Abstract
Background: Low-income African-American adolescents suffer a disproportionate burden of asthma morbidity.Purpose: To evaluate the ability of our intervention, the Adolescents’ Disease Empowerment and Persistency Technology (ADEPT) for asthma, to increase asthma knowledge in our target population.Methods: This was a 14-week (2-week run-in and 12-week treatment) randomized, double-blind, placebo-controlled pilot study in which 28 inner-city African-American adolescents with asthma, between 10 and 18 years of age, were randomized to receive (1) celebrity asthma messages (experimental group), or (2) general health messages (control group) between music tracks on an MP3 player. The asthma messages were recorded by famous athletes, musicians, and other celebrities popular among this group of teenagers. Asthma knowledge, assessed by the ZAP Asthma Knowledge instrament, was collected pre- and post-intervention.Results: Mean improvement in ZAP score was significantly higher in the experimental group (8.1%, SD 7.2%) than the control group (0.4%, SD 7.2%) (p = 0.05).Conclusion: These findings suggest that this may be an innovative and promising new approach to improving asthma outcomes in this difficult-to-reach population.
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Adams, P. F., Hendershot, G. E., & Marano, M. A. (1999). Centers for Disease Control and Prevention/National Center for Health Statistics. Current estimates from the National Health Interview Survey, 1996.Vital Health Statistics, 10(200), 1–203.
American Lung Association, Epidemiology and Statistics Unit. (2005, May). Trends in asthma mortality and morbidity. Table 6: Number of people ever told by a doctor that they had asthma and prevalence rates per 1,000 persons by age, sex, and race, 1997-2003 (lifetime prevalence). Retrieved June 2, 2007, from http://www.lungusa.org/atf/cf/7A8D42C2-FCCA-4604-8ADE-7F5D5E762256/ASTHMA1.PDF
AnhØj, J., & MØldrup, C. (2004). Feasibility of collecting diary data from asthma patients through mobile phones and SMS (short message service): Response rate analysis and focus group evaluation from a pilot study.Journal of Medical Internet Research, 2, 6(4), e42.
Apter, A. J., Reisine, S. T., Affleck, G., Barrows, E., & ZuWallack, R. L. (1998). Adherence with twice-daily dosing of inhaled steroids. Socioeconomic and health-belief differences.American Journal of Respiratory and Critical Care Medicine, 157(6 Pt 1), 1810–1817.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change.Psychology Review, 84, 191–215.
Bender, B., Milgrom, H., & Apter, A. (2003). Adherence intervention research: What have we learned and what do we do next?Journal of Allergy and Clinical Immunology, 112(3), 489–494.
Bender, B., Milgrom, H., Rand, C., & Ackerson, L. (1998). Psychological factors associated with medication nonadherence in asthmatic children.Journal of Asthma, 35(4), 347–353.
Bender, B., Wamboldt, F. S., O’Connor, S. L., Rand, C., Szefler, S., Milgrom, H., & Wamboldt, M. Z. (2000). Measurement of children’s asthma medication adherence by self-report, mother report, canister weight, and Doser CT.Annals of Allergy, Asthma, and Immunology, 85(5), 416–421.
Bernard-Bonnin, A. C., Stachenko, S., Bonin, D., Charette, C., & Rousseau, E. (1995). Self-management teaching programs and morbidity of pediatric asthma: A meta-analysis.Journal of Allergy and Clinical Immunology, 95(1 Pt 1), 34–41.
Birkhead, G., Attaway, N. J., Strunk, R. C., Townsend, M. C., & Teutsch, S. (1989). Investigation of a cluster of deaths of adolescents from asthma: Evidence implicating inadequate treatment and poor patient adherence with medications.Journal of Allergy and Clinical Immunology, 84(4 Pt 1), 484–491.
Bruzzese, J. M., Bonner, S., Vincent, E. J., Sheares, B. J., Mellins, R. B., Levison, M. J., Wiesemann, S., Du, Y., Zimmerman, B.J., & Evans, D. (2004). Asthma education: The adolescent experience.Patient Education and Counseling, 55(3), 396–406.
Carr, W., Zeitel, L., & Weiss, K. (1992). Variations in asthma hospitalizations and deaths in New York City.American Journal of Public Health, 82(1), 59–65.
Carver, R. P. (1998). Predicting reading level in grades 1 to 6 from listening level and decoding level: Testing theory relevant to the simple view of reading.Reading and Writing: An Interdisciplinary Journal, 10, 121–154.
Centers for Disease Control and Prevention, National Center for Health Statistics. (2007a, January). Asthma prevalence, health care use, and mortality, 2002. Retrieved April 26, 2007, from http://www.cdc.gov/nchs/products/pubs/pubd/ hes tats/as thma/asthma.htm
Centers for Disease Control and Prevention, National Center for Health Statistics. (2007b, January). Asthma prevalence, health care use, and mortality, 2002. Figure 5. Asthma emergency department visits, 2002. Retrieved April 26, 2007, from http://www.cdc.gov/nchs/products/pubs/pubd/hestats/asthma/ asthma5.PNG
Centers for Disease Control and Prevention, National Center for Health Statistics. (2007c, January). Asthma prevalence, health care use, and mortality, 2002. Figure 7. Asthma deaths, 2002. Retrieved April 26,2007, from http://www.cdc.gov/nchs/ products/pubs/pubd/hestats/asthma/asthma7.PNG
Centers for Disease Control and Prevention, National Center for Health Statistics. (2007d, January). Asthma prevalence, health care use, and mortality, 2002. Figure 6. Asthma hospitalizations, 2002. Retrieved April 26,2007, from http://www.cdc.gov/nchs/ products/pubs/pubd/hestats/asthma/asthma6.PNG
Centers for Disease Control and Prevention. (2005, August). Self- reported asthma among high school students—United States, 2003.MMWR Morbidity and Mortalality Weekly Report, 54(31), 765–767. Retrieved June 2,2007, from http://www.cdc. gov/mmwr/preview/mmwrhtml/mm5431a1.htm# top
Chandler, M. J., Grammer, L. C., & Patterson, R. (1986). Noncom- pliance and prevarication in life threatening adolescent asthma.New England and Regional Allergy Proceedings, 7(4), 367- 370.
