--- title: "Feasibility of DASH for Asthma intervention in pilot study. | Sutter Health" description: "The DASH behavioral intervention was feasible and highly acceptable to participants with uncontrolled asthma and lifestyle coaches." url: "https://www.sutterhealth.org/research/publications/feasibility-dash-for-asthma-intervention-study-1055312344" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Feasibility of DASH for Asthma intervention in pilot study. # Acceptability and feasibility of the 'DASH for Asthma' intervention in a randomized controlled trial pilot study. Blonstein AC, Lv N, Camargo CA, Wilson SR, Buist AS, Rosas LG, Strub P, & Ma J. _Public Health Nutr. 2015 Dec 10:1-11. \[Epub ahead of print\]_ 2015-12-10 ## Abstract OBJECTIVE: 'DASH for Asthma' (n 90) was a 6-month randomized controlled trial that demonstrated potential benefits of a DASH (Dietary Approaches to Stop Hypertension) behavioral intervention for improving diet quality and asthma control by comparing intervention to usual care in adults with uncontrolled asthma. The present study examined acceptability and feasibility of the intervention from the perspective of intervention participants and lifestyle coaches. DESIGN: Grounded in Social Cognitive Theory, the 3-month intensive stage, including three individual and eight group sessions, focused on diet modifications and behavioral self-regulation. The 3-month maintenance stage contained telephone consultations. Participants and lifestyle coaches completed surveys including 5-point Likert scales and open-ended questions. We analyzed data using descriptive and inductive content analyses. SUBJECTS: Forty-six intervention participants (survey response rate was 65-72 %) and two lifestyle coaches. RESULTS: Participants and lifestyle coaches were highly satisfied (all mean ratings >4) with individual and group sessions. Participants identified mastery of knowledge and skills (awareness, goal setting, self-monitoring, problem solving), social learning (class members sharing experiences and ideas) and good coaching skills (reflective listening, empathy, motivational counseling) as important contributors to self-efficacy and program satisfaction. Participants also valued personalized feedback received in individual sessions. Lifestyle coaches viewed participant engagement as a facilitator to effective sessions. Finally, participants and lifestyle coaches identified food tasting as beneficial for observational learning and facilitation of participant engagement. High class attendance and self-monitoring rate also reflected the high engagement among participants. CONCLUSIONS: The DASH behavioral intervention was feasible and highly acceptable to participants with uncontrolled asthma and lifestyle coaches. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/26653101) ## Research topics - [Asthma](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Asthma%5C%22%22) - [Cardiovascular Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Cardiovascular+Diseases%5C%22%22) - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Food and Nutrition](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Food+and+Nutrition%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Use of dietary supplements among US adults with asthma.](https://www.sutterhealth.org/research/publications/dietary-supplements-adults-asthma-1055312968) Ma J, Xiao L. Nutr Dietary Suppl. 2011(3):9—18. 2011 Jan 12 - Publication ### [DASH for asthma: a pilot study of the DASH diet in not-well-controlled adult asthma.](https://www.sutterhealth.org/research/publications/pilot-study-of-dash-diet-in-uncontrolled-asthma-1055312757) Ma J, Strub P, Lavori PW, Buist AS, Camargo CA Jr, Nadeau KC, Wilson SR, Xiao L. Contemp Clin Trials. 35(2):55-67. doi: 10.1016/j.cct.2013.04.008. Epub 2013 May 3. 2013 Jul 01 - Publication ### [Pilot randomised trial of a healthy eating behavioural intervention in uncontrolled asthma.](https://www.sutterhealth.org/research/publications/pilot-trial-healthy-eating-uncontrolled-asthma-1055312944) Ma J, Strub P, Lv N, Xiao L, Camargo CA Jr, Buist AS, Lavori PW, Wilson SR, Nadeau KC, Rosas LG. Eur Respir J. pii: ERJ-00591-2015. doi: 10.1183/13993003.00591-2015. \[Epub ahead of print\] 2015 Oct 22 - Publication ### [Case management to reduce risk of cardiovascular disease in a county health care system.](https://www.sutterhealth.org/research/publications/case-mgmt-reduce-cvd-risk-county-health-system-1055312926) Ma J, Berra K, Haskell WL, Klieman L, Hyde S, Smith MW, Xiao L, Stafford RS. Arch Intern Med. 2009;169(21):1988-1995. doi:10.1001/archinternmed.2009.381. 