Do Face-to-Face Training and Telephonic Reminder Improve Dry Powder Inhaler Technique in Patients with COPD?

Poudel, RS; Shrestha, S; Bhatta, P; Piryani, RM

Do Face-to-Face Training and Telephonic Reminder Improve Dry Powder Inhaler Technique in Patients with COPD?

Poudel, RS

Shrestha, S Bhatta, P Piryani, RM

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Publication Type:: Journal Article
Citation:: International Journal of Telemedicine and Applications, 2017, 2017
Issue Date:: 2017-01-01

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Field	Value	Language
dc.contributor.author	Poudel, RS https://orcid.org/0000-0002-1617-7885	en_US
dc.contributor.author	Shrestha, S	en_US
dc.contributor.author	Bhatta, P	en_US
dc.contributor.author	Piryani, RM	en_US
dc.date.available	2017-03-01	en_US
dc.date.issued	2017-01-01	en_US
dc.identifier.citation	International Journal of Telemedicine and Applications, 2017, 2017	en_US
dc.identifier.issn	1687-6415	en_US
dc.identifier.uri	http://hdl.handle.net/10453/126688
dc.description.abstract	Copyright © 2017 Ramesh Sharma Poudel et al. Introduction. Current modes of instruction on inhaler technique are inadequate. We aimed to evaluate the value of face-to-face training and telephonic reminder (FFTTR) for improving Rotahaler technique in experienced patients with COPD. Materials and Methods. A single group pre-/postinterventional study was conducted at Chitwan Medical College Teaching Hospital, Nepal. We assessed the Rotahaler technique of thirty consecutive patients using Rotahaler device for more than one year. Patients with incorrect technique (n=20) were instructed and trained by a pharmacist. Telephonic reminder was used to reinstruct patients on the correct technique on weekly basis for two weeks and technique was reassessed after 4 weeks of their first training. Descriptive statistics including Wilcoxon Signed Rank test were applied. Results. The mean age was 66.06±10.6. Of 30 patients, 10 (33.3%) performed Rotahaler technique correctly at baseline and were excluded from FFTTR intervention. FFTTR corrected the technique in 18 (90%) patients and the median (IQR) score increased from 6 (5-6) to 8 (8-8) (p<0.001). The most incorrect steps were "breathe out gently but not towards the inhaler mouthpiece" (16, 80%) and "hold breath for about 10 seconds" (18, 90%) at baseline which improved after intervention. Conclusion. FFTTR approach markedly improved Rotahaler technique in patients with COPD.	en_US
dc.relation.ispartof	International Journal of Telemedicine and Applications	en_US
dc.relation.isbasedon	10.1155/2017/5091890	en_US
dc.title	Do Face-to-Face Training and Telephonic Reminder Improve Dry Powder Inhaler Technique in Patients with COPD?	en_US
dc.type	Journal Article
utslib.citation.volume	2017	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	0806 Information Systems	en_US
utslib.for	0903 Biomedical Engineering	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	2017	en_US

Abstract:

Copyright © 2017 Ramesh Sharma Poudel et al. Introduction. Current modes of instruction on inhaler technique are inadequate. We aimed to evaluate the value of face-to-face training and telephonic reminder (FFTTR) for improving Rotahaler technique in experienced patients with COPD. Materials and Methods. A single group pre-/postinterventional study was conducted at Chitwan Medical College Teaching Hospital, Nepal. We assessed the Rotahaler technique of thirty consecutive patients using Rotahaler device for more than one year. Patients with incorrect technique (n=20) were instructed and trained by a pharmacist. Telephonic reminder was used to reinstruct patients on the correct technique on weekly basis for two weeks and technique was reassessed after 4 weeks of their first training. Descriptive statistics including Wilcoxon Signed Rank test were applied. Results. The mean age was 66.06±10.6. Of 30 patients, 10 (33.3%) performed Rotahaler technique correctly at baseline and were excluded from FFTTR intervention. FFTTR corrected the technique in 18 (90%) patients and the median (IQR) score increased from 6 (5-6) to 8 (8-8) (p<0.001). The most incorrect steps were "breathe out gently but not towards the inhaler mouthpiece" (16, 80%) and "hold breath for about 10 seconds" (18, 90%) at baseline which improved after intervention. Conclusion. FFTTR approach markedly improved Rotahaler technique in patients with COPD.

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http://hdl.handle.net/10453/126688