Peer-led education for adolescents with asthma in Jordan: A cluster-randomized controlled trial

Al-sheyab, N; Gallagher, R; Crisp, J; Shah, S

Peer-led education for adolescents with asthma in Jordan: A cluster-randomized controlled trial

Al-sheyab, N Gallagher, R

Crisp, J Shah, S

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Publication Type:: Journal Article
Citation:: Pediatrics, 2012, 129 (1)
Issue Date:: 2012-01-01

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Field	Value	Language
dc.contributor.author	Al-sheyab, N	en_US
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	Crisp, J	en_US
dc.contributor.author	Shah, S https://orcid.org/0000-0002-7675-1834	en_US
dc.date.issued	2012-01-01	en_US
dc.identifier.citation	Pediatrics, 2012, 129 (1)	en_US
dc.identifier.issn	0031-4005	en_US
dc.identifier.uri	http://hdl.handle.net/10453/23410
dc.description.abstract	OBJECTIVES: To determine the impact of a peer-led education program, developed in Australia, on health-related outcomes in high school students with asthma in Jordan. METHODS: In this cluster-randomized controlled trial, 4 high schools in Irbid, Jordan, were randomly assigned to receive the Adolescent Asthma Action program or standard practice. Bilingual health workers trained 24 peer leaders from Year 11 to deliver asthma education to younger peers from Year 10 (n = 92), who in turn presented brief asthma skits to students in Years 8 and 9 (n = 148) and to other members of the school community in the intervention schools. Students with asthma (N = 261) in Years 8, 9, and 10 completed baseline surveys in December 2006 and 3 months after the intervention. RESULTS: Students from the intervention group reported clinically significant improvements in health-related quality of life (mean difference: 1.35 [95% confidence interval: 1.04-1.76]), self-efficacy to resist smoking (mean difference: 4.63 [95% confidence interval: 2.93-6.35]), and knowledge of asthma self-management (mean difference: 1.62 [95% confidence interval: 1.15-2.19]) compared with the control group. CONCLUSIONS: This trial demonstrated that the Adolescent Asthma Action program can be readily adapted to suit different cultures and contexts. Adolescents in Jordan were successful in teaching their peers about asthma self-management and motivating them to avoid smoking. The findings revealed that peer education can be a useful strategy for health promotion programs in Jordanian schools when students are given the opportunity and training. Copyright © 2012 by the American Academy of Pediatrics.	en_US
dc.relation.ispartof	Pediatrics	en_US
dc.relation.isbasedon	10.1542/peds.2011-0346	en_US
dc.subject.classification	Pediatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Asthma	en_US
dc.subject.mesh	Self Care	en_US
dc.subject.mesh	Smoking Cessation	en_US
dc.subject.mesh	Self Efficacy	en_US
dc.subject.mesh	Peer Group	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	School Health Services	en_US
dc.subject.mesh	Jordan	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Patient Education as Topic	en_US
dc.title	Peer-led education for adolescents with asthma in Jordan: A cluster-randomized controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	1	en_US
utslib.citation.volume	129	en_US
utslib.for	1110 Nursing	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	1	en_US
pubs.publication-status	Published	en_US
pubs.volume	129	en_US

Abstract:

OBJECTIVES: To determine the impact of a peer-led education program, developed in Australia, on health-related outcomes in high school students with asthma in Jordan. METHODS: In this cluster-randomized controlled trial, 4 high schools in Irbid, Jordan, were randomly assigned to receive the Adolescent Asthma Action program or standard practice. Bilingual health workers trained 24 peer leaders from Year 11 to deliver asthma education to younger peers from Year 10 (n = 92), who in turn presented brief asthma skits to students in Years 8 and 9 (n = 148) and to other members of the school community in the intervention schools. Students with asthma (N = 261) in Years 8, 9, and 10 completed baseline surveys in December 2006 and 3 months after the intervention. RESULTS: Students from the intervention group reported clinically significant improvements in health-related quality of life (mean difference: 1.35 [95% confidence interval: 1.04-1.76]), self-efficacy to resist smoking (mean difference: 4.63 [95% confidence interval: 2.93-6.35]), and knowledge of asthma self-management (mean difference: 1.62 [95% confidence interval: 1.15-2.19]) compared with the control group. CONCLUSIONS: This trial demonstrated that the Adolescent Asthma Action program can be readily adapted to suit different cultures and contexts. Adolescents in Jordan were successful in teaching their peers about asthma self-management and motivating them to avoid smoking. The findings revealed that peer education can be a useful strategy for health promotion programs in Jordanian schools when students are given the opportunity and training. Copyright © 2012 by the American Academy of Pediatrics.

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