Using Puzzle or Brochure to Teach Children Inhaler Technique: Evaluation of Alternative Methods Against Face to Face Education

2021 ◽  
Vol 7 (1) ◽  
pp. 46
Author(s):  
Ahmet Kan ◽  
Tugce Kara ◽  
Cigdem El ◽  
Aymen Hismiogullari
2021 ◽  
Vol 13 (6) ◽  
pp. 3320
Author(s):  
Amy R. Villarosa ◽  
Lucie M. Ramjan ◽  
Della Maneze ◽  
Ajesh George

The COVID-19 pandemic has resulted in many changes, including restrictions on indoor gatherings and visitation to residential aged care facilities, hospitals and certain communities. Coupled with potential restrictions imposed by health services and academic institutions, these changes may significantly impact the conduct of population health research. However, the continuance of population health research is beneficial for the provision of health services and sometimes imperative. This paper discusses the impact of COVID-19 restrictions on the conduct of population health research. This discussion unveils important ethical considerations, as well as potential impacts on recruitment methods, face-to-face data collection, data quality and validity. In addition, this paper explores potential recruitment and data collection methods that could replace face-to-face methods. The discussion is accompanied by reflections on the challenges experienced by the authors in their own research at an oral health service during the COVID-19 pandemic and alternative methods that were utilised in place of face-to-face methods. This paper concludes that, although COVID-19 presents challenges to the conduct of population health research, there is a range of alternative methods to face-to-face recruitment and data collection. These alternative methods should be considered in light of project aims to ensure data quality is not compromised.


2021 ◽  
Vol 16 (8) ◽  
pp. 1-9
Author(s):  
Hazel Nikolov ◽  
Julia Hubbard

Cardiac rehabilitation improves the outcomes of individuals following a cardiac event; however, only 50% of those eligible for cardiac rehabilitation in the UK sign up to a traditional face-to-face programme. The principal causes cited for non-attendance include living in a rural area, work or career commitments, lack of choice in location, gender, ethnicity and social economic constraints, and dislike of group participation. Alternative methods of delivery could ensure greater participation in cardiac rehabilitation activities, particularly among women, who are underrepresented. Studies into digital cardiac rehabilitation reveal improved quality of life, dietary intake and increased physical activity all equal to or an improvement compared to traditional approaches. Embracing digital approaches to cardiac rehabilitation is now timely with COVID-19 requirements for social distancing.


Neurology ◽  
2021 ◽  
Vol 96 (13) ◽  
pp. e1701-e1710
Author(s):  
Jessica Keating ◽  
Karen Borschmann ◽  
Hannah Johns ◽  
Leonid Churilov ◽  
Julie Bernhardt

ObjectiveTo determine how young stroke survivors want their unmet needs to be addressed, we undertook an international online survey of people living with stroke.MethodsParticipants self-selected to complete an online survey that included a questionnaire on demographics and stroke-related characteristics, the Young Stroke Needs Screening Tool, and a questionnaire on how they wanted their needs to be met.ResultsOne hundred seventy-one responses were received (68% female respondents, mean age 45 years, interquartile range 36–51 years). Preferences for methods of meeting needs varied depending on the domain of need and participants' demographic and stroke-related characteristics. Face-to-face contact with a health care professional was a popular means of meeting needs, but methods outside of a traditional health care setting such as a succinct list of tips or peer support were widely acceptable and sometimes preferred.ConclusionThis work provides the impetus for developing alternative methods of meeting young stroke survivors' needs, many of which are not resource intensive or do not require an appointment with a health care professional.


2021 ◽  
pp. 001857872110468
Author(s):  
Bianca Mayzel ◽  
Sarah Muench ◽  
Colleen Lauster

Background and Objectives: To assess the impact that pharmacist education has on proper inhaler technique and adherence in a teaching clinic. Methods: This was prospective, non-randomized, pre-test/post-test study. Patients were 18 years or older, had a diagnosis of asthma or COPD, and prescribed at least 1 inhaled medication. Initial visits consisted of a baseline asthma control test (ACT) or COPD assessment test (CAT), the Test of Adherence to Inhalers (TAI), and a baseline inhaler technique evaluation. The pharmacist then educated the patient. Then inhaler technique was assessed again (post-education inhaler technique evaluation #1). Follow-up visits occurred 4 to 8 weeks later. ACT or CAT and TAI test were administered and inhaler technique was assessed again (post-education inhaler technique #2). The primary outcome was the comparison of the percentage of correct steps performed from baseline to post-education inhaler technique evaluation #1 and from baseline to post-education inhaler technique evaluation #2. Results: Eighteen patients were included, with a mean age of 58 years old. Over half had asthma, were female and African American. There was a significant difference in inhaler technique from baseline to post-education inhaler evaluation #1 and from baseline to post-education inhaler evaluation #2. The most common step missed was no exhalation before inhalation. There was no significant difference when comparing the individual and overall TAI test scores from initial to follow up visit. Conclusions: This study supports pharmacist-led inhaler technique education.


