Delesha M Carpenter1, Dayna S Alexander2, Alice Elio3, Darren DeWalt4, Charles Lee5, Betsy L Sleath4. 1. University of North Carolina, Asheville, NC. Electronic address: dmcarpenter@unc.edu. 2. University of North Carolina, Asheville, NC. 3. Buncombe County Department of Health, Asheville, NC. 4. University of North Carolina, Chapel Hill, NC. 5. Polyglot Systems, Inc, Morrisville, NC.
Abstract
UNLABELLED: Our purpose was to test whether a tailored inhaler technique video intervention: (1) could be feasibly implemented by school nurses and (2) improve the inhaler technique of children with asthma. METHODS: School nurses recruited a convenience sample of 25 children with asthma (ages 7-17) and assessed their inhaler technique. Children then watched a tailored video that provided: (1) step-by-step feedback on which steps (out of 8) they performed correctly, (2) praise for correctly-performed steps, and (3) statements about why incorrectly-performed steps are important. Nurses reassessed the child's inhaler technique immediately after watching the video and again 1month later. Non-parametric Wilcoxon signed rank tests were calculated to assess whether children's technique significantly improved from baseline to post-video and baseline to 1-month follow-up. A focus group with the school nurses was conducted post-intervention to discuss feasibility issues. RESULTS: Children's inhaler technique improved by 1.2 steps (with spacer; p=0.03) and 2.7 steps (without spacer; p<0.01) from baseline to post-video. These improvements were maintained at 1-month follow-up. School nurses believed the intervention was feasible to implement and met an important educational need. CONCLUSIONS: A school nurse-led tailored video intervention is feasible to implement and a promising method for improving children's inhaler technique.
UNLABELLED: Our purpose was to test whether a tailored inhaler technique video intervention: (1) could be feasibly implemented by school nurses and (2) improve the inhaler technique of children with asthma. METHODS: School nurses recruited a convenience sample of 25 children with asthma (ages 7-17) and assessed their inhaler technique. Children then watched a tailored video that provided: (1) step-by-step feedback on which steps (out of 8) they performed correctly, (2) praise for correctly-performed steps, and (3) statements about why incorrectly-performed steps are important. Nurses reassessed the child's inhaler technique immediately after watching the video and again 1month later. Non-parametric Wilcoxon signed rank tests were calculated to assess whether children's technique significantly improved from baseline to post-video and baseline to 1-month follow-up. A focus group with the school nurses was conducted post-intervention to discuss feasibility issues. RESULTS:Children's inhaler technique improved by 1.2 steps (with spacer; p=0.03) and 2.7 steps (without spacer; p<0.01) from baseline to post-video. These improvements were maintained at 1-month follow-up. School nurses believed the intervention was feasible to implement and met an important educational need. CONCLUSIONS: A school nurse-led tailored video intervention is feasible to implement and a promising method for improving children's inhaler technique.
Authors: Delesha M Carpenter; Courtney A Roberts; Adam J Sage; Johnson George; Robert Horne Journal: Curr Allergy Asthma Rep Date: 2017-03 Impact factor: 4.806
Authors: Betsy Sleath; Delesha M Carpenter; Kathleen E Walsh; Scott A Davis; Claire Hayes Watson; Charles Lee; Ceila E Loughlin; Nacire Garcia; Daniel S Reuland; Gail Tudor Journal: J Asthma Date: 2018-05-21 Impact factor: 2.515
Authors: Henry K Litt; Valerie G Press; Ashley Hull; Michelle Siros; Viridiana Luna; Anna Volerman Journal: Respir Med Date: 2020-10-09 Impact factor: 3.415
Authors: Delesha M Carpenter; Robin Dawson Estrada; Courtney A Roberts; Alice Elio; Melissa Prendergast; Kathy Durbin; Graceann Clyburn Jones; Steve North Journal: J Pediatr Nurs Date: 2017-06-23 Impact factor: 2.145