ENLaCE Pilot Study

Asthma affects almost 10% of children and is the most common health condition reported by
North Carolina public schools. Latino children have higher rates of uncontrolled asthma and
more asthma-related emergency department visits than their White counterparts. No studies
have evaluated Latino children's asthma device technique; poor technique can compromise
medication delivery to the lungs.

The TraCS engagement core has spent the last 18 months developing the Expanding Networks for
Latinos through Community Engagement (ENLaCE) network, which is comprised of over 15
organizations in the Greensboro area. The core would now like to conduct a feasibility study
to determine whether ENLaCE can be used to recruit Latino children into a randomized,
controlled trial (RCT) to improve their asthma medication device technique. This would be
the first assessment of whether ENLaCE can be used to recruit patients.

MEDUCATION, an NIH-funded project developed by Polyglot Systems, Inc., has developed asthma
device technique videos in Spanish and English. The member groups of ENLaCE believe the
MEDUCATION videos are highly relevant for the Greensboro Latino community. Children will be
recruited from two pediatric ENLaCE clinics in Greensboro and randomly assigned to watch
device technique videos (experimental group; n=50) or a nutrition video (control group,
n=50) in Spanish or English after a regularly-scheduled medical visit. Children's device
technique will be assessed before and after the visit. Process evaluation data will also be
collected.

Inclusion Criteria:

Children will be eligible if they:

- are ages 8 through 16 years,

- are able to speak English or Spanish,

- can read the assent form,

- are present at the visit with an adult caregiver (parent or legal guardian) who can
speak English or Spanish and who is at least 18 years of age,

- have mild, moderate, or severe persistent asthma, and

- are present for an asthma-related visit (either acute or scheduled).