The Effect of Video Education on Inhaler Use Technique

NCT02660879 | Completed

• 1 other identifier: STU00087922
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

The investigators looked at the effect that video instruction located at www.useinhalers.com would have on improving inhaler technique at a hospital in Guayaquil, Ecuador. The investigators compared this video instruction to written Spanish inhaler education. The investigators video taped participants before and after the intervention, and graded their technique on a pre-defined rubric.

Conditions

Nebulizers and Vaporizers; Patient Education; E Learning

Keywords

Education; Inhaler

Outcome Measures

Primary Outcomes (1)

• Improvement in Inhaler Technique Defined by 11 point rubric which details steps and techniques necessary for proper inhaler use

  Videos taken before educational interventions and directly after the 5-10 minutes allotted for the educational intervention. Videos will be assessed in the following months after using the 11 point rubric.

Study Arms (2)

Written Education

PLACEBO COMPARATOR

These patients were video taped before they had any inhaler education using their own inhalers. They were then given written educational materials, and given 5 minutes to read these materials. They were then re-taped for their inhaler technique.

Other: Written Document Educational Resource

Online Video Education

EXPERIMENTAL

These patients were video taped before they had any inhaler education using their own inhalers. They were then given online video education located at use-inhalers.com, and were asked to complete the education (took on average 5 minutes). They were then re-taped for their inhaler technique.

Other: Online Video Education

Interventions

Written Document Educational Resource OTHER

A 2 page document with pictures discussing how to use an inhaler properly.

Written Education

Online Video Education OTHER

Education which included step-by-step instruction on how to use their inhalers correctly as well as a webcam element that allowed users to see themselves practice their inhalers along with actors on screen.

Online Video Education

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinically-stable outpatient adults (≥18 years) with Asthma or Chronic Obstructive Pulmonary Disease (COPD) with history of at least one exacerbation in last 1 year
• Clinical diagnoses of asthma or COPD

You may not qualify if:

• Patients with language barrier (unable to understand and communicate in either English or Spanish)
• Cognitive or physical dysfunction that, in the investigator's opinion, would interfere with completion of the study
• Significant co-morbidity that can confound asthma symptoms - e.g. Congestive Heart Failure, current smoker, uncontrolled Gastroesophageal Reflux Disease, neuromuscular disease, chest wall deformity

Sponsors & Collaborators

• Romil Fenil Shah: lead
• Northwestern University: collaborator

Related Publications (7)

• http://www.cdc.gov/VitalSigns/Asthma (accessed: 28 July 2012)

  BACKGROUND

• Press VG, Arora VM, Shah LM, Lewis SL, Ivy K, Charbeneau J, Badlani S, Nareckas E, Mazurek A, Krishnan JA. Misuse of respiratory inhalers in hospitalized patients with asthma or COPD. J Gen Intern Med. 2011 Jun;26(6):635-42. doi: 10.1007/s11606-010-1624-2. Epub 2011 Jan 20.

  PMID: 21249463 BACKGROUND

• Hagmolen of ten Have W, van de Berg NJ, Bindels PJ, van Aalderen WM, van der Palen J. Assessment of inhalation technique in children in general practice: increased risk of incorrect performance with new device. J Asthma. 2008 Jan-Feb;45(1):67-71. doi: 10.1080/02770900701815834.

  PMID: 18259998 BACKGROUND

• Fink JB, Rubin BK. Problems with inhaler use: a call for improved clinician and patient education. Respir Care. 2005 Oct;50(10):1360-74; discussion 1374-5.

  PMID: 16185371 BACKGROUND

• Al-Jahdali H, Ahmed A, Al-Harbi A, Khan M, Baharoon S, Bin Salih S, Halwani R, Al-Muhsen S. Improper inhaler technique is associated with poor asthma control and frequent emergency department visits. Allergy Asthma Clin Immunol. 2013 Mar 6;9(1):8. doi: 10.1186/1710-1492-9-8.

  PMID: 23510684 BACKGROUND

• Cavender A, Alban M. Compulsory medical service in Ecuador: the physician's perspective. Soc Sci Med. 1998 Dec;47(12):1937-46. doi: 10.1016/s0277-9536(98)00335-9.

  PMID: 10075237 BACKGROUND

• Shah RF, Gupta RM. Video instruction is more effective than written instruction in improving inhaler technique. Pulm Pharmacol Ther. 2017 Oct;46:16-19. doi: 10.1016/j.pupt.2017.08.005. Epub 2017 Aug 7.

  PMID: 28797611 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Medical Student

Study Record Dates

• First Submitted: January 11, 2016
• First Posted: January 21, 2016
• Study Start: December 1, 2013
• Primary Completion: January 1, 2014
• Study Completion: January 1, 2014
• Last Updated: January 21, 2016

Record last verified: 2016-01