title: The development of a community-based family asthma management intervention for Puerto Rican children.
abstract: BACKGROUND
  Puerto Rican children maintain disproportionately high asthma prevalence rates and effective asthma management interventions are needed.
  
  
  OBJECTIVE
  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).
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  A CBPR approach enhanced the cultural sensitivity of the intervention as well as its potential for sustainability.
authors.affiliation: University of Oregon, Department of Psychology, OR, USA.
authors.forename: Christina Gamache
authors.initials: CG
authors.lastname: Martin
authors.forename: Adrianne Anderson
authors.initials: AA
authors.lastname: Andrade
authors.forename: Doryliz
authors.initials: D
authors.lastname: Vila
authors.forename: Edna
authors.initials: E
authors.lastname: Acosta-Pérez
authors.forename: Glorisa
authors.initials: G
authors.lastname: Canino
mesh_terms: D001249:Asthma / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy*; D057191:Capacity Building / Q000458:organization & administration; D055812:Community-Based Participatory Research / Q000458:organization & administration*; D054521:Cultural Competency; D005190:Family; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006630:Hispanic or Latino; D006801:Humans; D011209:Power, Psychological; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D011647:Puerto Rico