SESSION TITLE: 21st Century Technology
SESSION TYPE: Original Investigation Slide
PRESENTED ON: Wednesday, October 28, 2015 at 08:45 AM - 10:00 AM
PURPOSE: Although inhaled medications are effective therapies for COPD, many patients and providers use them incorrectly. Inhaler education is critical but effective provider training in correct inhaler technique is lacking. The aim of this study was to improve provider knowledge of correct inhaler technique using a tablet-based multimedia educational tool.
METHODS: Primary Care providers (PCPs) and Pulmonologists who prescribe inhalers or teach inhaler technique were recruited and their use of metered dose inhalers (MDIs), various dry powder inhalers (DPIs) and Respimat® was assessed using predefined checklists. Then, they watched educational videos on a tablet that demonstrated correct inhaler technique by a clinical pharmacist with teach-back from a patient and were re-evaluated. A Student’s t-test was used for statistical analysis.
RESULTS: 13 Pulmonologists and 17 PCPs were tested. For all providers, correct inhaler technique (reported as % correct steps) increased after the video for: MDI without a spacer (76% vs 97%), MDI with a spacer (75% vs 98%), formoterol DPI (54% vs 97%), mometasone DPI (52% vs 98%), tiotropium DPI (82% vs 100%), and Respimat® (41% vs 95%) (p<0.001 for all comparisons). When analyzed separately, both Pulmonary and PC providers improved their inhaler technique for every inhaler (p<0.008 for each inhaler in both groups). There were no differences between PCPs and Pulmonologists in pre- or post-education inhaler technique for any inhaler (p>0.05 for all comparisons). 100% of providers found the videos helpful and the tablet easy to use, 93% found the videos easy to understand, 87% found the sound quality sufficient, 100% found the video quality sufficient and 97% felt the videos to be of appropriate length.
CONCLUSIONS: Both PCPs and Pulmonologists use inhalers incorrectly. A tablet-based multimedia educational tool significantly improved provider inhaler technique. Hopefully, this training will translate into improved inhaler education for patients with COPD. This tablet-based multimedia educational tool is being tested in patients with COPD to determine if there is a durable improvement in inhaler technique that produces symptomatic improvement.
CLINICAL IMPLICATIONS: This tablet-based multimedia educational tool can improve provider inhaler education, hopefully leading to improved patient education, inhaler technique, and respiratory symptoms. Our goal is to offer this educational tool to every provider who prescribes inhalers or teaches inhaler technique at our institution.
DISCLOSURE: The following authors have nothing to disclose: Aaron Mulhall, Muhammad Zafar, Samantha Record, Herman Channell, Ralph Panos
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