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Inadequate asthma management often leads to frequent school absenteeism
and admissions to hospital. This can compromise a teenager's
education, social skills, and physical activity. In adolescence, peers
often have a major influence on health behaviour, and on p 583 Shah
et al describe the effects of a peer led programme for asthma
education (the "Triple A" programme) on improvements in quality of
life for adolescents with asthma. They found that eight students needed
to be educated by their peers for one student with asthma to report a
clinically significant improvement in quality of life. This structured
peer led programme could play an important part in reducing the burden
of asthma in adolescents.