- •no other major chronic/emotional health concerns
- •ability to understand spoken and written English. Participants were recruited from the communities through flyers, newspaper ads, and referrals from clinics and schools.
- •Eligibility criteria for peer leaders included:
- •age between 16-20 years
- •nomination from school teachers/nurses or health care providers
- •average grade point B or above in the past school year
- •fulfillment of eligibility criteria (2)-(5) prescribed for adolescent participants.
Exclusion Criteria
- •learning disabilities based on reports from parents, teachers or clinicians
Outcomes
Primary Outcomes
Pediatric Asthma Quality of Life Questionnaire (PAQLQ)
Time Frame: 9 months post camp
Twenty-three items cover problems identified as being most important and troublesome in children's everyday lives due to asthma. This scale is effective in evaluating and discriminating because of its high sensitivity to changes in asthma status within and between individuals with varying severity of asthma. Respondents are asked to recall impairments experienced during the previous week. The scale consists of three subdomains including symptoms (10 items), emotional function (8 items) and activity limitation (5 items). Each item was measured on a 7-point scale; 1 indicates maximum impairment, and 7 indicates no impairment. Higher total scores indicate better levels of functioning. Total scores were computed by summing responses from all items (range:24-161)
Asthma Control Questions
Time Frame: 9 months post camp
This measure assesses the frequencies of the limitation of daily activity, asthma symptoms (daytime and nighttime) and use of rescue medication in the past 4 weeks on a 5-point scale (0-4). Total summed scores were computed (range: 4-16). Higher total scores indicate better controlled asthma.
Secondary Outcomes
- Asthma Self-Efficacy(9 months post camp)
- Illness Management Survey(9 months post camp)
- Attitude Toward Illness Scale(9 months post camp)
- Asthma Knowledge Questionnaire(9 months post camp)
- Forced Expiratory Volume in 1 Second (FEV1) % Predicted(9 months post camp)
- Health Care Utilization Events(9-months postcamp)