Trial reportThe Journal of asthma : official journal of the Association for the Care of Asthma2015
Results from a community-based trial testing a community health worker asthma intervention in Puerto Rican youth in Chicago.
Trial report in The Journal of asthma : official journal of the Association for the Care of Asthma, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Home-based educational interventions for children with asthma.The Cochrane database of systematic reviews · 2025Pooled it
- Lay-led and peer support interventions for adolescents with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Interventions to improve adherence to inhaled steroids for asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review.NPJ primary care respiratory medicine · 2017Pooled it
- Impact of Community Health Workers on Use of Healthcare Services in the United States: A Systematic Review.Journal of general internal medicine · 2017Pooled it
- Addressing asthma and obesity in children with community health workers: proof-of-concept intervention development.BMC pediatrics · 2016Trial
- Mapping Randomized Controlled Trials of Family- and Community-Centered Healthcare Interventions for Pediatric Asthma, Type 1 Diabetes, or Juvenile Idiopathic Arthritis-A Scoping Review.Children (Basel, Switzerland) · 2026Review
- Psychological Intervention Strategies in Adolescents with Asthma: A Review of the Literature.Children (Basel, Switzerland) · 2026Review
- Asthma underdiagnosis in children: A school-based screening in a low socioeconomic status population.Biomedica : revista del Instituto Nacional de Salud · 2025Article
- Community health workers' perspectives on integrating into school settings to support student health.Frontiers in public health · 2023Article
- Adherence and Self-management Interventions among Systemically Marginalized and Underserved Youth with Asthma.Clinical practice in pediatric psychology · 2022Article
- What can be done to impact respiratory inhaler misuse: exploring the problem, reasons, and solutions.Expert review of respiratory medicine · 2020Review
- Educational content and challenges encountered when training service user representatives as peer researchers in a mixed study on patient experience of hospital safety.Research involvement and engagement · 2020Article
- Defining and measuring health equity in research on task shifting in high-income countries: A systematic review.SSM - population health · 2019Review
- Formative research implications on design of a randomized controlled trial for oral health promotion in children.Pilot and feasibility studies · 2018Article
- Asthma in Children With Comorbid Obesity: Intervention Development in a High-Risk Urban Community.Health promotion practice · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
unlabelledAbstract Objective: Puerto Rican children suffer disproportionately from asthma. Project CURA tested the efficacy of a community health worker (CHW) intervention to improve use of inhaled corticosteroids (ICS) and reduce home asthma triggers in Puerto Rican youth in Chicago.
methodsThis study employed a behavioral randomized controlled trial design with a community-based participatory research approach. Medications and technique were visually assessed; adherence was determined using dose counters. Home triggers were assessed via self-report, visual inspection and salivary cotinine. All participants received education on core asthma topics and self-management skills. Participants in the CHW arm were offered home education by the CHW in four visits over four months. The attention control arm received four newsletters covering the same topics.
resultsWhile most of the participants had uncontrolled persistent asthma, <50% had ICS at baseline. In the CHW arms, 67% of participants received the full four-visit intervention. In the Elementary school cohort (n=51), the CHW arm had lower odds of having an ICS (OR=0.2; p=0.02) at 12-months; no differences were seen in other outcomes between arms at any time point. The only significant treatment arm difference in the high school cohort (n=50) was in inhaler technique where the CHW arm performed 18.0% more steps correct at five months (p<0.01) and 14.2% more steps correct at 12 months (p<0.01).
conclusionsWhile this CHW intervention did not increase the number of participants with ICS or reduce home asthma triggers, important lessons were learned including challenges to CHW intervention fidelity and the need for CHWs to partner with clinical providers.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.