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8 items were found with the keyword "asthma".
PI: Christine L. M. Joseph, PhD, MPH
The objective of the proposed project is to evaluate the feasibility of initiating Puff City in an urban Emergency Department (ED) setting. This proposal will inform a future randomized trial to test the ability of an ED-initiated version of Puff City to reduce the risk of future exacerbations, symptom frequency, and functional limitations among urban adolescents presenting to the ED with asthma. (08/15/2012 - 05/31/2013)
PI: Mei Lu, PhD
Asthma continues to be a major public health problem in the US with high economic and social costs. Vulnerable ethnic communities are disproportionately affected by asthma as demonstrated by higher morbidity and mortality for these groups. These disparities are especially true in urban teens. We have completed two school-based, randomized trials of a web-based, computer-tailored asthma management intervention that targets urban teens (Puff City). Results showed reductions in self report of symptoms and activity limitations. Puff City has not yet been evaluated as a clinical tool or one that is initiated in a clinical setting. The current paradigm for conducting such a trial is costly with respect to patient recruitment, intervention delivery, and data collection and management.Electronic initiatives such as remote data capture (RDC) for data collection and utilization of patient electronic medical records (EMR) are revolutionizing the conduct of clinical trials. Comparative effectiveness methods (CEMs), adaptive designs and pragmatic trials, are recommended to enhance trial efficiency and to study real-world effectiveness. The objective of this proposal is 1) to implement a seamless clinical trial lifecycle through electronic initiatives and ii) to design and conduct an phase II/III randomization trial using both CEMs and EMR-RDC integration to evaluate Puff City in teens in a clinical setting. (08/15/2012 - 05/31/2014)
PI: Christine L. M. Joseph, PhD, MPH
Puff City is a successful asthma management program for urban teenagers in Detroit high schools. This project allows us to make the most current version of Puff City available to anyone in the community with access to the internet. (01/01/2010 - 12/31/2010)
PI: Martha S. Tingen, PhD, MSN
Puff City Rural Georgia takes the existing Puff City II intervention and applies it to a youth population in rural Georgia. Puff City is a successful NHLBI-funded study that targeted three key asthma management issues: 1) smoking; 2) controller medication adherence; and 3) carrying a rescue inhaler. Given the success of Puff City among mid-western, inner city youth, an important question is whether such a program can be transplanted and effective for youth living in a different environment, the rural south. Rural Georgia youth are at equal or greater risk from asthma symptoms as inner city, Detroit youth. (08/01/2009 - 05/31/2012)
PI: Victor J. Strecher, PhD, MPH
THISN (Tailored Health Information in Social Networks) is a collaborative effort with CHCR and CDC's National Center for Public Health Informatics to conceive, design, and develop a prototype application testing the viability of using tailoring technology in a web-based social networking context (e.g., MySpace, Facebook). (09/01/2008 - 08/31/2009)
PI: Christine L. M. Joseph, PhD, MPH
Puff City is a successful asthma management program for urban teenagers in Detroit high schools. This iteration of Puff City uses a pilot approach to test if Puff City was accessible and feasible in an ED setting. (07/01/2008 - 09/30/2008)
PI: Christine L. M. Joseph, PhD, MPH
This study builds on the success of Puff City 1 (PC1), an Internet-based, teen-focused asthma management program, and enhances the effects achieved in PC1 in several ways: 1) tests new theory- and empirically-based approaches to recruiting urban high school students, 2) enhances program content to address resistance to change and relapse, and 3) uses PC1 data to create participation and success profiles of the students who can then be differentially approached on the basis of these profiles in Puff City II. (04/01/2007 - 03/31/2012)
PI: Christine L. M. Joseph, PhD, MPH
The goal of Puff City is to develop and evaluate a multimedia, tailored web-based asthma management program to specifically target urban high school students. The program uses tailoring, in conjunction with theory-based models, to alter behavior through individualized health messages based on the user's beliefs, attitudes, and personal barriers to change. The content of the Puff City computer program is based on recommendations for patient education made by the National Asthma Education and Prevention Program, and focuses on three core behaviors: controller medication adherence, rescue inhaler availability, and smoking cessation/reduction. The entire program is voiced over, to accommodate low literacy. (12/01/2001 - 06/30/2006)
