title: Peer-led education for adolescents with asthma in Jordan: a cluster-randomized controlled trial.
abstract: OBJECTIVE
  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.
authors.affiliation: Faculty of Nursing, Jordan University of Science and Technology, Department of Maternal and Child Health, PO Box 3030, Irbid 22110, Jordan. jood1965@yahoo.com
authors.forename: Nihaya
authors.initials: N
authors.lastname: Al-sheyab
authors.forename: Robyn
authors.initials: R
authors.lastname: Gallagher
authors.forename: Jackie
authors.initials: J
authors.lastname: Crisp
authors.forename: Smita
authors.initials: S
authors.lastname: Shah
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000628:therapy*; D005260:Female; D006801:Humans; D007597:Jordan; D008297:Male; D010353:Patient Education as Topic; D010379:Peer Group; D011788:Quality of Life; D012572:School Health Services; D012648:Self Care; D020377:Self Efficacy; D016540:Smoking Cessation