Christine L.M. Joseph|Dennis R. Ownby|Suzanne Havstad|Jacquelyn Saltzgaber|Shannon Considine|Dayna A. Johnson|Ed Peterson|Gwen Alexander|Mei Lü|Wanda Gibson-Scipio|Christine Cole Johnson
Evaluation of a Web-Based Asthma Management Intervention Program for Urban Teenagers: Reaching the Hard to Reach
Henry Ford Health System|Augusta University Health|Henry Ford Health System|Henry Ford Health System|University of Michigan–Ann Arbor|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Henry Ford Health System|Wayne State University|Henry Ford Health System
purpose asthma interventions targeting urban adolescents rare despite great need motivating adolescents achieve better selfmanagement asthma challenging literature suggests certain subgroups resistant others conducted schoolbased randomized controlled trial rct evaluate puff city webbased tailored asthma intervention included referral coordinator incorporated theorybased strategies target urban teens characteristics previously found associated lack behavior change methods identify eligible teens administered questionnaires asthma diagnoses symptoms ninth 12th graders participating schools scheduled english class randomized eligible consenting students puff city treatment generic asthma education control results randomized 422 students 98 africanamerican mean age 156 years 12month followup adjusted odds ratios aors 95 confidence intervals indicated intervention benefit treatment teens symptomdays restricted activity days analyzed categorical variables aor 49 2479 p 006 53 3286 p 010 respectively among teens meeting baseline criteria rebelliousness treatment teens reported fewer symptomdays symptomnights school absences restricted activity days aor 30 1180 29 1464 40 2078 23 1055 p 05 among teens reporting low perceived emotional support treatment students reported fewer symptomdays controls aor 23 0688 p 031 observe statistically significant differences medical care use conclusions results suggest theorybased tailored approach referral coordinator improve asthma management urban teens puff city represents viable strategy disseminating effective intervention highrisk hardtoreach populations