Abstract：
UNASSIGNED: Older adults with asthma (OAA) have elevated asthma morbidity rates. A six-session intervention based on self-regulation theory was shown to improve outcomes. However, wide-spread implementation was difficult due to the in-person design. Our objective was to determine the feasibility and acceptability of an updated intervention for OAA that is completely remote, includes a physician component, and utilizes shared decision-making (SDM).
UNASSIGNED: A pilot study of 12 OAA with uncontrolled asthma and their asthma providers was conducted at three health centers. The remote intervention (titled SOAR) consisted of 4 sessions (2 groups and 2 individual). Asthma providers (both specialists and primary care) were sent updates of progress along with information on how to incorporate SDM into the visit. Implementation (feasibility, acceptability, and appropriateness) and clinical (asthma control, asthma quality of life, perceived control, depression, and self-confidence) outcomes were measured.
UNASSIGNED: SOAR was found to be feasible, acceptable, and appropriate, with values on validated implementation scales similar to those of in-person behavioral interventions. Asthma providers found the program helpful and intended to change care based on the updates. Asthma control scores improved significantly from baseline (14.2 to 16.8, p = 0.04), as did asthma quality of life (4.2 to 4.9, p = 0.03) and self-confidence to manage asthma (7.1 to 8.5, p = 0.02). There was no change in depression nor perceived control scores.
UNASSIGNED: A remote behavioral intervention appeared feasible and acceptable for OAA and their health care providers, and can improve outcomes. Larger scale implementation trials are warranted.
UNASSIGNED: A pilot study of 12 OAA with uncontrolled asthma and their asthma providers was conducted at three health centers. The remote intervention (titled SOAR) consisted of 4 sessions (2 groups and 2 individual). Asthma providers (both specialists and primary care) were sent updates of progress along with information on how to incorporate SDM into the visit. Implementation (feasibility, acceptability, and appropriateness) and clinical (asthma control, asthma quality of life, perceived control, depression, and self-confidence) outcomes were measured.
UNASSIGNED: SOAR was found to be feasible, acceptable, and appropriate, with values on validated implementation scales similar to those of in-person behavioral interventions. Asthma providers found the program helpful and intended to change care based on the updates. Asthma control scores improved significantly from baseline (14.2 to 16.8, p = 0.04), as did asthma quality of life (4.2 to 4.9, p = 0.03) and self-confidence to manage asthma (7.1 to 8.5, p = 0.02). There was no change in depression nor perceived control scores.
UNASSIGNED: A remote behavioral intervention appeared feasible and acceptable for OAA and their health care providers, and can improve outcomes. Larger scale implementation trials are warranted.
摘要：
■患有哮喘（OAA）的老年人哮喘发病率升高。基于自我调节理论的六期干预被证明可以改善结果。然而，由于亲自设计，广泛的实施是困难的。我们的目标是确定完全远程的OAA更新干预措施的可行性和可接受性，包括一个医生部分，并利用共享决策(SDM)。
■在三个健康中心进行了12例OAA患者未控制哮喘及其哮喘提供者的初步研究。远程干预（名为SOAR）包括4个会议（2个小组和2个个人）。向哮喘提供者（包括专家和初级保健）发送了进展的最新信息以及有关如何将SDM纳入访问的信息。实施(可行性，可接受性,和适当性)和临床(哮喘控制，哮喘的生活质量，感知控制，抑郁症,和自信)的结果进行了测量。
■SOAR被认为是可行的，可接受,和适当的,在经过验证的实施尺度上的值与亲自行为干预的值相似。哮喘提供者发现该计划很有用，并打算根据更新更改护理。哮喘控制评分从基线显着改善（14.2至16.8，p=0.04），哮喘的生活质量(4.2~4.9,p=0.03)和控制哮喘的自信心(7.1~8.5,p=0.02)也是如此.抑郁和感知的控制评分没有变化。
■对于OAA及其医疗保健提供者来说，远程行为干预似乎是可行且可接受的，可以改善结果。有必要进行更大规模的实施试验。
■在三个健康中心进行了12例OAA患者未控制哮喘及其哮喘提供者的初步研究。远程干预（名为SOAR）包括4个会议（2个小组和2个个人）。向哮喘提供者（包括专家和初级保健）发送了进展的最新信息以及有关如何将SDM纳入访问的信息。实施(可行性，可接受性,和适当性)和临床(哮喘控制，哮喘的生活质量，感知控制，抑郁症,和自信)的结果进行了测量。
■SOAR被认为是可行的，可接受,和适当的,在经过验证的实施尺度上的值与亲自行为干预的值相似。哮喘提供者发现该计划很有用，并打算根据更新更改护理。哮喘控制评分从基线显着改善（14.2至16.8，p=0.04），哮喘的生活质量(4.2~4.9,p=0.03)和控制哮喘的自信心(7.1~8.5,p=0.02)也是如此.抑郁和感知的控制评分没有变化。
■对于OAA及其医疗保健提供者来说，远程行为干预似乎是可行且可接受的，可以改善结果。有必要进行更大规模的实施试验。
