Telecounselling for Asthma Counseling

Study Overview
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Brief Summary
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In the coronavirus 2019 pandemic, on-the-job training for asthma counseling becomes more difficult. Telecounseling as a training platform becomes a mainstream of training during the pandemic. This study is designed to fill the knowledge gap for telecounseling as a training platform for asthma counseling among nurses.

Detailed Description
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Asthma education is essential in improving outcomes in asthma management. Patients with asthma exacerbation frequently present to the urgent care centre or emergency department for emergency treatment. Nurse-led asthma education was considered as beneficial to asthma management. However, not all nursing staff in the urgent care centre and emergency department are equipped with skills to counsel patients regarding their asthma control and inhaler use. It is important to empower the nursing staff with these skills such that the care of patients with asthma is not compromised. In the coronavirus 2019 pandemic, on-the-job training for asthma counseling becomes more difficult. Asthma counseling trainers were usually in the clean zones but recipients of asthma counseling training were usually in the dirty zones. Telecounseling as a training platform becomes a mainstream of training during the pandemic. Telehealthcare interventions on patients with asthma was proven to reduce hospitalization over a 12-month period in a previous meta-analysis. However, there was no study investigating the efficacy of telecounseling to replace on-the-job training for asthma counseling. This study is designed to fill the knowledge gap for telecounseling as a training platform for asthma counseling among nurses.

Official Title
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Telecounselling as a Virtual Platform to Replace On-the-job Training for Asthma Counseling

Conditions
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Asthma

Participation Criteria
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Eligibility Criteria
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Including criteria: registered nurses nurses undergoing a training for asthma telecounseling age 21 or more. Excluding criteria: nurses with previous training for asthma counseling nurses who do not take care of patients with asthma Pregnant women

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Nurses<br>Including criteria: (1) registered nurses, (2) nurses undergoing a training for asthma telecounseling, (3) age 21 or more. Excluding criteria: (1) nurses with previous training for asthma counseling, (2) nurses who do not take care of patients with asthma, (3) Pregnant women | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-efficacy on asthma teaching scale | Chiang LC, Hsu JY, Liang WM, Yeh KW, Huang JL. Developing a scale to measure self-efficacy on asthma teaching for health care providers. J Asthma. 2009;46(2):113-117. | Immediately before and immediately after the telecounseling training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Satisfaction of the training | Satisfaction of the training | Immediately after the telecounseling training | 
| Qualitative data - Focused Interview with the following specific open-ended questions | What did participants learn from attending Telecounselling? Are participants more confident in carrying out asthma counselling after attending telecounselling? And why? Will participants recommend this mode of learning/modelling be added on to future education initiatives on counselling? Any other good points about this experience? Any bad points about this experience? | Immediately after the telecounseling training |