The Effect of Video Education on Inhaler Use Technique

Study Overview
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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.

Official Title
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The Effect of Video Education on Improving Inhaler Use Technique

Conditions
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Nebulizers and Vaporizers, Patient Education, E Learning

Intervention / Treatment
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* Other: Written Document Educational Resource
* Other: Online Video Education


Participation Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Written Education<br>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<br>* A 2 page document with pictures discussing how to use an inhaler properly.<br>|
| Experimental: Online Video Education<br>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<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Education, Inhaler