Effects of coping-skills training in low-income urban African-American adolescents with asthma

Barbara Velsor-Friedrich*, Lisa K. Militello, Maryse H. Richards, Patrick R. Harrison, Israel M. Gross, Edna Romero, Fred B. Bryant

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Background. Minority teens with asthma are at particular risk for this life-threatening disease due to increased morbidity and mortality rates in addition to the normal challenges of adolescence. Objective. The purpose of this randomized controlled trial (n = 137) was to determine the effects of a coping-skills training program (intervention) compared with standard asthma education (attention control) in African-American teens with asthma. Methods. Adolescents were recruited from five African-American dominant high schools serving low-income areas of Chicago. Data were collected at baseline, 2 months (immediately following the intervention), 6 months, and 12 months. Results. Both groups improved over time, with significant increases in asthma-related quality of life, asthma knowledge, and asthma self-efficacy, accompanied by decreases in symptom days and asthma-related school absences. Conclusions. Findings suggest that coping-skills training as implemented in this study provided no additional benefit beyond that experienced in the control group. However, group-based interventions delivered in the school setting may be beneficial for low-income, minority teens with asthma.

Original languageEnglish (US)
Pages (from-to)372-379
Number of pages8
JournalJournal of Asthma
Volume49
Issue number4
DOIs
StatePublished - May 1 2012

Keywords

  • asthma control
  • minority health
  • school-based health
  • self-care
  • teen

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

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