|Program staff||Intervention counselors are African-American women, to enhance rapport with participants. Non-counseling staff are trained in issues related to cultural sensitivity.|
|Participant visuals||Photographs in workbook represent a diversity of African American women and families. Photos of telephone counselors included in workbook.|
|Workbook content||Use of culturally-relevant activities when discussing potential triggers (e.g., nail salons, church and family gatherings). Use of culturally-relevant examples in list of potential asthma-management problems (e.g., asthma medicine is expensive so I only buy it when my symptoms are bad, my family thinks prayer is all I need to take care of my asthma).|
|Telephone session content||
Culturally-linked factors addressed by telephone counselors during program sessions, where relevant:|
--Potential perception that asthma is life-threatening and that fears, if not managed, can block effective action.
--The role that being overweight may play in worsening asthma symptoms.
--Impact of time and family responsibilities, including extended family.
--Economic constraints in managing asthma.
--The importance of community life and the potential influence on asthma management of the beliefs of other women in their social circles.
--Potential use of alternative therapies.
--Possibility of frequent asthma symptoms.
--Possibility of use of urgent and emergency services for asthma as a regular feature of care.
--Possibility of not using anti-inflammatory medicine.
--Generation of a potential allergy profile to help in formulating strategies related to environmental control, potential seasons of increased risk, and the relationship between asthma and rhinitis.
-Effective communication with health care team and other sources of support.