Instrument Utility for Suspected Asthma (0000-042)(COMPLETED)
AsthmaThis research study was designed to help improve the diagnosis and treatment of asthma in young children. An interventional strategy using a scoring system based on risk factors and symptoms/episodes was tested to determine its ability to identify children likely to benefit from induction of asthma controller therapy at an early age. The score was derived through completion of a survey instrument referred to as the asthma risk questionnaire (ARQ). The utility of the ARQ along with the health care utilization and use of controller therapy for respiratory illnesses within one year were examined.
Determinants of Corticosteroid Insensitivity in Smokers With Asthma
AsthmaSmoking2 moreSmokers with asthma display a relative insensitivity to inhaled and oral corticosteroids. The causes of this phenomenon are currently unknown. The investigators will perform a number of blood & breathing tests to try to discover the cause/s behind this phenomenon with the aim of producing leads for further investigation and possible new treatments for smokers with asthma.
Changes in Physician Performance Through Continuous Professional Development
AsthmaHealth PersonnelThe purpose of this study is to determine whether having physicians evaluate their management of certain diseases as part of board recertification results in improved patient care.
Genetic Risk Factors for Severe Asthma
AsthmaThe purpose of this study is to determine whether a specific genetic factor influences the severity of asthma symptoms.
Community Organizing Network for Environmental Health
AsthmaThe Community Organizing Network for Environmental Health is a part of Community Action Against Asthma (CAAA), which, in turn is a part of the Michigan Center for the Environment and Children's Health. It is a community-based intervention research partnership between the University of Michigan, community-based organizations, and health care institutions in Detroit.
Chromosome 5Q Gene Variants and Asthma-Related Traits
AsthmaLung DiseasesTo identify gene variants in human chromosome 5Q31-33 that may be involved in the pathogenesis of asthma.
Interventions to Improve Asthma Management/Prevention at School
AsthmaLung DiseasesTo design, develop, implement, and test the effectiveness of a three component health services and health education intervention for primarily Hispanic inner-city elementary school students at high risk for asthma morbidity and mortality.
Childhood Asthma Program in NYC Health Department Clinics
AsthmaLung DiseasesTo demonstrate that the New York City Department of Health Child Health Clinics could improve the health status of Black and Hispanic children with asthma by providing them with a comprehensive system of continuity of care that included pharmacologic treatment, family health education and community outreach. Recent studies have shown that lack of continuing primary care for asthma is associated with increased levels of morbidity in low-income minority children. Although effective preventive therapy is available, many African-American and Latino children receive episodic treatment for asthma that does not follow current guidelines for care. To see if access, continuity, and quality of care could be improved in pediatric clinics serving low-income children in New York City, we trained staff in New York City Bureau of Child Health clinics to provide continuing, preventive care for asthma.
Community Intervention for Minority Children With Asthma
AsthmaLung DiseasesTo test the effectiveness of school-based asthma education interventions, community-based asthma health workers' programs and the combination of these on asthmatic children. Also, to examine the separate and combined impact of asthma interventions designed to address problems associated with effective asthma self-management amd difficulties in establishing and maintaining continuity of medical care.
Symptom Perception
AsthmaOlder asthmatics have considerably worse outcomes than younger patients with asthma. In this study, the investigators will evaluate the role of symptom perception as a key determinant of poorer outcomes and lower adherence to asthma self-management behaviors among older asthmatics. The proposed study is significant for its potential to greatly advance understanding of the mechanisms related to worse outcomes in older adults, and it will provide actionable data for new interventions to improve self-management.