Feasibility of video observed therapy to support controller inhaler use among children in West Baltimore
| Autor: | S. D. Krugman, L. Litwin Ye, K. McIntire, B. Weis |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Pilot Projects Medication Adherence Adrenal Cortex Hormones Control theory medicine Humans Immunology and Allergy Child Directly Observed Therapy Asthma business.industry Nebulizers and Vaporizers Inhaler medicine.disease United States Primary care clinic Baltimore Pediatrics Perinatology and Child Health Cohort Physical therapy Feasibility Studies Female business Asthma Control Test |
| Zdroj: | Journal of Asthma. 59:1961-1972 |
| ISSN: | 1532-4303 0277-0903 |
| DOI: | 10.1080/02770903.2021.1984525 |
| Popis: | To assess feasibility of a novel video directly observed therapy (DOT)-based digital asthma program intended to support correct inhaled corticosteroid (ICS) use among children. We conducted a 60-day pilot study among patients 2–18 years attending a primary care clinic with prescribed ICS and sub-optimally controlled asthma (recent hospitalization, ICS nonadherence, frequent rescue inhaler use, therapy escalation, or Asthma Control Test n = 247) and adherence issues (n = 107) prompted 543 communications; inadequate inspiration or holding breath were most common. Among 16 patients with engagement >7 days and >4 videos, median inhaler error rate (proportion of videos with ≥1 error) decreased from week 1 to week 2 (73% vs 8%, p ≤ 0.05) with median adherence >80%. Participants experienced the program as long, but easy to use; benefits included building routines, skill, and independence. This pilot study suggests high program acceptability among our cohort. High engagement with improved inhaler technique over the first 14 days suggests shorter implementation. Supplemental data for this article is available online at at |
| Databáze: | OpenAIRE |
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