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

> **NIH NIH R01** · RHODE ISLAND HOSPITAL · 2020 · $837,568

## Abstract

Project Summary/Abstract:
Health disparities in pediatric asthma persist, with Latino children demonstrating increased asthma morbidity.
Middle school children have greater morbidity than children from any other age group, yet there are no school-
based asthma management programs developed for this group. To address these gaps, we have developed
and piloted a novel group-based intervention: ASMAS (Asthma Self-MAnagement in Schools) in two
geographic areas with a high proportion of urban, 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 Latino High
School Juniors and Seniors with asthma, adapts guidelines-based self-management to the urban school
setting, and is consistent with Latino children's cultural backgrounds. In our pilot RCT, ASMAS improved
asthma outcomes and self-management for the targeted groups. Our proposed approach involves a hybrid
design including a large-scale randomized, controlled trial investigating the effect of ASMAS, and an evaluation
of the implementation process to inform future plans to test ASMAS in additional urban settings. Our first aim is
to evaluate the effects of ASMAS on asthma health outcomes (e.g., control, symptom free days, absences,
lung function) and asthma self-management (skills, knowledge and self-efficacy, availability of rescue inhaler
and action plan at school) in a sample of 432 Latino middle school children with asthma in Providence, RI and
San Juan, PR (216 per site; 72 per condition). 6th to 8th grade middle schoolers will be enrolled then randomly
assigned to 1) ASMAS, or 2) Asthma Education plus Child Health control condition, or 3) a no treatment control
condition (9 groups of each condition per site; 8 children per group). Student and primary caregiver
assessments will occur at baseline, end of treatment (directly following the intervention), and at three, 4-month
post intervention follow-ups. Our second aim is to conduct a mixed-methods, multi-stakeholder process
evaluation using the RE-AIM framework,48-50 with students, caregivers, HS Peers, school administrators
and additional community stakeholders invested in supporting students' asthma care. We will begin to
develop implementation strategies with key stakeholders to better prepare for future large-scale
evaluation of the effectiveness of ASMAS and its implementation in additional urban centers. Relative to
controls, over 1 year, we expect that ASMAS participants will have improved asthma outcomes and self-
management. We also expect treatment effects on asthma outcomes will be mediated through changes in self-
management in all children, and moderated by acculturative stress and language proficiency in RI children.
The proposed work offers a critical opportunity to evaluate ASMAS for improving asthma outcomes for children...

## Key facts

- **NIH application ID:** 9929964
- **Project number:** 5R01MD012225-04
- **Recipient organization:** RHODE ISLAND HOSPITAL
- **Principal Investigator:** GLORISA J CANINO
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $837,568
- **Award type:** 5
- **Project period:** 2017-09-25 → 2022-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9929964

## Citation

> US National Institutes of Health, RePORTER application 9929964, Peer-Administered Asthma Self-Management Intervention in Urban Middle Schools (5R01MD012225-04). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9929964. Licensed CC0.

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