Rachel Thomas|Emily Locke|Deborah M Woo|Ethan H K Nguyen|Valerie G. Press|Troy A Layouni|Emily H. Trittschuh|Gayle E. Reiber|Vincent S. Fan
Inhaler Training Delivered by Internet-Based Home Videoconferencing Improves Technique and Quality of Life
Health Services Research & Development|Health Services Research & Development|Health Services Research & Development|Health Services Research & Development|University of Chicago|Health Services Research & Development|Geriatric Research Education and Clinical Center|University of Puget Sound|Health Services Research & Development|Health Services Research & Development|University of Washington
copd common inhaled medications reduce risk exacerbations incorrect inhaler use also common may lead worse symptoms increased exacerbations examined whether inhaler training could delivered using internetbased home videoconferencing effect inhaler technique selfefficacy quality life adherencein prepost pilot study participants copd 3 monthly internetbased home videoconference visits pharmacist provided inhaler training using teachtogoal methodology participants completed mailed questionnaires ascertain copd severity selfefficacy health literacy quality life adherence satisfaction interventiona total 41 participants completed least one 38 completed 3 home videoconference visits visit technique improved inhalers significant improvements albuterol metereddose inhaler budesonideformoterol metereddose inhaler tiotropium dry powder inhaler improved technique sustained nearly inhalers 1 2 months quality life measured chronic respiratory questionnaire improved following training dyspnea 03 points p 01 fatigue 06 points p 001 emotional function 05 points p 001 mastery 07 points p 001 coping skills measured seattle obstructive lung disease questionnaire improved 99 points p 003 participants reported increased confidence inhaler use example mean selfefficacy using albuterol increased 3 points p 001 inhaler adherence improved significantly intervention 16 initial visit 11 month 2 p 045 pharmacist reported technical issues 64 visitsinhaler training using teachtogoal methodology delivered home videoconference promising means provide training patients copd improve technique quality life selfefficacy adherence