Velsor-Friedrich Barbara, Militello Lisa K, Richards Maryse H, Harrison Patrick R, Gross Israel M, Romero Edna, Bryant Fred B
Niehoff School of Nursing, Loyola University Chicago, Chicago, IL 60626, USA.
J Asthma. 2012 May;49(4):372-9. doi: 10.3109/02770903.2012.660296. Epub 2012 Feb 21.
Minority teens with asthma are at particular risk for this life-threatening disease due to increased morbidity and mortality rates in addition to the normal challenges of adolescence.
The purpose of this randomized controlled trial (n = 137) was to determine the effects of a coping-skills training program (intervention) compared with standard asthma education (attention control) in African-American teens with asthma.
Adolescents were recruited from five African-American dominant high schools serving low-income areas of Chicago. Data were collected at baseline, 2 months (immediately following the intervention), 6 months, and 12 months. Results. Both groups improved over time, with significant increases in asthma-related quality of life, asthma knowledge, and asthma self-efficacy, accompanied by decreases in symptom days and asthma-related school absences.
Findings suggest that coping-skills training as implemented in this study provided no additional benefit beyond that experienced in the control group. However, group-based interventions delivered in the school setting may be beneficial for low-income, minority teens with asthma.
患有哮喘的少数族裔青少年除了面临青春期的正常挑战外，由于发病率和死亡率上升，他们患这种危及生命疾病的风险尤其高。
这项随机对照试验（n = 137）的目的是确定应对技能培训项目（干预措施）与标准哮喘教育（注意力控制组）相比，对患有哮喘的非裔美国青少年的影响。
从服务于芝加哥低收入地区的五所非裔美国人占主导的高中招募青少年。在基线、2个月（干预结束后立即）、6个月和12个月收集数据。结果。两组随时间推移均有改善，哮喘相关生活质量、哮喘知识和哮喘自我效能显著提高，同时症状天数和与哮喘相关的学校缺勤天数减少。
研究结果表明，本研究中实施的应对技能培训并未比对照组带来额外益处。然而，在学校环境中开展的基于小组的干预措施可能对低收入、患有哮喘的少数族裔青少年有益。
