Peer-Administered Asthma Self-Management Intervention in Urban Middle Schools

Summary

Health disparities in pediatric asthma persist, with Latino children demonstrating increased asthma morbidity. Middle school children with asthma have greater morbidity than children from any other age group and spend a majority of their day in school, where they must manage any asthma. The investigators developed and piloted a novel group-based intervention - ASMAS (Asthma Self-MAnagement in Schools) in two geographic areas with a high prevalence of urban and Latino children with asthma: Providence, Rhode Island, and San Juan, Puerto Rico. ASMAS is a 4-session, peer-facilitated asthma self-management intervention specific to the school setting for Latino middle school (6th-8th graders) children. It is delivered by trained High School Juniors and Seniors of Latino descent with asthma. The preliminary effects of ASMAS for improving asthma outcomes and self-management relative to controls were demonstrated in a previous intervention development study. This study will evaluate ASMAS through a large-scaled Randomized Control Trial with urban middle school students who have persistent asthma in Providence, Rhode Island and San Juan, Puerto Rico and will identify barriers and facilitators to the implementation of ASMAS. These results will inform future, large-scale dissemination in other urban school settings.

Conditions

• Asthma

Interventions

BEHAVIORAL

ASMAS

A high school peer led group intervention for middles school students targeting asthma education and asthma management practices.

BEHAVIORAL

Asthma education plus child health

Health educator led intervention focused on asthma education and other child health topics.

Sponsors & Collaborators

• University of Puerto Rico

  collaborator OTHER

• Rhode Island Hospital

  lead OTHER

Principal Investigators

• Daphne Koinis-Mitchell, PhD · Rhode Island Hospital

• Glorisa Canino, PhD · University of Puerto Rico

• Sheryl J Kopel, MSc · Rhode Island Hospital

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

11 Years

Max Age

14 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-04-01

Primary Completion

2024-05-31

Completion

2024-05-31

Countries

• United States

Study Locations