“…Although nearly 50% of youths with asthma experience an acute exacerbation annually (Akininbami, 2009), low-income, minority youths are disproportionately at higher risk for uncontrolled asthma and asthma-related Emergency Department (ED) visits (Zhang, Lamichhane, & Diggs, 2016). The causes of poorly controlled asthma are multifactorial and include environmental exposures to triggers in the home and community (e.g., second hand smoke, rodents, mold, dust mites), poor condition knowledge and self-management skills, access to care barriers including difficulties with medication administration in the school, and hardships associated with poverty (Authors, 2014 Authors, 2017a; Borowsky et al, 2013; Bruzzesse et al, 2012; Camacho-Rivera et al, 2014; Lang et al, 2013; Ungar, Cope, Kozyrskyj, & Paterson, 2010). Caregiver psychosocial factors such as life stress and depressive symptoms further heighten risk for child asthma morbidity (Authors, 2015; Clawson et al, 2016; Feldman et al, 2011, 2013; Lim, Wood, Miller, & Simmens, 2011; Martin et al, 2013; Tibosch, Verhaak, & Merkus, 2011).…”