Asthma Disparities in Latino Children:Acculturation,Illness Representations & CAM

NCT01099800 | Completed DMC

• 1 other identifier: 1R01AT005216-01
• Study Type: observational
• Target: 534
• Locations: 1 country
• Sites: 4

Brief Summary

This interdisciplinary multi-level study moves the research in asthma health disparities from descriptive studies of individual constructs and contexts to testing an integrated, multi-factorial model among Latino families and children with asthma. The investigators seek to gain a more thorough understanding of the interaction of individual characteristics, cultural and experiential factors, social-environmental context, and healthcare system factors on parents' illness representations, use of CAM and controller medications, and children's asthma health outcomes. This will be a one-year longitudinal, multi-site (Phoenix, AZ and Bronx, NY) study among samples of Mexican (N=300) and Puerto Rican (N=300) parents and children aged 5-12 who have asthma. Aim #1: Are there differences in illness representations between Mexican and Puerto Rican parents due to social and contextual factors (i.e., acculturation, education, parental age, poverty, child's illness duration, household members with asthma, and parent-healthcare provider relationship)? Aim #2: Are disparities in asthma control between Mexican and Puerto Rican children due to differences in parents' treatment decisions (CAM and controller medication use) and changes in illness representations over a one year period after controlling for the effects of acculturation, social and contextual factors, environmental triggers, and advice received from others?

Conditions

Asthma

Keywords

asthma; health disparities; illness representations; CAM; Latino

Outcome Measures

Primary Outcomes (1)

• asthma control

  Level of asthma control will be assessed per NAEPP guidelines which incorporate a structured assessment of symptoms and spirometry.

  basline, 3,6,9, and 12 months

Study Arms (2)

Mexican/Mexican American families

Parents and children who self-identify as being of Mexican heritage whether US-born or Mexican-born

Puerto Rican families

Parents and children who self-identify as Puerto Rican whether US-born or island-born.

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

To ensure diverse representation of Latino families and healthcare settings, the sample will be recruited from two school-based health clinics and one clinical practice site in Phoenix, AZ, and two inner-city hospital asthma clinics in the Bronx, NY. Approximately 300 families will be recruited and enrolled from the asthma/allergy and general pediatric clinics and ER at Jacobi Medical Center and North Central Bronx Hospital (N= 150), Phoenix Children's Hospital Breathmobile (N= 75), and the two school-based health clinics in Phoenix (N= 75).

You may qualify if:

• child must be between 5 and 12 years of age,
• have a diagnosis of asthma as obtained from the child's medical record,
• the family is Latino (English or Spanish speaking) as self-identified by the primary caregiver,
• the child has no other significant pulmonary conditions (e.g., cystic fibrosis),
• the participating parent has primary or at least equal responsibility for the day-to-day management of the child's asthma, and
• no cognitive learning disability that could interfere with the parent's or child's (as determined by parents' report) ability to comprehend the interview questions.

You may not qualify if:

• parents who do not have primary or equal responsibility for the child's asthma mangement

Sponsors & Collaborators

• Arizona State University: lead
• National Center for Complementary and Integrative Health (NCCIH): collaborator
• Phoenix Children's Hospital: collaborator
• Scottsdale Healthcare: collaborator
• Albert Einstein College of Medicine: collaborator

Study Sites (4)

Arizona State University College of Nursing and Health Innovation

Phoenix, Arizona, 85004, United States

Location

Phoenix Children's Hospital

Phoenix, Arizona, 85016, United States

Location

Scottsdale Healthcare NOAH Clinic

Scottsdale, Arizona, 85251, United States

Location

Yeshiva University

The Bronx, New York, 10033, United States

Location

Related Publications (2)

• Arcoleo K, Marsiglia F, Serebrisky D, Rodriguez J, Mcgovern C, Feldman J. Explanatory Model for Asthma Disparities in Latino Children: Results from the Latino Childhood Asthma Project. Ann Behav Med. 2020 Mar 24;54(4):223-236. doi: 10.1093/abm/kaz041.

  PMID: 31586174 DERIVED

• Arcoleo KJ, McGovern C, Kaur K, Halterman JS, Mammen J, Crean H, Rastogi D, Feldman JM. Longitudinal Patterns of Mexican and Puerto Rican Children's Asthma Controller Medication Adherence and Acute Healthcare Use. Ann Am Thorac Soc. 2019 Jun;16(6):715-723. doi: 10.1513/AnnalsATS.201807-462OC.

  PMID: 30860858 DERIVED

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Study Officials

• Kimberly J Sidora-Arcoleo, PhD, MPH

  Arizona State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: FAMILY BASED
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 6, 2010
• First Posted: April 8, 2010
• Study Start: June 23, 2010
• Primary Completion: August 25, 2014
• Study Completion: August 25, 2014
• Last Updated: March 9, 2020

Record last verified: 2020-03

Locations

US (4)