Evidence map›Paper›PMID 21943162›Full record

ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2011

Telephonic monitoring and optimization of inhaler technique.

Philip Nelson, Henry N Young, Mary Jo Knobloch, Sara A Griesbach

Open access · greenAbstract read
In one paragraph

Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Interventions to improve inhaler technique for people with asthma.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Patient and phaRmacist telephonic encounters (PARTE) in an underserved rural patient population with asthma: results of a pilot study.Telemedicine journal and e-health : the official journal of the American Telemedicine Association
    Trial
  3. Article
  4. Monitoring asthma in childhood: management-related issues.European respiratory review : an official journal of the European Respiratory Society · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Philip NelsonClinical Pharmacy, Marshfield Clinic, Marshfield, Wisconsin 54449, USA.
Henry N Young
Mary Jo Knobloch
Sara A Griesbach
Marshfield Clinic · USUniversity of Wisconsin–Madison · US

Funding

INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
NCRR NIH HHS 1UL1RR025011
6 · The paper itself

Abstract

introductionImproper inhaler technique is a common problem affecting asthma control and healthcare costs. Telephonic asthma management can increase access to care while reducing costs and hospitalizations. However, no reliable method has been established for telephonically evaluating and correcting inhaler technique.

objectiveThe purpose of this study was to pilot test a method for assessing and correcting patient inhaler technique via telephone.

methodsParticipants (n=30) were adults with asthma using metered-dose inhalers (MDIs) and diskus inhalers. A pharmacist was located in one room and communicated via telephone with a participant in another room. The pharmacist telephonically assessed and taught inhaler technique. Participants were video-recorded, and videos were later examined by a second pharmacist to visually evaluate inhaler technique. Participants were assigned pre- and posteducation inhaler technique scores for the telephonic and video assessments. Scores were based on summated scales for MDI (0-9) and diskus (0-11) inhalers. Paired samples t-tests were used to compare telephone and video assessments.

resultsFindings indicated a significant difference between the telephone and video assessments of MDI technique (p<0.05); however, no difference was found for the diskus inhaler. Comparing pre- and posteducation inhaler technique for MDI and diskus, mean scores significantly improved from 5.7 to 7.8 (p<0.05) and from 8.5 to 10.4 (p<0.05), respectively.

conclusionsThe telephonic method was able to improve and detect some deficiencies in patients' inhaler technique. However, modifications and further investigation will more clearly determine the role and value of such a telephonic intervention.

Indexed as

Nebulizers and VaporizersTelephoneAdolescentAdultCommunity Pharmacy ServicesHumansMiddle AgedPatient Education as TopicPilot ProjectsSocioeconomic FactorsYoung Adult

Identifiers

PMID21943162
PMCPMC3203836
OpenAlexW1967232483

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.