Physical Activity Intervention for Black Women With Asthma

Inclusion criteria

• Self-identify as female and Black or African-American
• Age >/= 18
• Physician-diagnosed persistent asthma that is sub-optimally controlled based on Asthma Control Test (ACT < 20) OR history in the past year of an asthma exacerbation (a need for systemic corticosteroids or hospital admission or emergency treatment for worsening asthma)
• Willing to enroll and provide written-informed consent
• Willing to be randomly assigned to treatment or control group
• Low- active: engages in less than 150 minutes per week of moderate-to- vigorous physical activity
• Has a smartphone and texts every day or almost everyday

Exclusion criteria

• Plans to relocate outside of the Chicagoland area during the study period
• Unable to ambulate without the use of a wheelchair or scooter
• Diagnosis of COPD (emphysema or chronic bronchitis) suggested by patient report of doctor diagnosis or smoking history (≥ 20 pack years)
• Current tobacco smoker
• A contraindication to exercise as indicated by the Physical Activity Readiness Questionnaire unless written permission by a health care provider
• Significant medical (e.g., unstable heart disease, uncontrolled high blood pressure, active cancer treatment in past 1 year, end-stage organ failure) or psychiatric (e.g., active bipolar disorder, psychosis) comorbidities
• Participation in another physical activity or asthma research program
• Asthma exacerbation, defined by an urgent care visit for asthma in the last 4 weeks, or need for acute course of systemic corticosteroids for asthma in the last 4 weeks
• Family/household member of another study participant or staff member
• Inability to speak, read or understand English
• Investigator discretion for safety or protocol adherence reasons
• Unable or unwilling to provide complete accelerometry data at the baseline assessment after two opportunities to wear the monitor