DE LA SALLE HEALTH SCIENCES INSTITUTE COLLEGE OF MEDICINE DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE CM2 SY 2011-2012

OUTPUT 6: DATA COLLECTION TOOL (REVISED)

SUBMITTED ON: OCTOBER 13, 2011

SUBMITTED TO: DR. JOVILIA M. ABONG

SUBMITTED BY: GROUP 1A ARCAIRA, JOSHUA A. ABAD, MARY RAINA ANGELI ANCHETA, JONATHAN B. BASUL, CHARINE CARAVEO, JULIEN NICOLE CRUZ, SPICA ESPINOZA, FAITH KRISTINE GARCIA, RAY WILSON KALALO, GERARD MICHAEL

OUTPUT 6: DATA COLLECTION TOOL (REVISED) I. Group 1A, Dr. Jovilia M. Abong

II. Research Question: Among second year high school students with allergic rhinitis of selected schools in Dasmarias, Cavite, will exposure to air-conditioned school rooms affect the severity of their allergic rhinitis? General Objective: To determine if the exposure to the air-conditioning system affects the severity of allergic rhinitis in second year high school students of selected schools in Dasmarias, Cavite. Specific Objectives: 1. To identify the prevalence of allergic rhinitis among second year high school students of selected schools in of Dasmarias, Cavite based on their exposure to air-conditioned rooms. 2. To identify the prevalence of allergic rhinitis among second year high school students of selected schools in Dasmarias, Cavite based on their exposure to non-air-conditioned classrooms. 3. To determine the severity of allergic rhinitis according to ARIA classifications. 4. To identify the risk factors of allergic rhinitis present in the classroom or school, such as the presence of molds, chalk dust, house dust, and cockroaches. 5. Compare the severity of allergic rhinitis in students who are exposed to air-conditioned classrooms and those who are not exposed to air-conditioned classrooms. III. Research Design: Cross-Sectional Study IV. Variables/ Data to be Collected: In this study, we will determine if the presence of an air-conditioning system will affect the severity of a students Allergic Rhinitis in their classroom environment. In doing so, we will observe each classroom being studied, screen for those who have Allergic Rhinitis and administer a questionnaire to evaluate ones Allergic Rhinitis. By doing so, the following information will be collected: 1.) Prevalence of Allergic Rhinitis in air-conditioned classrooms 2.) Prevalence of Allergic Rhinitis in non air-conditioned classrooms 3.) Classroom Conditions (such as presence of molds, cockroaches, house dust and chalk dust) 4.) Severity of each students Allergic Rhinitis according to ARIA classification V. Methods to be used in Collecting Data and Reason for Choosing the particular Method over the other Methods: The methods to be used in data collection would be 2 questionnaires and 1 checklist, specifically: 1. ISAAC Questionnaire for screening the presence or absence of allergic rhinitis. 2. ARIA Questionnaire for determining severity of a students allergic rhinitis. 3. Checklist for checking of classroom conditions such as molds, cockroaches, house dust and chalk dust.

Our group chose to use questionnaires and checklists as methods of collecting data for our study. The researchers prefer questionnaire and observation over the review of records because the data that we are collecting are not written in records. We also chose them over the interview because having a questionnaire or checklist is more efficient, it is standardized and it provides anonymity (equality). The respondents are not also influenced by the interviewer or researcher unlike in the interview. The focus group discussion is not included among the data collection methods chosen because it is similar to an interview but it is done with a group of respondents. Focus group discussion is also used to collect data for perceptions, feelings, insights, manner of thinking and factors that affect complex behaviour and is also used for large scale study both of which are not part of the scope of the study. The researchers chose these methods because we deem it more necessary that those directly exposed to our variables (i.e. students and teachers) be the ones to provide sufficient information for the study. Also, the students (who have allergic rhinitis) are the ones more knowledgeable on the effects of environmental factors and room conditions to the exacerbation of their allergic rhinitis, if there are any. Moreover, the researchers are also going to use checklists to check the conditions in and out of the classroom. The checklists will be used by the researchers themselves to prevent the occurrence of bias in process of data collection because if these were administered to the teachers for checking, they might not answer honestly and truthfully about their classroom conditions.

