Treatments and/or Procedures

Study Criteria

Inclusion Criteria:

  1. The investigators will recruit 30 participants ages 5 to 17 years with a diagnosis of
     persistent asthma who require a daily inhaled corticosteroid metered dose inhaler and
     whose guardian is the person responsible for administering their daily asthma
     medication.

  2. The investigators will recruit only participants who have received or receive care at
     San Francisco General Hospital's 6M Children's Health Center.

  3. The investigators will recruit participants whose daily inhaled corticosteroid are
     metered dose inhalers (MDI) of either Flovent (fluticasone propionate) HFA
     (Hydrofluoroalkane) or Qvar (beclamethasone dipropionate) HFA.

  4. The Investigators will recruit only participants whose guardian responsible for
     administering their daily asthma medication has Limited English Proficiency (LEP) and
     whose primary language is Spanish.

Exclusion Criteria:

  1. The Investigators will exclude participants whose guardian responsible for
     administering their daily asthma medication does not have a Bluetooth enabled cell
     phone capable of receiving text messages.

  2. The Investigators will exclude participants whose guardian responsible for
     administering their daily asthma medication does not have an available reliable power
     outlet where they can recharge the battery of their SmartInhaler.

  3. The Investigators will exclude participants whose guardian responsible for
     administering their daily asthma medication is unable to demonstrate correct
     medication technique based on standard evaluation (Press, 2011) after completion of a
     standard teaching protocol.

  4. The Investigators will exclude participants with chronic lung disease.

  5. The Investigators will exclude participants who do not have an operating system of iOS
     or Android on their cell phone and who have no data plan with their cellular phone
     plan.

  6. The Investigators will exclude participants whose asthma medication regimen is being
     managed by an asthma subspecialist or health provider outside of the 6M Children's
     Health Center at San Francisco General Hospital.

  7. The Investigators will exclude participants who are using an inhaled long acting
     beta-agonist (LABA) as part of their asthma management plan.