NYU School of Medicine, Child and Adolescent Psychiatry, 215 Lexington Ave., 13th floor, New York, NY 10016, USA.
Patient Educ Couns. 2011 Nov;85(2):290-4. doi: 10.1016/j.pec.2010.09.019. Epub 2010 Oct 22.
To describe and test the feasibility of asthma self-management for adolescents with undiagnosed asthma (ASMA-Undx), an 8-week school-based intervention for urban adolescents comprised of three group and five individual coaching sessions, and academic detailing for their primary care providers (PCPs).
Thirty high school students (mean age 15.9; 92% female; 72% Latino/a) who reported symptoms of persistent asthma, but no diagnosis were randomized to ASMA-Undx or a no-treatment control group. Interviews were conducted pre- and post-intervention.
All intervention students participated in the three group sessions; 64% received all five individual coaching sessions. Academic detailing telephone calls made by a pediatric pulmonologist reached 83% of the students' PCPs. Relative to controls, a significantly greater proportion of ASMA-Undx students were diagnosed (79% versus 6%, respectively), and prescribed asthma medication (57% versus 6%, respectively). Barriers to diagnosis and treatment included students' and parents' lack of knowledge about asthma.
ASMA-Undx is a feasible and promising intervention to assist urban adolescents with undiagnosed asthma obtain a diagnosis and treatment.
ASMA-Undx has the potential to reach many adolescents because it is school-based. It can serve as a model for interventions targeting other pediatric illnesses.
描述并检验针对未确诊哮喘青少年（ASMA-Undx）的哮喘自我管理的可行性，这是一项基于学校的 8 周干预措施，包括三次小组和五次个体辅导课程，以及为初级保健提供者（PCP）提供学术详细信息。
30 名高中生（平均年龄 15.9 岁；92%为女性；72%为拉丁裔）报告有持续哮喘症状，但未被诊断出患有哮喘，他们被随机分配到 ASMA-Undx 组或无治疗对照组。在干预前后进行了访谈。
所有干预组的学生都参加了三次小组课程；64%的学生接受了所有五次个体辅导课程。由儿科肺科医生进行的学术详细信息电话沟通联系到了 83%的学生的 PCP。与对照组相比，ASMA-Undx 组学生被诊断出哮喘的比例显著更高（分别为 79%和 6%），并且开具了哮喘药物（分别为 57%和 6%）。诊断和治疗的障碍包括学生和家长对哮喘缺乏了解。
ASMA-Undx 是一种可行且有前途的干预措施，可以帮助城市青少年确诊并接受治疗。
ASMA-Undx 具有基于学校的优势，有可能接触到许多青少年。它可以作为针对其他儿科疾病的干预措施的模型。
