212378 Promoting Self-Care in Urban African-American Teens with Asthma: Program Adaptation

Monday, November 9, 2009

Lisa Kinsella Militello, MPH, MSN, CPNP , School of Nursing, Loyola University Chicago, CHICago, IL
Israel Gross, MA , Department of Psychology, Loyola University Chicago, CHICago, IL
Rebecca Lieb, MA , Department of Psychology, Loyola University Chicago, Chicago, IL
Barbara Velsor Friedrich, PhD, RN , School of Nursing, Loyola University Chicago, Chicago, IL
The Teen Education Asthma Management Program (TEAM) is focused on improving asthma health outcomes for low-income urban African-American adolescents with asthma. Asthma affects nine million youth under the age of 17 years. Hospitalization and death rates for African-Americans are nearly triple those of whites. Asthma is responsible for 14 million lost school days and $14 billion in health care and lost productivity costs.

Low-income urban African-American teenagers are vulnerable to a host of competing factors that support the need for viable health promotion programs. The objective of this study is to evaluate the efficacy of the school-based program TEAM on self-care and quality of life of urban African-American teens with asthma. The TEAM program is composed of: 1) asthma education, 2) coping skills training and 3) nurse practitioner re-enforcement visits.

In year two of a four-year program (N=89), the TEAM program has been offered in four Chicago Public High Schools. The SBHC NP identifies and recruits students. All students complete baseline instruments and health outcome measures. Randomization occurs by school. Asthma education is implemented utilizing techniques such as: group gaming format, group video education, and individualized sessions. Trends in retention and asthma knowledge have increased since implementing these techniques. Key community demographics, poverty and violence rates, will also be presented to support continued health promotion service to at-risk populations.

Learning Objectives:
1. To appreciate the magnitude of children and adolescents diagnosed with Asthma 2. To enhance the scope of education necessary to promote asthma health in African American adolescents 3. To promote prevention programs aimed at reducing health disparities through community partnerships

Keywords: Adolescents, Asthma

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: We utilize Bodine's software, "Game Show Presenter," which replicates Milton Bradley's version of Family Feud and gaming software. The gaming software template is used to promote asthma education. As long as the software is used for profit, the project

Qualified on the content I am responsible for because: I am a Board Certified Pediatric Nurse Practitioner with clinical experience in low-income urban African American populations. My educational background is in Nursing and Public Health. Currently, I am the Project Director of the TEAM program, which is a Faculty RO1 implemented by an interdisciplinary set of faculty, students, and staff from Loyola University Chicago.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.