ReCALL ◽  
1999 ◽  
Vol 11 (2) ◽  
pp. 55-60 ◽  
Author(s):  
Markus Kötter ◽  
Lesley Shield ◽  
Anne Stevens

The Open University (OU) is UK's largest modern foreign language learning provider with a current enrolment of approximetely 8000 students, all of whom study individually at home, at a distance from each other and their tutors. However, while most OU students work with trditional course material such as books, video- and audio-cassettes and face-to-face tutorials, research at the centre for Modern Languages (CML) has also investigated alternative methods in order to account for those learners who might be unable to attend face-to-face tutorials. The study described in this paper outlines work in progress that is part of a larger, long-term project seeking to establish a framework for the use of networking technologies in distance language learning with a particular emphasis onl the ldevelopment of scenarios – that is task design and learning environments – which will enable participants to improve their spoken and communication skills in the target language.


2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S100-S101
Author(s):  
Miranda L Yelvington ◽  
Gretta E Wilkinson

Abstract Introduction The social distancing restrictions mandated by the COVID-19 pandemic have directly impacted burn survivor support groups. Around the country, Pediatric Camps and Adult Support groups have been canceled or moved to an alternate format. While these alternative methods provide much-needed support and interaction for burn survivor groups, it is unknown how they compare to traditional, in-person support programs. In November 2020, our facility will replace our traditional Adult Burn Survivor Retreat with an entirely virtual, synchronous retreat. The retreat will feature many of the sessions and experiences from the in-person retreat but will be lacking the face-to-face contact that is so valued by our Adult Survivor Group. Educational sessions will be provided by adult psychologists and social workers, burn therapists and nurses. An adult burn survivor will provide the keynote address. Adult burn survivors, who have participated in prior year’s retreats, will be invited to participate in a comparison feedback survey. Methods Participants in the Virtual Adult Survivor Retreat will complete a post-retreat survey, comparing the virtual retreat experience to the traditional in-person retreat format. Likert scale questions will address participation level, benefit of retreat, specific feedback for sessions and ease of ability for survivors to interact with peers. In addition, the survey will seek to identify barriers of the virtual format as a means of providing needed survivor support. Results Survey results will be analyzed, and trends will be reported. Statistically significant results can be further explored to guide future virtual events. Conclusions Virtual events utilizing video platforms have become commonplace in the era of COVID-19, however, this format is still new, and the benefits have not been fully explored. Evidence has shown a direct benefit to survivors participating in support services. In an attempt to fill the gap left by the cancelation of in-person events, our facility is hosting a synchronous virtual retreat for adult burn survivors. Retreat evaluation and data comparing the virtual event to prior in-person events will be analyzed and reported.


2019 ◽  
Vol 9 (2) ◽  
pp. 170-179
Author(s):  
R Bhavana ◽  
R Suchithra ◽  
Manupati Thejaswini ◽  
Gundlapalli Harish Kumar ◽  
Dev Apoorva

Aim: A study on effectiveness and success factors of educational inhaler technique intervention in asthma and COPD. Objectives: To identify the percentage of common errors done by people who use inhalers. To identify the risk factors associated with asthma and COPD. Method: Data was collected from the subject’s face to face interview in a community setup and the lung capacities were measured using spirometer and peak flow meter; the values were noted and the subjects were asked to demonstrate their inhaler technique using placebo inhalers; numbers of correct and incorrect steps were noted. After a period of one month; the subjects were taken to follow up and measured the lung capacities and checked the inhaler steps; number of correct and incorrect steps were noted. Results: A total of 572 samples were collected and 500 were followed up, in which 300 had Asthma and 200 had COPD. Out of which 189 were female and 311 were male. Low education level was the single most important factor leading to incorrect technique. Formal training resulted in a statistically significant increase in the percentage of correct techniques for all the devices. For pMDI (54.01% vs. 91.03%, *p=0.005 before & after training respectively). For pMDI+Spacer (52.75% vs. 94.85%, *p=0.007 before & after training respectively). For Accuhaler (54.07% vs. 91.27%, *p=0.017 before & after training respectively). For Rotahaler (63.94 vs. 98.64%. *p=0.029 before & after training respectively). For Nebuliser (56.97% vs. 91.88%, *p=0.001 before & after training respectively. Conclusion: Proper education to patients on correct usage may not only improve control of the symptoms of the disease but might also allow dose reduction in long term. The number of subjects doing correct steps gradually increased after the pharmacist led intervention. Thus, proper counselling for the inhaler use in patients must be encouraged as it is directly linked to the quality of life of patient. Keywords: Asthma and COPD control inhaler devices, inhaler technique, pharmacist intervention, inhaler education.


1993 ◽  
Vol 52 (3) ◽  
pp. 299-303 ◽  
Author(s):  
Courtland Smith ◽  
Susan Hanna

Community, as a territorial unit, persists as a major determinant of cultural behavior, despite all the integrating technologies of the electronic age. Two approaches toward the study of fishing, community study and an occupational focus, suggest alternative methods for analyzing and managing fisheries. Community studies lead to suggestions about including the community of fishing interest in management planning. Occupational analyses indicate how fishing differs from other activities, and how there is variability even among fishing activities. This research shows that within one fishery, community factors differentiate behaviors of fishermen. The reason community factors persist is in the pattern of information transfer. The more face-to-face interaction characteristic of community facilitates the transfer of ideas.


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