The development and preliminary impact of CAMP Air: A web-based asthma intervention to improve asthma among adolescents

被引:11
作者
Bruzzese, Jean-Marie [1 ]
George, Maureen [1 ]
Liu, Jianfang [1 ]
Evans, David [2 ]
Naar, Sylvie [3 ]
DeRosier, Melissa E. [4 ]
Thomas, James M. [4 ]
机构
[1] Columbia Univ, Sch Nursing, 630 West 168th St, New York, NY 10032 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA
[3] Florida State Univ, Ctr Translat Behav Sci, Tallahassee, FL 32306 USA
[4] 3C Inst, Durham, NC USA
关键词
Web-based program; adolescents; asthma; treatment;
D O I
10.1016/j.pec.2020.09.011
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: Describe the development and preliminary impact of CAMP Air, a web-based intervention for adolescents with uncontrolled asthma. Materials and Methods: CAMP Air was developed using an iterative process with input from stakeholders and incorporating usability testing results (n = 14 adolescents). To test CAMP Air's initial impact, 61 adolescents from two New York City public high schools (n = 37) and from clinics, community-based organizations, and third-party recruitment services (i.e., community sample; n = 24) were enrolled in a randomized pilot trial. Participants were randomized to CAMP Air (n = 30) or information-and-referral control intervention (n = 31). A point-person worked with school participants to complete CAMP Air. Results: CAMP Air participants were satisfied with the intervention and its value for supporting self-management, completing on average 6 of 7 modules. Relative to controls, CAMP Air participants demonstrated significantly improved asthma knowledge, asthma control, night wakening and school absences, and less risk for urgent care visits. Adolescents enrolled in schools completed more modules and had significantly fewer nights woken and school absences than community enrollees. Conclusion: CAMP Air improves asthma outcomes among adolescents with uncontrolled asthma. Practice Implications: A web-based intervention CAMP Air is a promising intervention. When a point-person works with adolescents, CAMP Air's access and impact are improved. (C) 2020 Elsevier B.V. All rights reserved.
引用
收藏
页码:865 / 870
页数:6
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