Evidence map›Paper›PMID 28720676›Full record

ArticleRespiratory care2017

Inhaler Training Delivered by Internet-Based Home Videoconferencing Improves Technique and Quality of Life.

Rachel M Thomas, Emily R Locke, Deborah M Woo, Ethan H K Nguyen, Valerie G Press, Troy A Layouni, Emily H Trittschuh, Gayle E Reiber, Vincent S Fan

Registry-linked trialOpen access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Respiratory care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05897125 (TELE-TOC), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT05897125 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

TELE-TOC: Telehealth Education Leveraging Electronic Transitions Of Care for COPD Patients

TypeinterventionalSponsorUniversity of ChicagoRan2025 to 2026Enrolled218ConditionsCOPD Exacerbation, Care TransitionsArmsVirtual at Home Medication Reconciliation Visit(s), Virtual At Home Medication Education Visit(s), COPD advanced practice nurse Inpatient Consult, Inpatient Medication Reconciliation, Post-discharge nurse 48 hour phone follow-up call
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

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  15. Real-World Use of Inhaled COPD Medications: the Good, the Bad, the Ugly.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024
    Article
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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

9 authors at 4 institutions in 1 country.

Rachel M ThomasHealth Services Research and Development Service, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care Rachel.Thomas3@va.gov.
Emily R LockeHealth Services Research and Development Service, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care.
Deborah M WooHealth Services Research and Development Service, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care.
Ethan H K NguyenHealth Services Research and Development Service, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care.
Valerie G PressDepartment of Medicine, University of Chicago, Chicago, Illinois.
Troy A LayouniHealth Services Research and Development Service, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care.
Emily H TrittschuhGeriatric Research Education and Clinical Center, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
Gayle E ReiberHealth Services Research and Development Service, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care.
Vincent S FanHealth Services Research and Development Service, Seattle Center of Innovation for Veteran-Centered and Value-Driven Care.
Health Services Research & Development · USUniversity of Chicago · USUniversity of Puget Sound · USUniversity of Washington · US

Funding

Video vs. TTG Respiratory inhaler technique Assessment and InstructioN (V-TRAIN)K23HL118151 · NHLBI · UNIVERSITY OF CHICAGO · PI PRESS, VALERIE G · 2013 to 2016
$658k
NHLBI NIH HHS K23 HL118151
6 · The paper itself

Abstract

backgroundCOPD is common, and inhaled medications can reduce the risk of exacerbations. Incorrect inhaler use is also common and may lead to worse symptoms and increased exacerbations. We examined whether inhaler training could be delivered using Internet-based home videoconferencing and its effect on inhaler technique, self-efficacy, quality of life, and adherence.

methodsIn this pre-post pilot study, participants with COPD had 3 monthly Internet-based home videoconference visits with a pharmacist who provided inhaler training using teach-to-goal methodology. Participants completed mailed questionnaires to ascertain COPD severity, self-efficacy, health literacy, quality of life, adherence, and satisfaction with the intervention.

resultsA total of 41 participants completed at least one, and 38 completed all 3 home videoconference visits. During each visit, technique improved for all inhalers, with significant improvements for the albuterol metered-dose inhaler, budesonide/formoterol metered-dose inhaler, and tiotropium dry powder inhaler. Improved technique was sustained for nearly all inhalers at 1 and 2 months. Quality of life measured with the Chronic Respiratory Questionnaire improved following the training: dyspnea (+0.3 points,

conclusionsInhaler training using teach-to-goal methodology delivered by home videoconference is a promising means to provide training to patients with COPD that can improve technique, quality of life, self-efficacy, and adherence.

Indexed as

Nebulizers and VaporizersVideoconferencingAdministration, InhalationAgedBronchodilator AgentsFeasibility StudiesFemaleHealth Services AccessibilityHumansMaleMiddle AgedPatient Acceptance of Health CarePatient Education as TopicPilot ProjectsPulmonary Disease, Chronic ObstructiveQuality of LifeBronchodilator AgentsCOPDinhaler trainingpatient educationself-caretelemedicine

Identifiers

PMID28720676
PMCPMC6373850
OpenAlexW2737120291

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.