2009 Nov 23 - Publication ### [Behavioral weight loss and physical activity intervention in obese adults with asthma: a randomized trial.](https://www.sutterhealth.org/research/publications/behavioral-weight-loss-in-obese-asthmatic-adults-1055312842) Ma J, Strub P, Xiao L, Lavori PW, Camargo CA Jr, Wilson SR, Gardner CD, Buist AS, Haskell WL, Lv N. Ann Am Thorac Soc. 12(1):1-11. doi: 10.1513/AnnalsATS.201406-271OC. 2015 Jan 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/feasibility-dash-for-asthma-intervention-study-1055312344#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Feasibility of DASH for Asthma intervention in pilot study."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/feasibility-dash-for-asthma-intervention-study-1055312344#medicalscholarlyarticle","name":"Acceptability and feasibility of the 'DASH for Asthma' intervention in a randomized controlled trial pilot study.","headline":"Feasibility of DASH for Asthma intervention in pilot study.","abstract":"OBJECTIVE: 'DASH for Asthma' (n 90) was a 6-month randomized controlled trial that demonstrated potential benefits of a DASH (Dietary Approaches to Stop Hypertension) behavioral intervention for improving diet quality and asthma control by comparing intervention to usual care in adults with uncontrolled asthma. The present study examined acceptability and feasibility of the intervention from the perspective of intervention participants and lifestyle coaches. DESIGN: Grounded in Social Cognitive Theory, the 3-month intensive stage, including three individual and eight group sessions, focused on diet modifications and behavioral self-regulation. The 3-month maintenance stage contained telephone consultations. Participants and lifestyle coaches completed surveys including 5-point Likert scales and open-ended questions. We analyzed data using descriptive and inductive content analyses. SUBJECTS: Forty-six intervention participants (survey response rate was 65-72 %) and two lifestyle coaches. RESULTS: Participants and lifestyle coaches were highly satisfied (all mean ratings >4) with individual and group sessions. Participants identified mastery of knowledge and skills (awareness, goal setting, self-monitoring, problem solving), social learning (class members sharing experiences and ideas) and good coaching skills (reflective listening, empathy, motivational counseling) as important contributors to self-efficacy and program satisfaction. Participants also valued personalized feedback received in individual sessions. Lifestyle coaches viewed participant engagement as a facilitator to effective sessions. Finally, participants and lifestyle coaches identified food tasting as beneficial for observational learning and facilitation of participant engagement. High class attendance and self-monitoring rate also reflected the high engagement among participants. CONCLUSIONS: The DASH behavioral intervention was feasible and highly acceptable to participants with uncontrolled asthma and lifestyle coaches.","description":"The DASH behavioral intervention was feasible and highly acceptable to participants with uncontrolled asthma and lifestyle coaches.","keywords":["Asthma","Cardiovascular Diseases","Disease Management","Food and Nutrition"],"datePublished":"2015-12-10","url":"https://www.sutterhealth.org/research/publications/feasibility-dash-for-asthma-intervention-study-1055312344","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"26653101"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/26653101/"],"isPartOf":{"@type":"Periodical","name":"Public Health Nutr"},"author":[{"@type":"Person","name":"Blonstein AC"},{"@type":"Person","name":"Lv N"},{"@type":"Person","name":"Camargo CA"},{"@type":"Person","name":"Wilson SR"},{"@type":"Person","name":"Buist AS"},{"@type":"Person","name":"Rosas LG"},{"@type":"Person","name":"Strub P"},{"@type":"Person","name":"Ma J"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Asthma","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Asthma%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Cardiovascular Diseases","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Cardiovascular+Diseases%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Food and Nutrition","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Food+and+Nutrition%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/feasibility-dash-for-asthma-intervention-study-1055312344","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/feasibility-dash-for-asthma-intervention-study-1055312344#breadcrumblist"}}} ```