Asthma Clinical Trial
Official title:
Women of Color and Asthma Control
The proposed randomized controlled trial will evaluate an innovative intervention in 420 African American women with asthma. It will be the first to use a highly tailored, telephone counseling approach to address both specific cultural factors affecting asthma and the influence of female sex and gender on control.
Research and practice efforts in asthma continue to overlook one of the most vulnerable
subgroups of Americans, minority women. Women of color, especially African Americans, bear a
significantly disproportionate burden of asthma among adults. However, no rigorous trial of
an intervention to assist them with their particular challenges can be located. The proposed
randomized controlled trial will evaluate an innovative intervention in 420 African American
women with asthma. It will be the first to address both specific cultural factors affecting
asthma and the influence of female sex and gender on control. It will use a highly tailored,
telephone counseling approach designed to foster partnership with the clinician, resolution
of specific asthma management problems, and identification of important contributing
influences often misunderstood or ignored by women themselves as well as the health care
system. It will attend closely to the role of allergy in asthma management as patients in
the African American population have been shown to be at greater risk for allergic asthma.
Data will be collected at baseline, 12, and 24 months by telephone interview and from
medical records. The hypotheses of the research are that women in the intervention group
when compared to the control group will:
- Use emergency department services for asthma less frequently and need urgent care in a
physician's office less often;
- Be hospitalized for asthma less frequently.
- Experience fewer symptoms of asthma;
- Have higher levels of asthma-related quality of life
The intervention aims to reduce the burden of asthma as carried by a large subgroup of the
adult population. It employs state of the art asthma management strategies and creative
means to reach and help patients at high risk of asthma exacerbations and health care use.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Supportive Care
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