RUSH UNIVERSITY MEDICAL CENTER
This study compares an asthma self-management intervention, delivered to the family and tailored to their needs and cultural beliefs, to standard asthma education on these two risk factors for asthma exacerbations in high-risk Puerto Rican children in elementary school. The intervention will be a series of home visits provided by Puerto Rican community health workers. During home visits, the family will be educated using a standard asthma Core Curriculum which is tailored to individual needs, strengths, and beliefs using a Toolkit. Specific Aim 1 is to test the ability of this tailored community health worker self-management intervention to reduce asthma exacerbation risk factors in Puerto Rican children and adolescents with asthma. Our hypotheses are that the intervention group will have less home triggers and improved adherence to inhaled corticosteroid medications compared to controls after the active intervention phase. Specific Aim 2 is to test if changes in asthma exacerbation risk factors associated with this intervention are sustained 8 months after the completion of the active intervention. The efficacy of this intervention will be tested using a behavioral randomized controlled trial design featuring 50 participants and a 1:1 randomization scheme. The long-term goal is to apply these pilot data to the design and implementation of a larger behavioral randomized controlled trial that will test the efficacy of a similar asthma intervention to improve asthma control in Puerto Rican children.