Research Article

Which Method is More Effective in Aerochamber Training in Pediatric Age Group?

Volume: 46 Number: 1 March 3, 2019

Which Method is More Effective in Aerochamber Training in Pediatric Age Group?

Abstract

Objective: Spacer and metered-dose inhaler use is widespread especially among pediatric population. In children, training in medication use is provided both for the family and the child. The aim of the present study was to investigate whether this training is well comprehended and which training method is more effective to achieve that goal.

Methods: This study included patients presenting to our outpatient clinic who were in need of spacer and metered-dose inhaler use. The study subjects had an age range of 2-16 years. The patients were randomized into two groups. The first group was trained on metered-dose inhaler use by video demonstration. The second group was trained by applied verbal training. They asked to use spacer and metered-dose inhaler, and they were rated from 0 to 6, as in previous studies. Errors and deficiencies of use were re-explained. They were informed about their scores and were told that they would be rated again in the next follow-up appointment. They were asked again to use spacer and metered-dose inhaler and rated between 0 and 6 at the second-month control visit.

Results: The intra-group analysis of the video group showed a significant difference between the first-month and second-month total scores (p<0,01). The intra-group analysis of the verbal training group also showed a significant difference between the first-month and second-month total scores (p<0,01).

Conclusion: In conclusion, we demonstrated the positive effect of actively inclusion of patients with asthma into the training about spacer and metered-dose inhaler use. We ensured active participation by exam motivation. Here in we aimed to contribute to the existing literature.

Keywords

References

  1. 1. Price D, Bosnic-Anticevich S, Briggs A, et all. Inhaler competence in asthma: common errors, barriers to use and recommended solutions. Respir Med 2013; 107: 37-46.
  2. 2. Chorão P, Pereira AM, Fonseca JA. Inhaler devices in asthma and COPD--an assessment of inhaler technique and patient preferences. Respir Med 2014; 108: 968-75.
  3. 3. Braido F, Chrystyn H, Baiardini I, et all. "Trying, But Failing" - The Role of Inhaler Technique and Mode of Delivery in Respiratory Medication Adherence. J Allergy Clin Immunol Pract 2016; 4: 823-32.
  4. 4. Sanchis J, Gich I, Pedersen S; Aerosol Drug Management Improvement Team (ADMIT). Systematic Review of Errors in Inhaler Use: Has Patient Technique Improved Over Time? Chest 2016; 150: 394-406.
  5. 5. Marguet C, Couderc L, Le Roux P, et all. Inhalation treatment: errors in application and difficulties in acceptance of the devices are frequent in wheezy infants and young children. Pediatr Allergy Immunol 2001; 12: 224-30.
  6. 6. Turkeli A, Yilmaz O, Yuksel H. Metered dose inhaler-spacer use training effects on achieve asthma control in children. Tuberk Toraks 2016; 64: 105-11.
  7. 7. Dekhuijzen PN, Bjermer L, Lavorini F, et all. Guidance on handheld inhalers in asthma and COPD guidelines. Respir Med 2014; 108: 694-700.
  8. 8. Melzer AC, Ghassemieh BJ, Gillespie SE, et all. Patient characteristics associated with poor inhaler technique among a cohort of patients with COPD. Respir Med 2017; 123: 124-30.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Publication Date

March 3, 2019

Submission Date

August 13, 2018

Acceptance Date

January 4, 2019

Published in Issue

Year 2019 Volume: 46 Number: 1

APA
Özkars, M. Y., & Kırık, S. (2019). Which Method is More Effective in Aerochamber Training in Pediatric Age Group? Dicle Medical Journal, 46(1), 85-90. https://doi.org/10.5798/dicletip.534836
AMA
1.Özkars MY, Kırık S. Which Method is More Effective in Aerochamber Training in Pediatric Age Group? Dicle Medical Journal. 2019;46(1):85-90. doi:10.5798/dicletip.534836
Chicago
Özkars, Mehmet Yaşar, and Serkan Kırık. 2019. “Which Method Is More Effective in Aerochamber Training in Pediatric Age Group?”. Dicle Medical Journal 46 (1): 85-90. https://doi.org/10.5798/dicletip.534836.
EndNote
Özkars MY, Kırık S (March 1, 2019) Which Method is More Effective in Aerochamber Training in Pediatric Age Group? Dicle Medical Journal 46 1 85–90.
IEEE
[1]M. Y. Özkars and S. Kırık, “Which Method is More Effective in Aerochamber Training in Pediatric Age Group?”, Dicle Medical Journal, vol. 46, no. 1, pp. 85–90, Mar. 2019, doi: 10.5798/dicletip.534836.
ISNAD
Özkars, Mehmet Yaşar - Kırık, Serkan. “Which Method Is More Effective in Aerochamber Training in Pediatric Age Group?”. Dicle Medical Journal 46/1 (March 1, 2019): 85-90. https://doi.org/10.5798/dicletip.534836.
JAMA
1.Özkars MY, Kırık S. Which Method is More Effective in Aerochamber Training in Pediatric Age Group? Dicle Medical Journal. 2019;46:85–90.
MLA
Özkars, Mehmet Yaşar, and Serkan Kırık. “Which Method Is More Effective in Aerochamber Training in Pediatric Age Group?”. Dicle Medical Journal, vol. 46, no. 1, Mar. 2019, pp. 85-90, doi:10.5798/dicletip.534836.
Vancouver
1.Mehmet Yaşar Özkars, Serkan Kırık. Which Method is More Effective in Aerochamber Training in Pediatric Age Group? Dicle Medical Journal. 2019 Mar. 1;46(1):85-90. doi:10.5798/dicletip.534836