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Using Video Telehealth to Facilitate Inhaler Training in Rural Patients with Obstructive Lung Disease.
| Content Provider | Europe PMC |
|---|---|
| Author | Locke, Emily R. Thomas, Rachel M. Woo, Deborah M. Nguyen, Ethan H.K. Tamanaha, Bryson K. Press, Valerie G. Reiber, Gayle E. Kaboli, Peter J. Fan, Vincent S. |
| Copyright Year | 2019 |
| Abstract | Abstract Background: Proper inhaler technique is important for effective drug delivery and symptom control in chronic obstructive pulmonary disease (COPD) and asthma, yet not all patients receive inhaler instructions. Introduction: Using a retrospective chart review of participants in a video telehealth inhaler training program, the study compared inhaler technique within and between monthly telehealth visits and reports associated with patient satisfaction. Materials and Methods: Seventy-four (Nā=ā74) rural patients prescribed ā„1 inhaler participated in three to four pharmacist telehealth inhaler training sessions using teach-to-goal (TTG) methodology. Within and between visit inhaler technique scores are compared, with descriptive statistics of pre- and postprogram survey results including program satisfaction and computer technical issues. Healthcare utilization is compared between pre- and post-training periods. Results: Sixty-nine (93%) patients completed all three to four video telehealth inhaler training sessions. During the initial visit, patients demonstrated improvement in inhaler technique for metered dose inhalers (albuterol, budesonide/formoterol), dry powder inhalers (formoterol, mometasone, tiotropium), and soft mist inhalers (ipratropium/albuterol) (p < 0.01 for all). Improved inhaler technique was sustained at 2 months (p < 0.01). Ninety-four percent of participants were satisfied with the program. Although technical issues were common, occurring among 63% of attempted visits, most of these visits (87%) could be completed. There was no significant difference in emergency department visits and hospitalizations pre- and post-training. Discussion: This study demonstrated high patient acceptance of video telehealth training and objective improvement in inhaler technique. Conclusions: Video telehealth inhaler training using the TTG methodology is a promising program that improved inhaler technique and access to inhaler teaching for rural patients with COPD or asthma. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC6916242&blobtype=pdf |
| Page Count | 7 |
| ISSN | 15305627 |
| Volume Number | 25 |
| DOI | 10.1089/tmj.2017.0330 |
| PubMed Central reference number | PMC6916242 |
| Issue Number | 3 |
| PubMed reference number | 30016216 |
| Journal | Telemedicine Journal and e-Health [Telemed J E Health] |
| e-ISSN | 15563669 |
| Language | English |
| Publisher | Mary Ann Liebert, Inc., publishers |
| Publisher Date | 2018-07-17 |
| Publisher Place | USA |
| Access Restriction | Open |
| Rights License | Copyright 2019, Mary Ann Liebert, Inc., publishers |
| Subject Keyword | chronic obstructive pulmonary disease patient education self-care telemedicine inhaler training asthma rural health |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Information Management Health Informatics |
