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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

International Programs: Australia (cont’d)Back to Index

AAA: Triple A Adolescent Asthma Action Program

Primary Health Care Education and Research Unit

Wentworthville, NSW 2145 Australia

Dr. Smita Shah, MBChB, MCH

61 2 98456505      


The Adolescent Asthma Action (Triple A) Program, developed in Australia, is the first successful peer-led asthma education intervention to improve management of asthma in young people at secondary schools. It is designed to empower students to take responsible action for their health. Using an innovative model of peer education, the Triple A Program has promoted a non-smoking culture in school and has provided significant opportunities for leadership within the school community.

The program is divided into three steps. Step one is the Training Workshop. Triple A Educators train volunteer Year 11 students as Asthma Peer Leaders during a 1-day workshop. Students learn about asthma and its management and acquire skills in group facilitation. At the conclusion of the training, each student receives an Asthma Peer Leader manual.

Step two is the Peer-led Education. Year 10 students learn about asthma in three 40-minute health lessons led by teams of 3-4 Asthma Peer Leaders. Peer Leaders use videos, discussions and games as educational tools. Students critically analyze the problems encountered by young people with asthma.

Finally, step three is Student Presentations. Dissemination of asthma information occurs when Year 10 students relay to the school community what they have learned from the peer-led education sessions by presenting creative entertaining performances, in the form of songs, music, debates, and drama, to the entire school community.

Over the past ten years, the project team has developed, evaluated and disseminated the Triple A Program widely and has reached over 12,000 students. Rigorous evaluation has shown that the Triple A Program improves quality of life in students with asthma and results in fewer school absences due to asthma and fewer asthma attacks at school.

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