Using Video Telehealth to Facilitate Inhaler Training in Rural Patients with Obstructive Lung Disease

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Emily R LockeVincent S Fan

Abstract

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. 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. Seventy-four (N = 74) rural patients prescribed ≥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. 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 ...Continue Reading

References

Jun 29, 2004·The European Respiratory Journal·B R CelliUNKNOWN ATS/ERS Task Force
Sep 29, 2004·American Journal of Public Health·William B WeeksJonathan B Perlin
Apr 30, 2005·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·William B WeeksSteven M Wright
Jul 11, 2006·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·William B WeeksLewis E Kazis
May 18, 2007·American Journal of Respiratory and Critical Care Medicine·Klaus F RabeUNKNOWN Global Initiative for Chronic Obstructive Lung Disease
Oct 4, 2007·Respiration; International Review of Thoracic Diseases·Siegfried Wieshammer, Jens Dreyhaupt
Jan 21, 2011·Journal of General Internal Medicine·Valerie G PressJerry A Krishnan
Mar 4, 2011·Respiratory Medicine·Andrea S MelaniUNKNOWN Gruppo Educazionale Associazione Italiana Pneumologi Ospedalieri
Aug 2, 2011·Respiratory Medicine·Violaine GiraudNicolas Roche
Oct 5, 2011·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·May Nawal LutfiyyaMartin Stephen Lipsky
Jan 31, 2012·Expert Review of Respiratory Medicine·Toby G D Capstick, Ian J Clifton
May 18, 2012·Journal of General Internal Medicine·Valerie G PressJerry A Krishnan
Dec 25, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Gopal K Singh, Mohammad Siahpush
Feb 26, 2016·Journal of Pharmacy Practice·Samantha AxtellJamie Fairclough
Mar 22, 2016·Annals of the American Thoracic Society·Valerie G PressJerry A Krishnan
Apr 5, 2017·NPJ Primary Care Respiratory Medicine·Henry ChrystynMike Thomas

❮ Previous
Next ❯

Citations

Apr 21, 2020·Expert Review of Respiratory Medicine·Anna VolermanValerie Press
Dec 31, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Tobias MüllerMichael Dreher
Apr 8, 2021·Patient Preference and Adherence·Anna VolermanValerie G Press
Dec 4, 2021·Current Opinion in Pulmonary Medicine·Jennifer A SculleyJerry A Krishnan

❮ Previous
Next ❯

Software Mentioned

Video Anywhere
CHAT
Cisco Jabber Video for TelePresence
Jabber

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.