Wise Meg, Gustafson David H, Sorkness Christine A, Molfenter Todd, Staresinic Anthony, Meis Tracy, Hawkins Robert P, Shanovich Kathleen Kelly, Walker Nola P
Center for Health Systems Research and Analysis, University of Wisconsin-Madison in Madison, Wisconsin, USA.
Health Promot Pract. 2007 Jul;8(3):282-91. doi: 10.1177/1524839906289983. Epub 2006 Aug 23.
This article reports on the development of a personalized, Web-based asthma-education program for parents whose 4- to 12-year-old children have moderate to severe asthma. Personalization includes computer-based tailored messages and a human coach to build asthma self-management skills. Computerized features include the Asthma Manager, My Calendar/Reminder, My Goals, and a tailored home page. These are integrated with monthly asthma-education phone calls from an asthma-nurse case manager. The authors discuss the development process and issues and describe the current randomized evaluation study to test whether the year-long integrated intervention can improve adherence to a daily asthma controller medication, asthma control, and parent quality of life to reduce asthma-related healthcare utilization. Implications for health education for chronic disease management are raised.
本文报道了一项针对4至12岁患有中度至重度哮喘儿童的家长开发的个性化网络哮喘教育项目。个性化包括基于计算机的定制信息以及一名人类教练，以培养哮喘自我管理技能。计算机化功能包括哮喘管理器、我的日历/提醒、我的目标以及一个定制主页。这些功能与哮喘护士病例经理每月进行的哮喘教育电话相结合。作者讨论了开发过程和问题，并描述了当前的随机评估研究，以测试为期一年的综合干预措施是否能提高每日哮喘控制药物的依从性、哮喘控制水平以及家长的生活质量，从而减少与哮喘相关的医疗保健利用。文中还提出了对慢性病管理健康教育的启示。
