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The purpose of this study is to determine if the Coping with Asthma through Life Management (CALM) intervention, designed to help Black adult with asthma cope with stress, is feasible and acceptable.
Asthma medication nonadherence is a major contributor to asthma morbidity and mortality in Black adults. Black adults with asthma reported that increased psychosocial stress (e.g., perceived discrimination, job stress, caregiver burden), health-related stress (e.g., concern about asthma control), and economic stress (e.g., economic strain) were barriers to asthma medication adherence and control. The study's hypothesis is that CALM, targeting multiple stressors specifically faced by Black adults with asthma, will be feasibly implemented in a health system, will be acceptable to program participants, and will be a potentially effective intervention to improve asthma medication adherence and asthma control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Randomized | Experimental | Group will receive intervention method |
|
| Waitlist Control Group | Other | Participants will receive no intervention (control) during the trial. However, after the study is completed, they will have the option to receive intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coping with asthma through life management program | Behavioral | Participants will complete surveys, learn stress coping strategies, receive asthma education information, and obtain access local community financial resources. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of Intervention Measure (FIM) | The FIM has four items and the total score ranges from 4 to 20, where a higher score indicates greater feasibility. | 12 weeks |
| Acceptability of Intervention Measure (AIM) | The AIM has four items and the total score ranges from 4 to 20, where a higher score indicates greater acceptability. | 12 Weeks |
| Intervention Appropriateness Measure (IAM) | The IAM has four items and the total score ranges from 4 to 20, where a higher score indicates greater appropriateness. | 12 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Asthma Control Questionnaire (ACQ-6) | The ACQ-6 is a six-question questionnaire used to assess asthma control, focusing on symptoms and rescue medication use. Scores range from 0 to 6, with lower scores indicating better asthma control. A score of 1.5 or higher suggests poorly controlled asthma. | 1 week |
| Perceived Stress Scale (PSS-10) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Isaretta Riley, MD-MPH | Contact | 919-613-7682 | isaretta.riley@duke.edu | |
| TraNae Gibbs, BS | Contact | 919-479-0861 | tranae.gibbs@duke.edu |
| Name | Affiliation | Role |
|---|---|---|
| Isaretta Riley, MD-MPH | Duke University | Principal Investigator |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| ID | Term |
|---|---|
| D000097813 | Coping Skills |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Waitlist Control (CALM) | Behavioral | Participants in this group will complete surveys but will not receive the CALM intervention. Upon completing the study after 12 weeks they will be able to complete the program if they would like the resources/materials to learn healthy stress coping strategies, asthma health education, and access to financial resources. |
|
The PSS-10 is a 10-item questionnaire that evaluates the degree to which an individual has perceived life as unpredictable, uncontrollable, and overloading over the previous month. Scores range from 0 to 40, with higher scores indicating higher levels of perceived stress. |
| 1 month |
| Asthma Quality of Life Questionnaire, Marks (AQLQ-M) | The AQLQ-M is a 20-item self-administered questionnaire to measure quality of life in adults with asthma. Scores range from 20 to 100, with higher scores indicating a greater negative impact of asthma. | 2 weeks |
| Number of participants with an asthma exacerbation event | 12 weeks |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |