Promoting Asthma Wellness in Rural Communities

Study Overview
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Brief Summary
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This is a research study that compares the effectiveness of a web-based program (known as Puff City) and another web-based program (of internet sites such as the American Lung Association, American Academy of Asthma, Allergy, and Immunology, etc) that targets five key asthma management issues among rural youth: Improving adherence to asthma controller medication use; Improving compliance of carrying a rescue inhaler at all times for use at the first sign of asthma symptoms; Improving inhaler technique; Smoking reduction or cessation in those who are smokers; and Avoidance of second-hand smoke exposure.

Detailed Description
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A randomized control trial across three southeastern rural high schools comparing a web-based tailored intervention (known as Puff City) to web-based traditional control education sites.

Official Title
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Promoting Asthma Wellness in Rural Communities

Conditions
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Asthma

Intervention / Treatment
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* Behavioral: Puff City GA
* Behavioral: General Asthma Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AA ethnicity in 9th - 11th grade of selected rural schools have an asthma diagnosis and/or asthma-like symptoms by screening eligible on the Lung Health Survey have access to a telephone or mobile phone being the parent of a student meeting the above criteria with whom the student resides the majority of the time. Exclusion Criteria: Not meeting the above criteria.

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Puff City GA<br>Puff City is an NHLBI-funded (C. Joseph, PI; Henry Ford Health System, Detroit, MI), web-based intervention that targets three key asthma management issues in youth: 1) smoking reduction or cessation in those who are smokers, 2) improving adherence to asthma controller medication use, and 3) improving compliance of carrying a rescue inhaler at all times for use at the first sign of asthma symptoms. Puff City Ga. is a replication study in the rural southeastern United States that adds biological assessments in addition to self-report data. | Behavioral: Puff City GA<br>* Puff City GA focuses on three areas of health behavior: 1) adherence to controller medications; 2) immediate availability of rescue medication; 3)smoking cessation/reduction.<br>* Other names: Behavioral Puff City Ga.;|
| Active Comparator: General Asthma Education<br>Students will be directed to generic public websites on asthma and smoking that contain helpful information on general asthma management. | Behavioral: General Asthma Education<br>* Students will be directed to generic public websites on asthma and smoking that contain helpful information on general asthma management.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Days of asthma symptoms; personal cigarette smoking and cessation; and days of school missed because of asthma, measured by self report |  | baseline, end of treatment, 6 months, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in exhaled nitric oxide and active and passive smoke exposure, measured by salivary cotinine. |  | baseline, end of treatment, 6 months, 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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asthma, smoking, teens