title: A pilot study to enhance preventive asthma care among urban adolescents with asthma.
abstract: BACKGROUND
  Low-income, minority teens have disproportionately high rates of asthma morbidity and are at high risk for nonadherence to preventive medications.
  
  
  OBJECTIVE
  To assess the feasibility and preliminary effectiveness of an innovative school-based asthma program to enhance the delivery of preventive care for 12-15 year olds with persistent asthma. We hypothesized that this intervention would (1) be feasible and acceptable among this population and (2) yield reduced asthma morbidity.
  
  
  METHODS
  
  
  
  METHODS
  Teens with persistent asthma and a current preventive medication prescription in Rochester, NY.
  
  
  METHODS
  Single group pre-post pilot study during the 2009-2010 school year.
  
  
  METHODS
  Teens visited the school nurse daily for 6-8 weeks at the start of the school year to receive directly observed therapy (DOT) of preventive asthma medications; 2-4 weeks following DOT initiation, they received three counseling sessions (one in-home and two via telephone) using motivational interviewing (MI) to explore attitudes about asthma management, build motivation for medication adherence, and support transition to independent preventive medication use.
  
  
  METHODS
  Number of symptom-free days (SFDs)/2 weeks; outcome data were collected 2 months after baseline and at the end of school year.
  
  
  RESULTS
  We enrolled 30 teens; 28 participated in the intervention. All teens initiated a trial of school-based DOT. All in-home MI visits were completed successfully, and 89% completed both follow-up sessions. Teens experienced an overall reduction of symptoms with more SFDs/2 weeks from baseline to 2-month and final (end of school year) assessments (8.71 vs. 10.79 vs. 12.89, respectively, p = .046 and p = .004). Teens also reported fewer days with symptoms, less activity limitation, and less rescue medication use (all p < .05). Exhaled nitric oxide levels decreased (p = .012), suggesting less airway inflammation. At the final assessment, teens reported significantly higher motivation to take their preventive medication every day (p = .043). At the end of the study, 79% of teens stated that they were better at managing asthma on their own, and 93% said they would participate in a similar program again.
  
  
  CONCLUSIONS
  This pilot study provides preliminary evidence of the feasibility and effectiveness of a novel school-based intervention to promote independence in asthma management and improve asthma outcomes in urban teens.
authors: Department of Pediatrics, School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, NY 14642, USA. jill_halterman@urmc.rochester.edu
authors: Jill S
authors: JS
authors: Halterman
authors: Kristin
authors: K
authors: Riekert
authors: Alison
authors: A
authors: Bayer
authors: Maria
authors: M
authors: Fagnano
authors: Paul
authors: P
authors: Tremblay
authors: Susan
authors: S
authors: Blaakman
authors: Belinda
authors: B
authors: Borrelli
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