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The Development of a Community-Based Family Asthma Management Intervention for Puerto Rican Children


Background: Puerto Rican children maintain disproportionately high asthma prevalence rates and effective asthma management interventions are needed.

Objectives: This article describes how community-based participatory research (CBPR) was implemented in the development of a culturally tailored family asthma management intervention for Puerto Rican children: CALMA (a Spanish acronym for Take Control, Empower Yourself, and Achieve Asthma Management).

Method: CALMA was developed according to CBPR principles and contemporary asthma guidelines through the collaboration of diverse members of the local, professional, and medical communities, academia, and local government. All group members contributed unique perspectives, making CALMA's development a collaborative effort.

Lessons Learned: The CALMA community dealt with challenges in both incorporating and managing a diverse group of stakeholders and maintaining equity in decision making power. However, the community maintained strengths, such as incorporating culturally accepted remedies and addressing culturally specific myths in the intervention, as well as having the medical community directly involved in overseeing the accuracy of the intervention.

Conclusion: A CBPR approach enhanced the cultural sensitivity of the intervention as well as its potential for sustainability.

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