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1
A Randomized Controlled Trial of a Family-Based Community Health Worker Delivered Intervention for Urban Adolescents with Uncontrolled Asthma.一项针对城市哮喘控制不佳青少年的、由家庭社区卫生工作者实施的干预措施的随机对照试验。
Child Health Care. 2024 Feb 12. doi: 10.1080/02739615.2024.2316083.
2
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Cochrane Database Syst Rev. 2025 Feb 6;2(2):CD008469. doi: 10.1002/14651858.CD008469.pub3.
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Falls prevention interventions for community-dwelling older adults: systematic review and meta-analysis of benefits, harms, and patient values and preferences.社区居住的老年人跌倒预防干预措施：系统评价和荟萃分析的益处、危害以及患者的价值观和偏好。
Syst Rev. 2024 Nov 26;13(1):289. doi: 10.1186/s13643-024-02681-3.
4
Smartphone and tablet self management apps for asthma.用于哮喘的智能手机和平板电脑自我管理应用程序。
Cochrane Database Syst Rev. 2013 Nov 27;2013(11):CD010013. doi: 10.1002/14651858.CD010013.pub2.
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Anti-interleukin-13 and anti-interleukin-4 agents versus placebo, anti-interleukin-5 or anti-immunoglobulin-E agents, for people with asthma.抗白细胞介素-13 和抗白细胞介素-4 药物与安慰剂、抗白细胞介素-5 或抗免疫球蛋白 E 药物治疗哮喘患者的比较。
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Cochrane Database Syst Rev. 2001;2001(2):CD003015. doi: 10.1002/14651858.CD003015.
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Lay-led and peer support interventions for adolescents with asthma.针对哮喘青少年的由非专业人员主导和同伴支持的干预措施。
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Survivor, family and professional experiences of psychosocial interventions for sexual abuse and violence: a qualitative evidence synthesis.性虐待和暴力的心理社会干预的幸存者、家庭和专业人员的经验：定性证据综合。
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Interventions to improve inhaler technique for people with asthma.改善哮喘患者吸入器使用技术的干预措施。
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本文引用的文献

1
Toward a new model of childhood asthma care: community needs assessment in an underserved urban population.迈向儿童哮喘护理新模式：对城市贫困人群的社区需求评估
J Asthma. 2023 Nov;60(11):2064-2073. doi: 10.1080/02770903.2023.2213351. Epub 2023 May 31.
2
Community Interventions for Childhood Asthma ED Visits and Hospitalizations: A Systematic Review.社区干预措施对儿童哮喘急诊就诊和住院的影响：系统评价。
Pediatrics. 2022 Oct 1;150(4). doi: 10.1542/peds.2021-054825.
3
A Cost-Effectiveness Analysis of a Community Health Worker Led Asthma Education Program in South Texas.南德克萨斯州由社区卫生工作者主导的哮喘教育项目的成本效益分析。
J Asthma Allergy. 2022 May 4;15:547-556. doi: 10.2147/JAA.S351141. eCollection 2022.
4
Community Health Workers' Role in Supporting Pediatric Asthma Management: A Review.社区卫生工作者在支持儿童哮喘管理中的作用：一项综述
Clin Pract Pediatr Psychol. 2020 Jun;8(2):195-210. doi: 10.1037/cpp0000319.
5
Asthma Surveillance - United States, 2006-2018.哮喘监测 - 美国，2006-2018 年。
MMWR Surveill Summ. 2021 Sep 17;70(5):1-32. doi: 10.15585/mmwr.ss7005a1.
6
Socioeconomic status and medication adherence among youth with asthma: the mediating role of frequency of children's daily routines.社会经济地位与青少年哮喘患者的药物依从性：儿童日常活动频率的中介作用。
Psychol Health. 2022 Apr;37(4):507-522. doi: 10.1080/08870446.2020.1869739. Epub 2021 Jan 4.
7
Situating household management of children's asthma in the context of social, economic, and environmental injustice.将儿童哮喘的家庭管理置于社会、经济和环境不公正的背景下。
J Asthma. 2022 Jan;59(1):70-78. doi: 10.1080/02770903.2020.1837159. Epub 2020 Oct 27.
8
Barriers and Facilitators of Asthma Management as Experienced by African American Caregivers of Children with Asthma: An Integrative Review.非裔美国家庭照顾者在管理儿童哮喘方面所经历的哮喘管理障碍和促进因素：综合评价。
J Pediatr Nurs. 2020 Nov-Dec;55:40-74. doi: 10.1016/j.pedn.2020.06.012. Epub 2020 Jul 10.
9
Racial/ethnic differences in pediatric asthma management: the importance of asthma knowledge, symptom assessment, and family-provider collaboration.儿科哮喘管理中的种族/民族差异：哮喘知识、症状评估以及医患合作的重要性。
J Asthma. 2021 Oct;58(10):1395-1406. doi: 10.1080/02770903.2020.1784191. Epub 2020 Jul 1.
10
Parental quality of life and self-efficacy in pediatric asthma.儿科哮喘患儿父母的生活质量和自我效能感。
J Asthma. 2021 Jun;58(6):742-749. doi: 10.1080/02770903.2020.1731825. Epub 2020 Feb 25.

一项针对城市哮喘控制不佳青少年的、由家庭社区卫生工作者实施的干预措施的随机对照试验。

A Randomized Controlled Trial of a Family-Based Community Health Worker Delivered Intervention for Urban Adolescents with Uncontrolled Asthma.

作者信息

Ellis Deborah A, Carcone April Idalski, Kannikeswaran Nirupama, Jacques-Tiura Angela J, Holtrop Teresa

机构信息

Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, USA.

Division of Emergency Medicine, Children's Hospital of Michigan, Detroit, MI, USA.

出版信息

Child Health Care. 2024 Feb 12. doi: 10.1080/02739615.2024.2316083.

DOI:10.1080/02739615.2024.2316083
PMID:40678019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12265922/
Abstract

Black adolescents with asthma are at elevated risk for health disparities. This study used mixed methods to test an evidence-based, family intervention adapted for home-based delivery by community health workers (CHWs). Fifty-nine families were randomly assigned to receive the adapted intervention, Reach for Control (RFC), or home-based case management. Paired t-tests showed adolescents in both groups had significant decreases in asthma-related emergency department visits. Families in RFC also had significant improvements in asthma management. Qualitative interviews suggested high satisfaction with CHW delivery, but treatment dose was low. Additional studies are needed to develop effective interventions for this population.

摘要

患有哮喘的黑人青少年面临健康差距扩大的风险。本研究采用混合方法，对一种基于证据的家庭干预措施进行测试，该措施由社区卫生工作者（CHW）进行居家实施。59个家庭被随机分配接受适应性干预措施“掌控未来”（RFC）或居家病例管理。配对t检验显示，两组青少年与哮喘相关的急诊就诊次数均显著减少。接受RFC干预的家庭在哮喘管理方面也有显著改善。定性访谈表明，对社区卫生工作者的服务满意度较高，但治疗剂量较低。需要进一步开展研究，为该人群制定有效的干预措施。