Teen Asthma Project

NCT01161225 | Completed Results DMC

• 1 other identifier: R21NR009837
• Study Type: interventional
• Target: 126
• Locations: 1 country
• Sites: 1

Brief Summary

Aims of this study are:

1. 1.To determine the feasibility of implementing the intervention using a peer-assisted asthma day camp for adolescents with asthma.
2. 2.To determine patterns of change in knowledge, attitudes toward asthma, self-efficacy, perception of barriers, and self-management behaviors, asthma control and quality of life over time among peer leaders.
3. 3.To test the following hypothesis:
4. 4.Adolescents participating in a peer-assisted asthma camp program will report improved knowledge, attitudes toward asthma, self-efficacy, and self-management behaviors, decreased perception of barriers, and increased asthma control and quality of life at 3-, 6- and 9-months post-intervention compared with the adult-led camp group.
5. 5.To examine the moderating effect of personal factors (e.g., age, sex, socioeconomic status, race, illness status, family support) on intervention outcomes such as self-management behaviors, asthma control and quality of life in adolescents with asthma.
6. 6.To examine the effect of the peer-assisted camp program on self-reported health care utilization including emergency department visits, days of hospitalization, outpatient visits by comparing between baseline and 9-months post-camp data and between the peer-led camp and the adult-camp programs.

Conditions

Asthma

Keywords

Adolescents; Peer leader program; asthma camp; asthma control; quality of life; self-efficacy; knowledge; attitudes; barrier perceptions

Outcome Measures

Primary Outcomes (2)

• Pediatric Asthma Quality of Life Questionnaire (PAQLQ)

  Twenty-three items cover problems identified as being most important and troublesome in children's everyday lives due to asthma. This scale is effective in evaluating and discriminating because of its high sensitivity to changes in asthma status within and between individuals with varying severity of asthma. Respondents are asked to recall impairments experienced during the previous week. The scale consists of three subdomains including symptoms (10 items), emotional function (8 items) and activity limitation (5 items). Each item was measured on a 7-point scale; 1 indicates maximum impairment, and 7 indicates no impairment. Higher total scores indicate better levels of functioning. Total scores were computed by summing responses from all items (range:24-161)

  9 months post camp

• Asthma Control Questions

  This measure assesses the frequencies of the limitation of daily activity, asthma symptoms (daytime and nighttime) and use of rescue medication in the past 4 weeks on a 5-point scale (0-4). Total summed scores were computed (range: 4-16). Higher total scores indicate better controlled asthma.

  9 months post camp

Secondary Outcomes (6)

• Asthma Self-Efficacy

  9 months post camp

• Illness Management Survey

  9 months post camp

• Attitude Toward Illness Scale

  9 months post camp

• Asthma Knowledge Questionnaire

  9 months post camp

• Forced Expiratory Volume in 1 Second (FEV1) % Predicted

  9 months post camp

Study Arms (2)

peer-led asthma self-managment program

EXPERIMENTAL

Behavioral: Peer-assisted asthma self-management program

Adult-led asthma self-management program

ACTIVE COMPARATOR

Behavioral: Adult-led asthma self-management program

Interventions

Peer-assisted asthma self-management program BEHAVIORAL

Intervention group: An asthma self-management program (Power Breathing™) was implemented by trained peer leaders at an asthma day camp. The program consisted of 3 sessions (appx. 45-60 min/session): basic asthma education (pathophysiology, triggers); psychosocial issues of asthma; and asthma self-management (peak flow monitoring and medication). The program was delivered by trained peer leaders paired for each small group of 6-8 teens. Group activities involved discussion, strategic thinking, knowledge-testing games and role plays.

peer-led asthma self-managment program

Adult-led asthma self-management program BEHAVIORAL

Control group: The group attended an adult-led day camp where 2 NPs and a MD offered didactic asthma education based on the Power Breathing™ program.

Adult-led asthma self-management program

Eligibility Criteria

• Age: 13 Years - 20 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• age between 13-18 years
• mild, moderate or severe persistent asthma specified by the NHLBI Asthma guidelines
• asthma diagnosis \> 1 year
• no other major chronic/emotional health concerns
• ability to understand spoken and written English. Participants were recruited from the communities through flyers, newspaper ads, and referrals from clinics and schools.
• Eligibility criteria for peer leaders included:
• age between 16-20 years
• nomination from school teachers/nurses or health care providers
• average grade point B or above in the past school year
• fulfillment of eligibility criteria (2)-(5) prescribed for adolescent participants.

You may not qualify if:

• learning disabilities based on reports from parents, teachers or clinicians

Sponsors & Collaborators

• University of Rochester: lead

Study Sites (1)

University of Rochester Medical Center

Rochester, New York, 14642, United States

Location

Related Publications (7)

• Rhee H, Ciurzynski SM, Yoos HL. Pearls and pitfalls of community-based group interventions for adolescents: lessons learned from an adolescent asthma cAMP study. Issues Compr Pediatr Nurs. 2008 Jul-Sep;31(3):122-35. doi: 10.1080/01460860802272888.

  PMID: 18728958 BACKGROUND

• Rhee H, Belyea MJ, Ciurzynski S, Brasch J. Barriers to asthma self-management in adolescents: Relationships to psychosocial factors. Pediatr Pulmonol. 2009 Feb;44(2):183-91. doi: 10.1002/ppul.20972.

  PMID: 19142893 RESULT

• Rhee H, Belyea MJ, Elward KS. Patterns of asthma control perception in adolescents: associations with psychosocial functioning. J Asthma. 2008 Sep;45(7):600-6. doi: 10.1080/02770900802126974.

  PMID: 18773334 RESULT

• Rhee H, McQuillan BE, Belyea MJ. Evaluation of a peer-led asthma self-management program and benefits of the program for adolescent peer leaders. Respir Care. 2012 Dec;57(12):2082-9. doi: 10.4187/respcare.01488.

  PMID: 22710616 RESULT

• Rhee H, Pesis-Katz I, Xing J. Cost benefits of a peer-led asthma self-management program for adolescents. J Asthma. 2012 Aug;49(6):606-13. doi: 10.3109/02770903.2012.694540. Epub 2012 Jul 4.

  PMID: 22758599 RESULT

• Rhee H, Belyea MJ, Hunt JF, Brasch J. Effects of a peer-led asthma self-management program for adolescents. Arch Pediatr Adolesc Med. 2011 Jun;165(6):513-9. doi: 10.1001/archpediatrics.2011.79.

  PMID: 21646583 RESULT

• Rhee H, Belyea MJ, Halterman JS. Adolescents' perception of asthma symptoms and health care utilization. J Pediatr Health Care. 2011 Mar-Apr;25(2):105-13. doi: 10.1016/j.pedhc.2009.10.003.

  PMID: 21320682 RESULT

MeSH Terms

Conditions

Asthma; Behavior

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Results Point of Contact

• Title: Hyekyun Rhee
• Organization: University of Rochester Medical Center

hyekyun_rhee@urmc.rochester.edu

5852763775

Study Officials

• Hyekyun Rhee, PhD

  University of Rochester

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: July 9, 2010
• First Posted: July 13, 2010
• Study Start: March 1, 2007
• Primary Completion: August 1, 2008
• Study Completion: August 1, 2008
• Last Updated: December 15, 2014
• Results First Posted: December 15, 2014

Record last verified: 2014-12

Locations

US (1)