The objective of this study was to determine the effect of a peer-led asthma
education program on health-related
outcomes in students with asthma attending high schools in
METHODS. In this cluster-randomized controlled trial, 4 high
RESULTS. Statistically and clinically significant improvements at three months in the intervention group in comparison to the control group for quality of life (mean difference = 1.35, 95% CI 1.04 – 1.76), asthma-related knowledge (mean difference = 1.62, 95% CI 1.15 – 2.19), and self-efficacy to resist smoking (mean difference = 4.63, 95% CI 2.93 – 6.35).
CONCLUSIONS. This randomized controlled trial demonstrated the success of a school-based, peer-led education program in improving important outcomes for adolescents with asthma. Furthermore, it is clear that Triple A can be readily adapted to suit different cultures and contexts. Adolescents can teach their peers about managing asthma and avoiding smoking and also be capable allies and responsible partners in health promotion programs when they are given an opportunity. Finally, school-based peer-led health education programs have strong potential to be used for other adolescent health issues such as smoking and obesity prevention.