OUTPUT 6 (Revised)

8/3/2019 OUTPUT 6 (Revised)

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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 Dasmariñas, 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 Dasmariñas, Cavite.

Specific Objectives:

1. To identify the prevalence of allergic rhinitis among second year high school students of

selected schools in of Dasmariñas, 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 Dasmariñas, 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 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 astudent’s 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

one’s 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 student’s 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:

1. ISAAC Questionnaire for screening the presence or absence of allergic rhinitis.

2. ARIA Questionnaire for determining severity of a student’s 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 aninterview 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 notanswer 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:

TODAY’S DATE:

Day Month Year

YOUR NAME:

YOUR AGE: years

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, orblocked nose when you DID NOT have a cold or the flu?

□Yes□No

IF YOU HAVE ANSWERED “NO” PLEASE SKIP TO QUESTION 4.

2 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?

□Yes

□No

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?

□Yes

□No

4 Have you ever had hay fever? □Yes

□No



2. CHECKLIST FOR CLASSROOM CONDITIONS

Checklist for the presence of MOLDS (http://www.moldunit.com/mold-detection.html)

□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.□Yes □No 2. Wet cellulose materials such as paper, cardboard, ceiling tiles and wood products.

□Yes □No 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.

□Yes □No 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_tell-

roaches.html) (http://www.roebourne.wa.gov.au/Assets/environment/hs-

0025%20cockroach%20management.pdf)

□Yes □No 1. Presence of dripping faucets and bathrooms.

□Yes □No 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.

□Yes □No 3. Evidence of holes from chewing such as paper and cardboards.

Checklist for the presence of HOUSE DUST

□Yes □No 1. Presence of curtains, pillows, carpets

□Yes □No 2. Presence of dust when you touch or rub with your hand the materials mentioned

above.

□Yes □No 2. Presence of dust above the tables, chairs, window sills, and the floor.

Checklist for the presence of CHALK DUST

□Yes □No 1. Presence of chalk (for writing on the board) and specify if it is dustless or not.

□Yes □No 2. Presence of chalk dust in corners of the board and on the board eraser.

□Yes □No 3. Presence of a wet rag for cleaning the chalk board.

□Yes □No 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 □Yes □No

Sneezing (especially violent and in bouts) □Yes □No Nasal obstruction (feeling of being unable to breathe through your nose) □Yes □No

Itchy nose □Yes □No

Watery, red, itchy eyes □Yes □No

2. How long do your symptoms last?(Answer “Yes” or “No” for each time frame below.)

More than four days a week □Yes □No

More than four weeks in a row □Yes □No

3. How do your symptoms affect you?(Answer “Yes” for any of the symptoms listed below that apply. Answer ”No” for all that do not.)

My symptoms disturb my sleep. □Yes □No

My symptoms restrict my daily activities (sports, leisure, etc.) □Yes □No

My symptoms restrict my participation in school or work. □Yes □No

My symptoms are troublesome to me. □Yes □No

4. How much do your symptoms bother you?(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 □ 4 □ 8

□ 1 □ 5 □ 9

□ 2 □ 6 □ 10

□ 3 □ 7

OUTPUT 6 (Revised)

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Transcript of OUTPUT 6 (Revised)