VI. Data Collection Tools: 1. ISAAC QUESTIONNAIRE FOR SCREENING STUDENTS Study Instruments for 13/14 year olds Instructions for Completing Questionnaire and Demographic Questions (Section 7.1) On this sheet are questions about your name, school, and birth dates. Please write your answers to these questions in the space provided. All other questions require you to tick your answer in a box. If you make a mistake, put a cross in the box and tick the correct answer. Tick only one option unless otherwise instructed.

___________________________________________________________________________________ SCHOOL: TODAYS DATE: Day YOUR NAME: YOUR AGE: years Month Year

YOUR DATE OF BIRTH: Day Month Year

(Tick all your answers for the rest of the questionnaire)

Are you:

MALE

FEMALE

Core Questionnaire for Allergic Rhinitis (Section 7.3) All questions are about problems which occur when you DO NOT have a cold or the flu. 1 Have you ever had a problem with sneezing, or a runny, or blocked nose when you DID NOT have a cold or the flu? Yes No

IF YOU HAVE ANSWERED NO PLEASE SKIP TO QUESTION 4. In the past 12 months, have you had a problem with sneezing, or a runny, or blocked nose when you DID NOT have a cold or the flu? IF YOU HAVE ANSWERED NO PLEASE SKIP TO QUESTION 4. 3 In the past 12 months, has this nose problem been accompanied by itchy-watery eyes? Have you ever had hay fever? 2 Yes No

Yes No Yes No

2. CHECKLIST FOR CLASSROOM CONDITIONS Checklist for the presence of MOLDS (http://www.moldunit.com/mold-detection.html) Yes No Yes No Yes No Yes No 1. Presence of water leaks coming from either rain or air-conditioning units apparent on the ceiling, walls and pipes or stagnant water. 2. Wet cellulose materials such as paper, cardboard, ceiling tiles and wood products. 3. Appearance of a cottony, velvety, granular or leathery like dirt (in any shade of color) near or within the area where there are water leaks. 4. Inspect walls, under carpeting, under cabinets and air ducts for hidden molds.

Checklist for the presence of COCKROACHES (http://www.ehow.com/how_7744440_tellroaches.html) (http://www.roebourne.wa.gov.au/Assets/environment/hs0025%20cockroach%20management.pdf) Yes No Yes No 1. Presence of dripping faucets and bathrooms. 2. Presence of eggs of roaches, dead roaches, insect parts or feces (black gritty substance, pepper-like) under the cabinets or behind walls and appliances, and sight of cockroaches themselves. 3. Evidence of holes from chewing such as paper and cardboards.

Yes No

Checklist for the presence of HOUSE DUST Yes No Yes No Yes No 1. Presence of curtains, pillows, carpets 2. Presence of dust when you touch or rub with your hand the materials mentioned above. 2. Presence of dust above the tables, chairs, window sills, and the floor.

Checklist for the presence of CHALK DUST Yes No Yes No Yes No Yes No 1. Presence of chalk (for writing on the board) and specify if it is dustless or not. 2. Presence of chalk dust in corners of the board and on the board eraser. 3. Presence of a wet rag for cleaning the chalk board. 4. Presence of a box for cleaning the board eraser.

3. ARIA QUESTIONNAIRE 1. What symptoms do you have?

(Answer Yes for any of the symptoms listed below that apply. Answer No for all that do not.)

Watery runny nose Sneezing (especially violent and in bouts) Nasal obstruction (feeling of being unable to breathe through your nose) Itchy nose Watery, red, itchy eyes 2. How long do your symptoms last?
(Answer Yes or No for each time frame below.)

Yes No Yes No Yes No Yes No Yes No

More than four days a week More than four weeks in a row 3. How do your symptoms affect you?

Yes No Yes No

(Answer Yes for any of the symptoms listed below that apply. Answer No for all that do not.)

My symptoms disturb my sleep. My symptoms restrict my daily activities (sports, leisure, etc.) My symptoms restrict my participation in school or work. My symptoms are troublesome to me. 4. How much do your symptoms bother you?

Yes No Yes No Yes No Yes No

(On a scale of 0 to 10, with 0 being Not at all and 10 as Very much, indicate how much your symptoms bother you Tick only one.)

0 1 2 3

4 5 6 7

8 9 10