School-based Asthma Care for Teens (SB-ACT)
School-based Asthma Care for Teens (SB-ACT)
The goal of this study is to evaluate the widespread implementation of a developmentally
 appropriate preventive asthma care intervention for urban teens. The School Based Asthma Care
 for Teens (SB-ACT) program includes two core components: 1) a trial of directly observed
 therapy (DOT) to allow the teen to experience the potential benefits from adhering to
 guideline-based asthma treatment, and 2) a developmentally appropriate Motivational
 Interviewing (MI) Counseling Intervention to help the teen transition to independent
 long-term medication adherence. The investigators hypothesize that teens receiving the SB-ACT
 program will 1) experience less asthma-related morbidity than an asthma education (AE)
 attention-control comparison group, and 2) have improved adherence, less urgent healthcare
 use, less absenteeism, improved quality of life, and reduced FeNO compared to AE. The
 investigators also hypothesize that participants receiving DOT-only will have improved
 asthma-related outcomes immediately following their DOT trial vs. teens receiving AE, but
 will not have sustained, clinically significant improvement in outcomes once the DOT phase is
 complete. This represents a unique opportunity to build upon existing community relationships
 with an innovative and developmentally focused program to improve asthma outcomes for urban
 teens.
Inclusion Criteria:

 -  Physician-diagnosed asthma

 -  Persistent asthma or poor asthma control (based on NHLBI guidelines).

 -  Attending secondary school in Rochester City School District

 Exclusion Criteria:

 -  Inability to speak and understand English

 -  No access to a phone for follow-up surveys

 -  Diagnosed developmental or intellectual disability

 -  Other significant medical conditions, including congenital heart disease, cystic
 fibrosis, or other chronic lung disease, that could interfere with the assessment of
 asthma-related measures.

 -  Teens in foster care or other situations in which consent cannot be obtained from a
 guardian.