Edison Media Research. (2005, March). Internet and multimedia: The on-demand media consumer. New York: Arbitron, and Somerville, NJ: Retrieved June 1, 2007, from http:// www.edisonresearch.com/home/archives/Internet%202005%20 Summary%20Final.pdf
Haynes, R. B., Yao, X., Degani, A., Kripalani, S., Garg, A., & McDonald, H. P. (2005, August). Interventions for enhancing medication adherence. Art. No.: CD000011. DOI: 10.1002/14651858.CD000011.pub2. Retrieved May 3, 2007, from http://www.cochrane.org/reviews/en/ab00001 1 .html
Krishnan, J. A., Riekert, K. A., McCoy, J. V., Stewart, D. Y., Schmidt, S., Chanmugam, A., Hill, P., & Rand, C. S. (2004). Corticosteroid use after hospital discharge among high-risk adults with asthma.American Journal of Respiratory and Critical Care Medicine, 170(12), 1281–1285.
Lang, D. M., & Polansky, M. (1994). Patterns of asthma mortality in Philadelphia from 1969 to 1991.New England Journal of Medicine, 331(23), 1542–1546.
Marder, D., Targonski, P., Orris, P., Persky, V., & Addington, W. (1992). Effect of racial and socioeconomic factors on asthma mortality in Chicago.Chest, 101(6 Suppl), 426S-429S.
McQuaid, E. L., Kopel, S. J., Klein, R. B., & Fritz, G. K. (2003). Medication adherence in pediatric asthma: Reasoning, respon- sibility, and behavior.Journal of Pediatric Psychology, 28(5), 323–333.
National Heart, Lung, and Blood Institute. (1997). Guidelines for the diagnosis and management of asthma: Highlights of the Expert Panel Report 2, 1997. Bethesda, MD.
National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Program. (2002). Expert panel report: Guidelines for the diagnosis and management of asthma— Update on Selected Topics 2002. Retrieved May 31, 2007, from http://www.nhlbi.nih.gov/guidelines/asthma/asthupdt.htm
Ochieng, B. M. N. (2003). Adolescent health promotion: The value of being a peer leader in a health education/promotion peer education program.Health Education Journal, 62(1), 61–72.
Rhee, H., Wyatt, T. H., & Wenzel, J. A. (2006). Adolescents with asthma: Learning needs and internet use assessment.Respiratory Care, 51(12), 1441–1449.
Roberts, D. F., Foehr, U. G., & Rideout, V (2005). Generation M: Media in the lives of 8-18 year olds. Menlo Park, CA: Henry J. Kaiser Family Foundation. Retrieved June 8, 2007, from http://www.kff.org/entmedia/upload/Generation- M-Media-in-the-Lives-of-8-18-Year-olds-Report.pdf
Shah, S., Peat, J. K., Mazurski, E. J., Wang, H., Sindhusake, D., Bruce, C., Henry, R. L., & Gibson, P. G. (2001). Effect of peer led program for asthma education in adolescents: Cluster randomized controlled trial.British Medical Journal, 322(7286), 583–585.
Sublett, J. L., Pollard, S. J., Kadlec, G. J., & Karibo, J. M. (1979). Non-compliance in asthmatic children: A study of theophylline levels in a pediatric emergency room population.Annals of Allergy, Asthma, and Immunology, 43(2), 95–97.
Targonski, P. V., Persky, V W., Kelleher, P., & Addington, W (1995). Characteristics of hospitalization for asthma among persons less than 35 years of age in Chicago.Journal of Asthma, 32(5), 365–372.
The Bridge Ratings Study. (2007, March). Gen-Y Media Use & Attrition [press release]. [Glendale, CA]: Bridge Ratings. Retrieved June 8, 2007, from http://www.bridgeratings.com
Thomas, S. D., & Whitman, S. (1999, October). Asthma hospitalizations and mortality in Chicago: An epidemiologic overview.Chest, 116(4 Suppl 1), 135S-141S.
van Es, S. M., Nagelkerke, A. F., Colland, V T., Scholten, R. J., & Bouter, L. M. (2001). An intervention program using the ASE-model aimed at enhancing adherence in adolescents with asthma.Patient Education and Counseling, 44(3), 193- 203.
Williams, P. G., Holmbeck, G. N., & Greenley, R. N. (2002). Adolescent health psychology.Journal of Consulting Clinical Psychology, 70(3), 828–842.
ZAP Asthma Project. (1997, October). Caregiver asthma knowledge survey instrument. Form 9 Atlanta, GA. Retrieved June 8,2007, from http://www.sph.emory.edu/zapasthma/pdf/a9.pdf
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This study was supported by a grant from the National Institute of Biomedical Imaging and Bioengineering (R21 EB002368-01).
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Mosnaim, G.S., Cohen, M.S., Rhoads, C.H. et al. Use of MP3 players to increase asthma knowledge in inner-city African-American adolescents. Int. J. Behav. Med. 15, 341–346 (2008). https://doi.org/10.1080/10705500802365656
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DOI: https://doi.org/10.1080/10705500802365656