Breathe With Ease: A Unique Approach to Managing Stress (BEAMS)
Condition: Asthma
MeSH terms: Asthma
Study type: Interventional

Summary: 
      Uncontrolled asthma in at-risk youth responds well to guideline-based therapy when patients
      remain adherent to their management plans. Adherence to inhaled corticosteroids (ICS), when
      indicated for persistent or uncontrolled asthma, is a critical component of most asthma
      management plans, and other self-management practices such as trigger avoidance are similarly
      related to improved asthma outcomes. Adherence to self-management practices is mediated by
      multiple factors, including psychosocial stress of parents and their children.

      A targeted, culturally appropriate intervention to manage psychosocial stress among the
      parents of young, African American, and socioeconomically disadvantaged urban children with
      asthma who are receiving guideline-based care may improve asthma self-management, and
      therefore asthma outcomes.

      Our overall aim is to implement and evaluate a highly collaborative, multi-dimensional,
      culturally appropriate and community-based asthma intervention to augment existing
      guideline-based best practice. The intervention will target the parents of at-risk, urban,
      African American youth, and will employ individualized psychosocial stress management and
      peer support.
    

Detailed description: 
      Uncontrolled asthma in at-risk youth responds well to guideline-based therapy when patients
      remain adherent to their management plans. Adherence to inhaled corticosteroids (ICS), when
      indicated for persistent or uncontrolled asthma, is a critical component of most asthma
      management plans, and other self-management practices such as trigger avoidance are similarly
      related to improved asthma outcomes. Adherence to self-management practices is mediated by
      multiple factors, including psychosocial stress of parents and their children.

      A targeted, culturally appropriate intervention to manage psychosocial stress among the
      parents of young, African American, and socioeconomically disadvantaged urban children with
      asthma who are receiving guideline-based care may improve asthma self-management, and
      therefore asthma outcomes.

      Our overall aim is to implement and evaluate a highly collaborative, multi-dimensional,
      culturally appropriate and community-based asthma intervention to augment existing
      guideline-based best practice. The intervention will target the parents of at-risk, urban,
      African American youth, and will employ individualized psychosocial stress management and
      peer support.

      We will conduct a single blind, prospective randomized controlled trial comparing the IMPACT
      DC Asthma Clinic's existing intervention of guideline-based clinical care, education, and
      short-term care coordination (usual care) to usual care plus parental stress management in a
      cohort of up to 200 parent-child dyads of AA youth aged 4-12 years.
    

Intervention name(s): Parental stress management; Usual Care
Intervention type(s): Behavioral; Other
Intervention description(s): The intervention for this study is a multi-dimensional stress management program designed to be responsive to parent and other stakeholder preferences. The intervention will have two separate yet coordinated components: one-on-one stress management sessions and peer group sessions led by "community wellness coaches."; IMPACT DC Asthma Clinic intervention of guideline-based clinical care, education, and short-term care coordination
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: psychosocial stress