Mediators of asthma outcomes

Background Patient adherence, the level of asthma self-management skills, exposure to stress, and depression can have considerable influence on a wide range of asthma outcomes and thus are considered asthma outcome mediators. Objective National Institutes of Health institutes and other federal agenc...

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Veröffentlicht in:Journal of allergy and clinical immunology 2012-03, Vol.129 (3), p.S136-S141
Hauptverfasser: Rand, Cynthia S., PhD, Wright, Rosalind J., MD, MPH, Cabana, Michael D., MD, MPH, Foggs, Michael B., MD, Halterman, Jill S., MD, MPH, Olson, Lynn, PhD, Vollmer, William M., PhD, Wilson, Sandra R., PhD, Taggart, Virginia, MPH
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container_end_page S141
container_issue 3
container_start_page S136
container_title Journal of allergy and clinical immunology
container_volume 129
creator Rand, Cynthia S., PhD
Wright, Rosalind J., MD, MPH
Cabana, Michael D., MD, MPH
Foggs, Michael B., MD
Halterman, Jill S., MD, MPH
Olson, Lynn, PhD
Vollmer, William M., PhD
Wilson, Sandra R., PhD
Taggart, Virginia, MPH
description Background Patient adherence, the level of asthma self-management skills, exposure to stress, and depression can have considerable influence on a wide range of asthma outcomes and thus are considered asthma outcome mediators. Objective National Institutes of Health institutes and other federal agencies convened an expert group to recommend standardized measures for 7 domains of asthma clinical research outcomes measures. Although the review of mediators of these outcomes was not within the scope of any specific outcome topic, a brief summary is presented so that researchers might consider potential mediators. Methods We prepared a summary of key mediators of asthma outcomes based on expertise and knowledge of the literature. Results The rationale for including measures of adherence, self-management skills, and exposures to stress in asthma clinical research is presented, along with a brief review of instruments for collecting this information from clinical research participants. Conclusions Appropriate measurement of adherence, self-management skills, and exposures to stress will enhance characterization of study participants and provide information about the potential impact these factors can have on mediating the effects of treatment interventions.
doi_str_mv 10.1016/j.jaci.2011.12.987
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Objective National Institutes of Health institutes and other federal agencies convened an expert group to recommend standardized measures for 7 domains of asthma clinical research outcomes measures. Although the review of mediators of these outcomes was not within the scope of any specific outcome topic, a brief summary is presented so that researchers might consider potential mediators. Methods We prepared a summary of key mediators of asthma outcomes based on expertise and knowledge of the literature. Results The rationale for including measures of adherence, self-management skills, and exposures to stress in asthma clinical research is presented, along with a brief review of instruments for collecting this information from clinical research participants. Conclusions Appropriate measurement of adherence, self-management skills, and exposures to stress will enhance characterization of study participants and provide information about the potential impact these factors can have on mediating the effects of treatment interventions.</description><identifier>ISSN: 0091-6749</identifier><identifier>EISSN: 1097-6825</identifier><identifier>DOI: 10.1016/j.jaci.2011.12.987</identifier><identifier>PMID: 22386506</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adherence ; Allergy and Immunology ; Asthma - psychology ; Asthma - therapy ; asthma patient education ; Behavior ; Biomarkers ; Biomedical Research - standards ; Children &amp; youth ; Clinical trials ; Depression ; Humans ; Managerial skills ; Mental depression ; Mortality ; Patient Compliance ; Patient Education as Topic ; Postpartum period ; Quality of life ; Questionnaires ; Self Care ; self-management skills ; Stress ; Stress, Psychological ; Studies ; Treatment Outcome</subject><ispartof>Journal of allergy and clinical immunology, 2012-03, Vol.129 (3), p.S136-S141</ispartof><rights>2012</rights><rights>Published by Mosby, Inc.</rights><rights>Copyright Elsevier Limited Mar 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c537t-a1b66d59d3d0e198c3dd9f4d6c2c2b07accff9f3ff9c8ce9896d421ea14805523</citedby><cites>FETCH-LOGICAL-c537t-a1b66d59d3d0e198c3dd9f4d6c2c2b07accff9f3ff9c8ce9896d421ea14805523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0091674911029563$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22386506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rand, Cynthia S., PhD</creatorcontrib><creatorcontrib>Wright, Rosalind J., MD, MPH</creatorcontrib><creatorcontrib>Cabana, Michael D., MD, MPH</creatorcontrib><creatorcontrib>Foggs, Michael B., MD</creatorcontrib><creatorcontrib>Halterman, Jill S., MD, MPH</creatorcontrib><creatorcontrib>Olson, Lynn, PhD</creatorcontrib><creatorcontrib>Vollmer, William M., PhD</creatorcontrib><creatorcontrib>Wilson, Sandra R., PhD</creatorcontrib><creatorcontrib>Taggart, Virginia, MPH</creatorcontrib><title>Mediators of asthma outcomes</title><title>Journal of allergy and clinical immunology</title><addtitle>J Allergy Clin Immunol</addtitle><description>Background Patient adherence, the level of asthma self-management skills, exposure to stress, and depression can have considerable influence on a wide range of asthma outcomes and thus are considered asthma outcome mediators. Objective National Institutes of Health institutes and other federal agencies convened an expert group to recommend standardized measures for 7 domains of asthma clinical research outcomes measures. Although the review of mediators of these outcomes was not within the scope of any specific outcome topic, a brief summary is presented so that researchers might consider potential mediators. Methods We prepared a summary of key mediators of asthma outcomes based on expertise and knowledge of the literature. Results The rationale for including measures of adherence, self-management skills, and exposures to stress in asthma clinical research is presented, along with a brief review of instruments for collecting this information from clinical research participants. 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Objective National Institutes of Health institutes and other federal agencies convened an expert group to recommend standardized measures for 7 domains of asthma clinical research outcomes measures. Although the review of mediators of these outcomes was not within the scope of any specific outcome topic, a brief summary is presented so that researchers might consider potential mediators. Methods We prepared a summary of key mediators of asthma outcomes based on expertise and knowledge of the literature. Results The rationale for including measures of adherence, self-management skills, and exposures to stress in asthma clinical research is presented, along with a brief review of instruments for collecting this information from clinical research participants. 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source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adherence
Allergy and Immunology
Asthma - psychology
Asthma - therapy
asthma patient education
Behavior
Biomarkers
Biomedical Research - standards
Children & youth
Clinical trials
Depression
Humans
Managerial skills
Mental depression
Mortality
Patient Compliance
Patient Education as Topic
Postpartum period
Quality of life
Questionnaires
Self Care
self-management skills
Stress
Stress, Psychological
Studies
Treatment Outcome
title Mediators of asthma outcomes
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