Coping With Asthma Throughout Life Management Program (CALM)

Duke University

Status: Not yet enrolling

Conditions: Asthma; Stress

Treatments: Behavioral: Coping with asthma through life management program; Behavioral: Waitlist Control (CALM)

Study type: Interventional

Funder types: Other

Identifiers

NCT07044388

Pro00114349

Details and patient eligibility

About

The purpose of this study is to determine if the Coping with Asthma through Life Management (CALM) intervention, designed to help Black adult with asthma cope with stress, is feasible and acceptable.

Full description

Asthma medication nonadherence is a major contributor to asthma morbidity and mortality in Black adults. Black adults with asthma reported that increased psychosocial stress (e.g., perceived discrimination, job stress, caregiver burden), health-related stress (e.g., concern about asthma control), and economic stress (e.g., economic strain) were barriers to asthma medication adherence and control. The study's hypothesis is that CALM, targeting multiple stressors specifically faced by Black adults with asthma, will be feasibly implemented in a health system, will be acceptable to program participants, and will be a potentially effective intervention to improve asthma medication adherence and asthma control.

Enrollment: 50 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• At least the age of 18
• Self identify as Black/African-American
• Self-report current asthma diagnosis
• Asthma must be persistent (Prescribed an inhaled corticosteroid (alone or in combination)
• Asthma must be uncontrolled (≥1 exacerbation in the past years OR Asthma Control Questionnaire > 0.75)
• Have moderate-high stress (Perceived Stress Scale ≥ 14)
• Presented at any Primary Care clinic in the past 3 years.

Exclusion criteria

• Unable or unwilling to give consent
• Diagnosis of a psychotic disorder
• Positive responses to questions regarding suicidality

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Randomized

Experimental group

Description:

Group will receive intervention method

Treatment:

Behavioral: Coping with asthma through life management program

Waitlist Control Group

Other group

Description:

Participants will receive no intervention (control) during the trial. However, after the study is completed, they will have the option to receive intervention.

Treatment:

Behavioral: Waitlist Control (CALM)