Asthma, Stress
Conditions
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORALCoping with asthma through life management program
Participants will complete surveys, learn stress coping strategies, receive asthma education information, and obtain access local community financial resources.
BEHAVIORALWaitlist Control (CALM)
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.
Sponsors
Duke University
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* At least the age of 18 * Self identify as Black/African-American * Self-report current asthma diagnosis * Asthma must be persistent (Prescribed an inhaled corticosteroid (alone or in combination) * Asthma must be uncontrolled (≥1 exacerbation in the past years OR Asthma Control Questionnaire \> 0.75) * Have moderate-high stress (Perceived Stress Scale ≥ 14) * Presented at any Primary Care clinic in the past 3 years.
Exclusion criteria
* Unable or unwilling to give consent * Diagnosis of a psychotic disorder * Positive responses to questions regarding suicidality
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of Intervention Measure (FIM) | 12 weeks | The FIM has four items and the total score ranges from 4 to 20, where a higher score indicates greater feasibility. |
| Acceptability of Intervention Measure (AIM) | 12 Weeks | The AIM has four items and the total score ranges from 4 to 20, where a higher score indicates greater acceptability. |
| Intervention Appropriateness Measure (IAM) | 12 Weeks | The IAM has four items and the total score ranges from 4 to 20, where a higher score indicates greater appropriateness. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Asthma Control Questionnaire (ACQ-6) | 1 week | 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. |
| Perceived Stress Scale (PSS-10) | 1 month | 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. |
| Asthma Quality of Life Questionnaire, Marks (AQLQ-M) | 2 weeks | 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. |
| Number of participants with an asthma exacerbation event | 12 weeks | — |
Contacts
PRINCIPAL_INVESTIGATORIsaretta Riley, MD-MPH
Duke University
Outcome results
None listed