RESULTS: The sample included 143 children, ages 7-17 years (mean = 10.6 ±2.9). Male to female ratio was 56.6%:43.4%. The majority of children were Caucasians (n=101, 70.6%) and 35 (24.5%) children were African-Americans. Patients were either followed by physicians (n=65, 45.5%) or nurse practitioners (n=78, 54.5%). The mean total PACQLQ score at the first visit was 62 ±21.2 which improved at the 3 month follow-up visit to 79.5 ±13.2 (p<0.001).. Scores increased again between the 6 month to 9 month visit (79.7 ±10.2 to 86.5 ±8.3, p<.001) and this improvement was sustained over the 4 year period (p<0.001 compared to baseline). Both PACQLQ emotional and activity domains significantly improved at the 3 month follow-up and improvement was sustained over four years. Increasing PACQLQ total emotional and activity scores were associated with ACT scores and days per month of albuterol use, wheezing, cough, and exercise limitations between the first visit and 3 month visit (p<.05), and at several time points over the four-year period. Improvement in PACQLQ total, emotion and activity sub-groups and change in ACT scores and number of days of albuterol use and asthma-related symptoms were not affected by type of health care provider.