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Abstract
Grant Number: 5F32AT002012-02 Project Title: CAM use for Asthma in Low-income Black and White Adults
PI Information: Name Title GEORGE, MAUREEN R. mgeorge@nursing.upenn.edu Abstract: DESCRIPTION (provided by applicant): Asthma prevalence, morbidity and mortality are disproportionately increasing in low-income minorities despite excellent asthma pharmacotherapy. Inhaled corticosteroids (ICS), the cornerstone of asthma therapy, remain poor. Preliminary data and literature reviews suggest that complementary and alternative medicine (CAM), folk and spiritual practices are common in this population. Interestingly, Blacks may use uniquely different CAMs as compared to Whites and low-income groups may use distinctly different CAMS than middle- and upper class patients. The overall aim of this proposal is to extend the preliminary work, which narrowly focused on urban Black adults with severe asthma by discovering the CAM, folk and spiritual practices of a more representative sample of low-income White and Black adults with mid-,moderate- and severe-persistent asthma, residing in 1 of 2 urban areas. In Aim 1, a rigorous inductive qualitative semistructured interview of 25 Whites and 25 Blacks will discover CAM use and provide the initial data for a new CAM tool. In Aim 2, ICS use will be objectively measured to more comprehensively characterize patients' asthma management. This knowledge is necessary before interventional studies can be designed, implemented and evaluated.
Public Health Relevance:
This Public Health Relevance is not available.Thesaurus Terms:
African American, alternative medicine, asthma, caucasian American, health behavior, low socioeconomic status, racial /ethnic difference
corticosteroid, human therapy evaluation, inhalation drug administration, respiratory disorder chemotherapy
behavioral /social science research tag, clinical research, human subject, interview, patient oriented research, postdoctoral investigator, urban area
Institution: JOHNS HOPKINS UNIVERSITY W400 Wyman Park Building BALTIMORE, MD 212182680 Fiscal Year: 2005 Department: MEDICINE Project Start: 01-JUL-2004 Project End: 30-JUN-2006 ICD: NATIONAL CENTER FOR COMPLEMENTARY & ALTERNATIVE MEDICINE IRG: ZAT1