# A Coping Skills Intervention for Low-SES Latino Families of Children with Asthma

> **NIH NIH R01** · UNIVERSITY OF TEXAS AT AUSTIN · 2024 · $121,034

## Abstract

PROJECT SUMMARY
Latino children experience disparities in asthma control and have worse functional outcomes related to poorly
controlled asthma compared to non-Latino White children, including more school absences, emergency
department visits, and hospitalizations for asthma. These disparities persist despite the benefits of asthma self-
management interventions. A significant and growing percentage of Latino children live in poverty, which further
increases their risk for uncontrolled asthma. For low-SES Latino children, psychosocial stress is an unaddressed
factor in asthma disparities. Existing interventions rarely target psychosocial processes to address the role of
stress in asthma control. However, research on coping offers insight into potential intervention approaches that
would buffer the effects of stress and reduce asthma disparities for low-SES Latino children. Coping is a key
modifiable factor that lies “midstream” between upstream social determinants of health and downstream
disparities in health outcomes. In particular, secondary control coping (i.e., efforts to accommodate/adapt to
stressors, such as acceptance and cognitive restructuring) has been linked to better asthma control for children
in low-SES contexts. Therefore, the purpose of the current R01 proposal is to test the effectiveness and
mediators of Adapt 2 Asthma (A2A), a bilingual family-based coping skills + asthma management intervention
tailored to the stressors, strengths, and cultural beliefs of low-SES Latino families. 280 low-SES Latino families
of children ages 9-13 years old with asthma will be identified and enrolled from community primary care clinics
and randomly assigned to either A2A or a standard asthma self-management (AM) control arm. We will assess
children’s asthma control, quality of life, lung function, school absences, and emergency department visits as
the outcomes of the intervention. We will also examine child mediational pathways (child coping and mood and
behavior symptoms) and parent mediational pathways (parent coping and depressive symptoms) of the
intervention. Assessments will occur at pre- and post-intervention and at 6 and 12-month follow-up timepoints
using child and parent report, spirometry, and school records. The successful completion of this R01 would
provide evidence of the effectiveness and mediators of A2A for low-SES Latino children, a population
underserved by current intervention approaches. Our results are expected to lead to a subsequent multi-site
implementation trial of A2A in primary care. The long-term goal of this line of research is to reduce disparities in
asthma control and its health consequences affecting low-SES Latino children and similar underserved youth
populations. The knowledge gained would improve the health of low-SES Latino children and reduce the public
health burden related to pediatric asthma, a condition with a significant cost to society.

## Key facts

- **NIH application ID:** 10939408
- **Project number:** 3R01MD014145-05S1
- **Recipient organization:** UNIVERSITY OF TEXAS AT AUSTIN
- **Principal Investigator:** Erin M. Rodriguez
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $121,034
- **Award type:** 3
- **Project period:** 2020-09-18 → 2025-03-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10939408

## Citation

> US National Institutes of Health, RePORTER application 10939408, A Coping Skills Intervention for Low-SES Latino Families of Children with Asthma (3R01MD014145-05S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10939408. Licensed CC0.

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