Efficacy of School-Based, Peer-Led Asthma and Smoking Prevention Program on CO1 Levels and Smoking Behavior Among Early Adolescents in Jordan

Study Overview
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Brief Summary
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Study Hypotheses: adolescents in intervention schools who are given Triple A program plus ASP will show more awareness in regards to cigarettee smoking health effects and less nicotine dependencethan those in the control schools who are given Triple A alone. adolescents with asthma in intervention schools who are given Triple A program plus ASP will show less asthma symptoms and better control than those in the control schools who are given Triple A alone. adolescent smokers and passive smokers will exhibit higher levels of carbon monoxide (CO) in their breath than those who are not active or passive smokers. there is a positive correlation between self-report questions regarding student smoking status and levels of CO in their breath

Official Title
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Efficacy of School-Based, Peer-Led Asthma and Smoking Prevention Program on CO1 Levels, Nicotine Dependence, and Smoking Behavior Among Early Adolescents in Jordan

Conditions
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Asthma, Tobacco, Waterpipe, Cigarettes

Intervention / Treatment
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* Behavioral: TAJ Plus (Adolescent Asthma Action in Jordan) Plus the added class smoke free pledge


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: students in grades 7 and 8 in Irbid city high schools, can speak and read in both Arabic and English, obtain parental agreement, attend regular school. - Exclusion Criteria:students with other chronic diseases (rather than asthma), -

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Adolescent Asthma Action<br>Adolescent Asthma Action in Jordan (TAJ) Plus the added class smoke free pledge will be implemented in high schools in Jordan and will be compared to the TAJ alone for its efficacy in decreasing smoking rates, lowering CO1 levela and nicotine dependence. | Behavioral: TAJ Plus (Adolescent Asthma Action in Jordan) Plus the added class smoke free pledge<br>* Its is a school-based peer-led asthma and smoking prevention program that aims at improving asthma control and lowering nicotine dependence among smokers.<br>* Other names: Triple A in Jordan (TAJ);|
| Experimental: TAJ<br>TAJ Plus the class smoke free pledge will be implemented in high schools in Jordan and compared to TAJ alone | Behavioral: TAJ Plus (Adolescent Asthma Action in Jordan) Plus the added class smoke free pledge<br>* Its is a school-based peer-led asthma and smoking prevention program that aims at improving asthma control and lowering nicotine dependence among smokers.<br>* Other names: Triple A in Jordan (TAJ);|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| nicotine dependence level | Self-administered nicotine dependence scale will be used in order to measure nicotine dependence level for adolescent smokers and passive smokers | 3 months | 
| Asthma Contol level | The pictorial version of the asthma control test will be measured for adolescents with asthma and recent wheezing | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Carbon monoxide (CO) breath test | CO levels will be tested in adolescents' breath | 3 months | 
| knowledge about health effects of cigarettee smoking |  | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Asthma, Tobacco, Waterpipe, Cigarettes, Adolescents, Peer education, Jordan