The Effect of Video Education on Inhaler Use Technique

NCT ID: NCT02660879

Last Updated: 2016-01-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2014-01-31

Brief Summary

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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.

Detailed Description

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Conditions

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Nebulizers and Vaporizers Patient Education E Learning

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Written Education

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.

Group Type PLACEBO_COMPARATOR

Written Document Educational Resource

Intervention Type OTHER

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

Online Video Education

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.

Group Type EXPERIMENTAL

Online Video Education

Intervention Type 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.

Interventions

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Written Document Educational Resource

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

Intervention Type OTHER

Online Video Education

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Northwestern University

OTHER

Sponsor Role collaborator

Romil Fenil Shah

OTHER

Sponsor Role lead

Responsible Party

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Romil Fenil Shah

Medical Student

Responsibility Role SPONSOR_INVESTIGATOR

References

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

Reference Type 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.

Reference Type BACKGROUND
PMID: 21249463 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 18259998 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 16185371 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23510684 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 10075237 (View on PubMed)

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.

Reference Type DERIVED
PMID: 28797611 (View on PubMed)

Other Identifiers

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STU00087922

Identifier Type: -

Identifier Source: org_study_id

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