Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
Evaluation of a school-based, peer-led asthma education programme on quality of life, asthma-related knowledge and self-efficacy to resist smoking among adolescents with asthma in high schools in Jordan
Acronym
Triple A in Jordan (TAJ programme)
Study hypothesis
A school-based, peer-led asthma education program (TAJ) improves quality of life, asthma-related knowledge and self-efficacy to resist smoking among adolescents with asthma attending high schools in Jordan.
Ethics approval
1. Human Research Ethics Committe, the University of Technology, Sydney, Australia, approved on 23/08/2006 (ref: 2006-214A)
2. Ministry of Education, Irbid, Jordan, approved on 11/07/2006 (ref: 35794/10/3)
Study design
Cluster-randomised (at the school level) controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Other
Trial type
Treatment
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Condition
Asthma, wheezing
Intervention
This is a cluster-randomised (at the school level), controlled trial. Four schools were randomly selected from the list of all eligible schools in the Irbid region, stratified by gender.
The intervention is an adaptation and implementation of the Triple A programme (TAJ), which was developed by Shah in 1993 in Australia. Triple A is a peer-led education programme that involves senior students educating younger peers about asthma and smoking through a three-step implementation process in high schools (description of the TAJ programme in: http://www.ncbi.nlm.nih.gov/pubmed/9436069). Students in the intervention schools recieved the modified Triple A programme, and students in the control schools did not receive any intervention but continued their usual routine.
261 students were recruited but 241 completed the trial.
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measure
Asthma-related quality of life, assessed by the Paediatric Asthma Quality of Life Questionnaire (PAQLQ)
All primary and secondary outcomes were assessed at baseline (December 2006) and at post-intervention (April 2007).
Secondary outcome measures
1. Asthma knowledge of self-management, assessed by the Consumer Asthma Knowledge Questionnaire (CQ)
2. Self-efficacy to resist smoking, assessed by the Self-Administered Nicotine-Dependence Self-Efficacy Sub-Scale (SANDSES)
All primary and secondary outcomes were assessed at baseline (December 2006) and at post-intervention (April 2007).
All three questionnaires used in this trial were self-administered and were in validated Arabic versions.
Overall trial start date
10/11/2006
Overall trial end date
01/05/2007
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. Both males and females, in year 8, 9, or 10 at school
2. Recent wheezing in the last 12 months as detected by the Core Questionnaire for Wheezing and Asthma (CQWA). This questionnaire is an Arabic version of the International Studies of Asthma and Allergies in Childhood (ISAAC) Written Questionnaire.
3. Physically and cognitively capable of completing the survey
4. Able to read and converse in both Arabic and English
5. Attending regular school classes
6. Free of any other major diseases that could affect quality of life measures
7. Not involved in another concurrent health-related study
Participant type
Patient
Age group
Other
Gender
Both
Target number of participants
250 - 280
Participant exclusion criteria
1. Students who were not regularly attending years 8, 9, and 10
2. Students who did not experience wheezing in the last 12 months
3. Students who had other chronic conditions
Recruitment start date
10/11/2006
Recruitment end date
01/05/2007
Locations
Countries of recruitment
Jordan
Trial participating centre
Faculty of Nursing, Midwifery and Health
Sydney
2007
Australia
Sponsor information
Organisation
Westmead Hospital (Australia)
Sponsor details
Primary Health Care Education and Research Unit
PO Box 533
NSW 2145
Wentworthville
2145
Australia
Sponsor type
Hospital/treatment centre
Website
Funders
Funder type
Hospital/treatment centre
Funder name
Westmead Hospital, Primary Health Care Education and Research Unit (Australia)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Basic results (scientific)
Publication list
1. 2012 results in http://www.ncbi.nlm.nih.gov/pubmed/22157137
Publication citations
-
Results
Al-sheyab N, Gallagher R, Crisp J, Shah S, Peer-led education for adolescents with asthma in Jordan: a cluster-randomized controlled trial., Pediatrics, 2012, 129, 1, e106-12, doi: 10.1542/peds.2011-0346.