Effectiveness of a multi-level asthma intervention in increasing controller medication use: a randomized control trial.

ABSTRACT:

Introduction

Poor self-management by families is an important factor in explaining high rates of asthma morbidity in Puerto Rico, and for this reason we previously tested a family intervention called CALMA that was found effective in improving most asthma outcomes, but not effective in increasing the use of controller medications. CALMA-plus was developed to address this issue by adding to CALMA, components of provider training and screening for asthma in clinics.

Methods

Study participants were selected from claims Medicaid data in San Juan, Puerto Rico. After screening, 404 children in eight clinics were selected after forming pairs of clinics and randomizing the clinics) to CALMA-only or CALMA-plus.

Results

For all three primary outcomes at 12 months, the mean diff

SUBMITTER: Canino G 

PROVIDER: S-EPMC4811660 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature