A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study
Introduction: Inhalation therapy is the cornerstone in management of asthma. Failure to use the device properly is one of the factors incriminated in poor control of asthma. Aim: To compare the technique of rota haler use in children with persistent asthma immediately after receiving either verba...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/10060/26720_CE(RA1)_F(T)_PF1(NE_AD_SS)_PFA(PNE).pdf |
| _version_ | 1818228852802977792 |
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| author | Archana Arumugom Venkatesh Chandrasekaran |
| author_facet | Archana Arumugom Venkatesh Chandrasekaran |
| author_sort | Archana Arumugom |
| collection | DOAJ |
| description | Introduction: Inhalation therapy is the cornerstone in management of asthma. Failure to use the device properly is one of the
factors incriminated in poor control of asthma.
Aim: To compare the technique of rota haler use in children
with persistent asthma immediately after receiving either verbal
instruction or a video based demonstration and again at one
month following intervention.
Materials and Methods: A total of 28 children, older than six
years attending the childhood asthma clinic of our hospital,
who were prescribed rota halers for the first time and who were
technique naïve were enrolled into the study, after obtaining
informed consent from the parents after meeting inclusion and
exclusion criteria. They were then randomly assigned to either
verbal instructions (group of 14) or video demonstration group
(group of 14), for teaching them the rota haler technique. Their
technique was then assessed using a modified version of the
inhaler device assessment tool immediately after education and
one month after the intervention. The proportions of children
with good technique in both groups at both time points were
compared.
Results: There was no significant difference in the baseline
variables like age, gender, location, socio-economic status
and disease duration between both groups. The proportion of
children achieving good technique was significantly more in
the video group than the oral instruction group at immediate
assessment and also at one month post intervention with
an odds of 8 and 23.40 respectively (p=0.0262 and 0.0075
respectively).
Conclusion: Video demonstration is effective in improving the
technique of rota haler use at immediate assessment and at one
month post intervention. Further studies are needed to validate
this study and to assess factors that predict successful device
use. |
| first_indexed | 2024-12-12T10:09:18Z |
| format | Article |
| id | doaj.art-535d762b82f14f21a6c803a210c83465 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-12T10:09:18Z |
| publishDate | 2017-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-535d762b82f14f21a6c803a210c834652022-12-22T00:27:50ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-06-01116SC05SC0710.7860/JCDR/2017/26720.10060A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot StudyArchana Arumugom0Venkatesh Chandrasekaran1Undergraduate Student, Department of Paediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.Assistant Professor, Department of Paediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.Introduction: Inhalation therapy is the cornerstone in management of asthma. Failure to use the device properly is one of the factors incriminated in poor control of asthma. Aim: To compare the technique of rota haler use in children with persistent asthma immediately after receiving either verbal instruction or a video based demonstration and again at one month following intervention. Materials and Methods: A total of 28 children, older than six years attending the childhood asthma clinic of our hospital, who were prescribed rota halers for the first time and who were technique naïve were enrolled into the study, after obtaining informed consent from the parents after meeting inclusion and exclusion criteria. They were then randomly assigned to either verbal instructions (group of 14) or video demonstration group (group of 14), for teaching them the rota haler technique. Their technique was then assessed using a modified version of the inhaler device assessment tool immediately after education and one month after the intervention. The proportions of children with good technique in both groups at both time points were compared. Results: There was no significant difference in the baseline variables like age, gender, location, socio-economic status and disease duration between both groups. The proportion of children achieving good technique was significantly more in the video group than the oral instruction group at immediate assessment and also at one month post intervention with an odds of 8 and 23.40 respectively (p=0.0262 and 0.0075 respectively). Conclusion: Video demonstration is effective in improving the technique of rota haler use at immediate assessment and at one month post intervention. Further studies are needed to validate this study and to assess factors that predict successful device use.https://jcdr.net/articles/PDF/10060/26720_CE(RA1)_F(T)_PF1(NE_AD_SS)_PFA(PNE).pdfasthmachilddry powder inhaleroutcome assessmentvideo demonstration |
| spellingShingle | Archana Arumugom Venkatesh Chandrasekaran A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study Journal of Clinical and Diagnostic Research asthma child dry powder inhaler outcome assessment video demonstration |
| title | A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study |
| title_full | A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study |
| title_fullStr | A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study |
| title_full_unstemmed | A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study |
| title_short | A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study |
| title_sort | randomized comparison between video demonstration and verbal instruction in improving rota haler technique in children with persistent asthma a pilot study |
| topic | asthma child dry powder inhaler outcome assessment video demonstration |
| url | https://jcdr.net/articles/PDF/10060/26720_CE(RA1)_F(T)_PF1(NE_AD_SS)_PFA(PNE).pdf |
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