Valerie G. Press|Colleen Kelly|John J. Kim|Steven R. White|David Meltzer|Vineet M. Arora
Virtual Teach-To-Goal™ Adaptive Learning of Inhaler Technique for Inpatients with Asthma or COPD
University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago|University of Chicago
asthma chronic obstructive pulmonary disease copd result 1 million hospitalizations annually hospitalized patients misuse respiratory inhalers misuse corrected inperson education however strategy resource intensive skills wane quickly dischargethe objective study develop pilot virtual teachtogoal vttg inhaler skill training module using innovative adaptive learning technologyeligible adults asthma copd completed vttg metereddose inhaler session tailored rounds narrated demonstration selfassessments primary outcome proportion participants inhaler misuse post versus prevttg secondary analyses tested mastery selfefficacy perceived versus actual inhaler skills analyses tested mcnemars 2 test p 05among 90 enrolled participants majority african american 94 female 62 asthma 68 mean age 48 years among completing pre postvttg n 83 misuse significantly lower post versus prevttg 24 vs 83 p 001 mastery confidence improved significantly 46 vs 7 p 0001 83 vs 67 p 001 post versus prevttg vttg greater congruence perceived versus actual inhaler skills p 01 differences seen subgroup analyses age health literacy level diagnosisthis study first demonstrate efficacy adaptive vttg learning teach inhaler technique vttg improved participants technique acceptable level reached mastery half also increased selfefficacy actualized skill vttg potential improve health care across care transitions