Evidence map›Paper›PMID 30067737›Full record

Trial reportPloS one2018

Video education versus face-to-face education on inhaler technique for patients with well-controlled or partly-controlled asthma: A phase IV, open-label, non-inferiority, multicenter, randomized, controlled trial.

Hye Jung Park, Min Kwang Byun, Jae-Woo Kwon, Woo Kyung Kim, Dong-Ho Nahm, Myung-Goo Lee, Sang-Pyo Lee, Sook Young Lee, Ji-Hyun Lee, Yi Yeong Jeong and 3 more

Open access · goldAbstract readClinical Trial, Phase IVMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 23 citations in OpenAlex.

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  9. Inhaler devices and their challenges - Helping patients use inhalers.Lung India : official organ of Indian Chest Society
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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

13 authors at 11 institutions in 1 country.

Hye Jung ParkDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Min Kwang ByunDepartment of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-1525-1745
Jae-Woo KwonDepartment of Internal Medicine, Kangwon National University Hospital, Chuncheon, Korea.
Woo Kyung KimDepartment of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
Dong-Ho NahmDepartment of Allergy & Clinical Immunology, Ajou University Hospital, Suwon, Korea.
Myung-Goo LeePulmonary, Allergy & Critical Care Medicine, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
Sang-Pyo LeeDepartment of Internal Medicine, Gachon University Gil Hospital, Incheon, Korea.
Sook Young LeeDepartment of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University Medical College of Korea, Seoul, Korea.
Ji-Hyun LeeDivision of Respiratory and Critical Care Medicine, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Yi Yeong JeongDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
You Sook ChoDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Asan Medical Center, Seoul, Korea.
Jeong-Hee ChoiPulmonary, Allergy & Critical Care Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Byoung Whui ChoiDepartment of Internal Medicine, Chung-Ang University Hospital, Seoul, Korea.
The Catholic University of Korea Seoul St. Mary's Hospital · KRYonsei University · KRAjou University Hospital · KRAsan Medical Center · KRCHA University Bundang Medical Center · KRChung-Ang University Hospital · KRDongguk University Ilsan Hospital · KRGyeongsang National University Hospital · KRHallym University · KRHallym University Dongtan Sacred Heart Hospital · KRKangwon National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEducation on inhaler technique is critical for effective asthma treatment. However, traditionally used face-to-face education is time-consuming, costly, and often laborious. The current study evaluated the efficacy of a newly developed video-based inhaler technique education method.

methodsA total of 184 subjects with well-controlled or partly-controlled asthma were enrolled from 12 hospitals in South Korea from 30 November 2015 to 01 June 2016. Subjects were randomly divided into two groups in a 1:1 ratio; a control group that received face-to-face education, and a study group that received video education. All subjects received fluticasone propionate plus salmeterol xinafoate (Fluterol® 250/50 inhalation capsules) for 12 weeks. The primary outcome measure was forced expiratory volume in the 1st second (FEV1) at 12 weeks. The secondary outcome measures were change in FEV1 at 4 weeks, change in asthma control test (ACT) score, and changes in various inhaler technique parameters. These measures were assessed with a non-inferiority margin of 10% between the control group and the study group.

resultsFEV1 was significantly improved at 12 weeks in the control group and the study group. After adjustment, FEV1 improvement was not significantly inferior in the study group compared to the control group. The secondary outcome measures, including change in FEV1 at 4 weeks, ACT score, and various parameters pertaining to inhaler technique and satisfaction at 4 and 12 weeks did not differ significantly in the two groups. In subgroup analysis of elderly subjects and subjects with well-controlled asthma, FEV1 was significantly improved at 12 weeks in the study group but not the control group.

conclusionThe newly developed video education technique investigated functioned as a suitable substitute for face-to-face education on inhaler technique (dry powder inhalation capsule) in patients with stable asthma, particularly in elderly patients and patients with well-controlled asthma.

Indexed as

Administration, InhalationAgedAsthmaBronchodilator AgentsDrug Administration ScheduleFemaleFluticasone-Salmeterol Drug CombinationForced Expiratory VolumeHumansMaleMiddle AgedPatient Education as TopicRepublic of KoreaRespiratory Function TestsTreatment OutcomeBronchodilator AgentsFluticasone-Salmeterol Drug Combination

Identifiers

PMID30067737
PMCPMC6070174
OpenAlexW2885815223

What OpenQuestion holds

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LicenceCC BY
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.