223218 Project CURA: La Comunidad Unida Retando el Asma/The Community United to Challenge Asthma

Tuesday, November 9, 2010

JoAnn Lugardo, MPH , Preventive Medicine, Rush University Medical Center, Chicago, IL
Dorian Ortega , Preventive Medicine, Rush University Medical Center, Chicago, IL
Adriana Rodriguez, RN, BSN , Preventive Medicine, Rush University Medical Center, Chicago, IL
Molly A. Martin, MD , Department of Preventive Medicine, Rush University Medical Center, Chicago, IL
Objective: Puerto Rican children suffer the highest asthma rates of any racial or ethnic group, yet intervention research directly targeting this population is limited. Project CURA aims to compare the ability of two interventions to improve asthma medication adherence and reduce home triggers for Puerto Rican youth.

Methods: Project CURA is a behavioral randomized controlled trial that incorporates a community-based participatory research approach. Participants in the study must be Puerto Rican, 5-18 years old, and have persistent uncontrolled asthma. They are randomly assigned to one of two interventions: community health worker home visits or written information in the mail. Recruitment is done by outreach in community schools, agencies, and health care facilities. Data are collected at baseline, after the intervention phase (5 months), and after the maintenance phase (12 months). Parents and children are asked about child asthma severity, control, and health care utilization. Objective data include skin testing for allergies, home inspections for triggers, dust analysis for allergens, medication administration technique, medication adherence, and salivary cotinine levels. Psychosocial measures include caregiver and child self-efficacy, health beliefs, social support, life stress, and depression. The study contains two cohorts for analysis: an elementary school cohort (n=50. K-8th grade) and a high school cohort (n=50, 9th-12th grade).

Results: Recruitment of the cohorts will be finished by June of 2010. Descriptive characteristics and asthma outcomes of the sample at baseline will be presented. Completed analyses of associations between demographic, social, clinical, and behavioral variables will be discussed.

Conclusions: Asthma morbidity in Puerto Rican children may be associated with high asthma triggers, poor mediation adherence, and psychosocial factors. Interventions that target these areas are needed.

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
1. To discuss the use of a community-based participatory research approach in the design and implementation of a behavioral randomized controlled trial of urban Puerto Rican youth. 2. To describe the asthma and psychosocial characteristics of an urban sample of Puerto Rican children and adolescents with asthma 3. To formulate hypotheses for associations between asthma behaviors and outcomes and psychosocial characteristics

Keywords: Asthma, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I assisted with design of the study, I performed recruitment for the study, and collected data for the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.