A Randomized Comparison between Video Demonstration and Verbal Instruction in Improving Rota Haler Technique in Children with Persistent Asthma: A Pilot Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 6
Abstract
Introduction: Inhalation therapy is the cornerstone in management of asthma. Failure to use the device properly is one of the factors incriminated in poor control of asthma. Aim: To compare the technique of rota haler use in children with persistent asthma immediately after receiving either verbal instruction or a video based demonstration and again at one month following intervention. Materials and Methods: A total of 28 children, older than six years attending the childhood asthma clinic of our hospital, who were prescribed rota halers for the first time and who were technique naïve were enrolled into the study, after obtaining informed consent from the parents after meeting inclusion and exclusion criteria. They were then randomly assigned to either verbal instructions (group of 14) or video demonstration group (group of 14), for teaching them the rota haler technique. Their technique was then assessed using a modified version of the inhaler device assessment tool immediately after education and one month after the intervention. The proportions of children with good technique in both groups at both time points were compared. Results: There was no significant difference in the baseline variables like age, gender, location, socio-economic status and disease duration between both groups. The proportion of children achieving good technique was significantly more in the video group than the oral instruction group at immediate assessment and also at one month post intervention with an odds of 8 and 23.40 respectively (p=0.0262 and 0.0075 respectively). Conclusion: Video demonstration is effective in improving the technique of rota haler use at immediate assessment and at one month post intervention. Further studies are needed to validate this study and to assess factors that predict successful device use.
Authors and Affiliations
Archana Arumugom, Venkatesh Chandrasekaran
Keywords
Related Articles
- EP ID EP350508
- DOI 10.7860/JCDR/2017/26720.10060
- Views 75
- Downloads 0
Uterine Gangrene and Mechanical Intestinal Obstruction in a Teenager Following Unsafe Abortion
ABSTRACT Unsafe abortion often leads to complications since it is carried out by untrained persons in an unsafe environment. The most common complications are anaemia, bowel injury, bladder injury, uterine perforation, a...
Primary Localised Amyloidosis of Urethra Presenting as a Penile Stricture
ABSTRACT Amyloidosis is characterized by the deposition of fibrillar proteins by either plasma cells or derived from circulating proteins, the former especially involved in pathogenesis of localised amyloidosis. We descr...
Disseminated Multifocal Epithelioid Haemangioendothelioma- A Multimodality Approach for Diagnosis
ABSTRACT Epithelioid Haemangioendothelioma (EHE) is an extremely rare vascular tumour that develops in the soft tissues or in viscera such as liver, lung, bone, brain, spleen or even the small intestine. The tumour has a...
Prevalence of Dental Caries in India among the WHO Index Age Groups: A Meta-Analysis
ABSTRACT Introduction: Dental caries is widely prevalent globally but the distribution and severity of dental caries varies across countries and regions. In the absence of surveillance or real time monitoring of dental c...
A Review on Newer Tyrosine Kinase Inhibitors and their Uses
ABSTRACT Tyrosine Kinase Inhibitors (TKI) can reversibly or irreversibly block the signaling pathway occurring in the extracellular part of the receptor by inhibiting Tyrosine Kinase (TK) phosphorylation. This review inc...