School–Supervised Use of a Once-Daily Inhaled Corticosteroid Regimen: A Cluster Randomized Trial

JK Gerald, JM Fisher, MA Brown. J Allergy Clin Immunol. 2019;143(2):755–764 To evaluate the efficacy of school-supervised administration of once-daily inhaled corticosteroid to improve asthma control and reduce school absences in a primarily low-income Latino population. Students with asthma in 20 Tucson Unified School District elementary schools were selected to represent a large urban school population of low-income Latino students. The study was a 2-year, cluster-randomized, delayed-intervention trial comparing 9 months of supervised, unblinded, open-label mometasone furoate therapy with usual care. At entry, schools were randomized 1:1 to immediately initiate supervised therapy or delay implementation until year 2. …