哮喘
医学
随机对照试验
自我管理
生活质量(医疗保健)
物理疗法
有用性
干预(咨询)
精神科
心理学
护理部
内科学
计算机科学
社会心理学
机器学习
作者
David A. Fedele,J. Graham Thomas,Andrew McConville,Elizabeth L. McQuaid,Sara Voorhees,David M. Janicke,Mutasim Abu-Hasan,Xiaofei Chi,Matthew J. Gurka
标识
DOI:10.1016/j.jadohealth.2021.06.011
摘要
Purpose Early adolescence is an important developmental period where youth take primary responsibility for asthma self-management. Helpful caregiver support during this time is pivotal in determining whether early adolescents successfully develop asthma self-management behaviors. AIM2ACT is a dyadic mobile health intervention designed to increase helpful caregiver support as early adolescents engage in asthma self-management behaviors. We conducted a pilot randomized controlled trial to determine the feasibility and acceptability of AIM2ACT and conduct preliminary tests of efficacy. Methods We randomized adolescents (12–15 years old) and a caregiver to receive AIM2ACT (n = 17) or a self-guided attention control condition (n = 16) for 20 weeks. We conducted assessment visits at baseline, postintervention, and 4-month follow-up. Outcomes included family asthma management (primary outcome), adolescent asthma control, lung function (forced expiratory volume in 1 second), asthma-related quality of life, asthma management self-efficacy, and family communication. Results We randomized 33 dyads and had 100% retention in the trial among AIM2ACT participants. Dyads frequently engaged with AIM2ACT (M = 21 days for adolescents, 32.65 days for caregivers) and reported very high satisfaction with content, functionality, and helpfulness. Participants randomized to AIM2ACT had significant improvements in asthma control scores (p = .04) compared to control that surpassed the minimally clinically important difference threshold. Although not statistically significant, the magnitude of improvements in family asthma management, asthma-related quality of life, and family communication was larger in the AIM2ACT group. Conclusions AIM2ACT is a feasible and acceptable dyadic mobile health asthma self-management intervention that improves asthma control.
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