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2; SE = 0.5; .01; incidence rate ratio = 3.4; SE = 1.4; .01) at endline than the control. Caregiver QoL was greater among the intervention at the endline (Δ = 0.3; SE = 0.2; = .1) than the control. Findings suggest that sensor-based inhaler monitoring with clinical feedback may improve asthma control and caregiver QoL within diverse populations. Higher health care use was observed among the intervention participants relative to the control, indicating further refinement is warranted. Findings suggest that sensor-based inhaler mo