ASPP comprises the evidence based Triple A (Adolescent Asthma Action) program, a peer-led, asthma education initiative, with an added class smoke free pledge.


To clinically evaluate approximately 40 Indigenous adolescents with respiratory symptoms:

  • To obtain pilot data for a future cluster randomised control trial that will determine whether a multi-component, peer-led school intervention improves asthma control and prevents tobacco smoking uptake in Indigenous and non-Indigenous youth
  • To determine if asthma in Indigenous youth is associated with a systemic pattern of non-eosinophilic inflammation and systemic markers of innate immune activation (IL-6, fibrinogen, CRP).


  • To improve asthma self-management
  • To reduce the uptake of tobacco smoking amongst high school students.
  • To evaluate the implementation of the Asthma and Smoking Prevention Project (ASPP) in the new setting of the Northern Territory (NT)

Our research found:

The Triple A program was well received by NT high schools. This is the first time the program has been run in the NT with the Territory Football team, NT Thunder, also throwing their support behind the program, as the project addressed one of their key values of promoting healthy lifestyles. There were many benefits to the students being involved in the program, which included learning about asthma and what to do in an emergency and strategies to say 'no' to smoking. Moreover, the students develop confidence and leadership skills when teaching younger students.

Main publication: Front Pediatr. 2017;5:33 doi: 10.3389/fped.2017.00033  

Lead investigator
Dr Gabrielle McCallum
Chief investigator
Professor Anne Chang
Project period