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Young adolescents’ preferences for tailored asthma management messages

Delesha L. Miller, MSPH, Department of Health Behavior and Health Education, University of North Carolina, CB# 7440, Rosenau Hall, School of Public Health, Chapel Hill, NC NC 27599-744, 919-843-8043, respire_profundo@hotmail.com, Guadalupe X. Ayala, PhD, MPH, Department of Health Behavior and Health Education, University of North Carolina School of Public Health, CB #7440, Rosenau Hall 315, Chapel Hill, NC 27599-7440, Donna King, MPH, Health Promotion and Education Services, Orange County Health Department, PO Box 8181, Hillsborough, NC 27278, Edwina Zagami, BSN, MEd, Guy Phillips Middle School, 606 Estes Drive, Chapel Hill, NC 27514, Connie Riddle, RN, MN, NCSN, McDougle Middle School, 900 Old Fayetteville Road, Chapel Hill, NC 27516, and Stephanie Willis, BSN, Chapel Hill-Carborro City Schools, 750 S. Merritt Mill Road, Chapel Hill, NC 27516.

This presentation describes qualitative data findings from a collaborative effort with an asthma coalition to design an asthma program for adolescents. School nurses, representatives from the health department, and researchers in Schools of Public Health, Medicine, and Pharmacy participated in the collaborative effort. The study’s purpose was to determine young adolescents’ preferences for message content, source, and delivery channel of a tailored asthma intervention, as well as whether those preferences differed between ethnic groups and individual degree of asthma self-management involvement. Young adolescents from two local middle schools participated in the study. Six panels of 5 young adolescents each were formed and six focus group sessions were conducted with each panel over a six-week period. All participants had self-reported asthma. Four focus groups occurred during the students’ lunch hour and two focus groups occurred after school. Focus group audiotapes were transcribed and imported into a qualitative data analysis program, QSR NVivo 2. Utilizing a constant comparative methodology, every transcript was analyzed for tailored message preferences. NVivo’s search and attribute tools were used to assess the effects of moderating variables on tailored message preferences. Results indicated that young adolescents’ preferences for asthma management message content, source and delivery channel differed by gender and grade level. Quotes provided examples of how young adolescents would prefer tailored asthma management messages to be delivered and from whom, as well as what information the messages should contain. This study provides important information on how to design and deliver asthma self-management education when targeting young adolescents.

Learning Objectives:

Keywords: Asthma, Adolescents

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Asthma and School Indoor Air Quality

The 132nd Annual Meeting (November 6-10, 2004) of APHA