Rural Asthma Effectiveness Study
Rural Asthma Effectiveness Study
The investigators will test if their intervention, Asthma Self-Management for Adolescents
 (ASMA), an 8-week, high school-based intervention for teenagers, improves asthma in rural
 high school students with uncontrolled asthma when delivered by CHWs. The investigators will
 also test the cost-effectiveness of ASMA, and examine the barriers and facilitators of ASMA's
 widespread implementation.
Asthma, the most common pediatric chronic illness, has high prevalence and morbidity among
 adolescents. Despite this, there are few interventions for high school students, and none
 have been tested when delivered by Community Health Workers (CHWs) or in rural areas. This
 represents a significant limitation because the CHW model has been shown to be successful in
 clinic- and home-based interventions. Also, rural adolescents with asthma represent a very
 large population. Given the high prevalence of asthma in this group, this oversight is a
 significant public health concern. Cost effectiveness analyses and implementation research
 are also lacking in asthma intervention research. This study addresses these treatment and
 methodological gaps. The investigators developed and established the efficacy of Asthma
 Self-Management for Adolescents (ASMA), an 8-week, high school-based intervention, in urban
 Hispanic and African American adolescents.
Inclusion Criteria:

 -  Adolescents who are at least 13.0 at the time of consent

 -  Teenager reports having a prior asthma diagnosis, and in the last 12 months has: (a)
 used prescribed asthma medication and (b) uncontrolled asthma, defined as: (i)
 symptoms 3+ days a week; (ii) night awakenings 3+ nights per month; (iii) 2+ ED
 visits; or (iv) 1+ hospitalization for asthma; and

 -  Adolescents are English proficient

 Exclusion Criteria:

 • Co-morbid diseases that affect lung functioning.