Evidence map›Paper›PMID 30325931›Full record

Trial reportPloS one2018

Using web-based videos to improve inhalation technique in COPD patients requiring hospitalization: A randomized controlled trial.

Wolfram Windisch, Sarah Bettina Schwarz, Friederike Sophie Magnet, Michael Dreher, Claudia Schmoor, Jan Hendrik Storre, Verena Knipel

Registry-linked trialOpen access · goldAbstract readRandomized 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. It is linked to trial NCT05664347 (Video-based Teach-to-goal Intervention on Inhaler Technique on Adults With Asthma and COPD), which is not on this map. Cited by 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 4 pooled it
2.6field-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.

NCT05664347 nacompletednot on this mapstarted 2020, after this paper: background citation

Video-based Teach-to-goal Intervention on Inhaler Technique on Adults With Asthma and COPD: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of JordanRan2020 to 2021Enrolled154ConditionsCOPD, Asthma, Inhaled Steroid Dependent AsthmaArmsVerbal teach to goal education, Video based teach to goal education
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Use of Web-Based Videos in a Community Pharmacy to Optimize Inhalation Technique.International journal of chronic obstructive pulmonary disease · 2020
    Article
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

7 authors at 4 institutions in 1 country.

Wolfram WindischDepartment of Pneumology, Kliniken der Stadt Köln gGmbH, Universität Witten/Herdecke, Cologne, Germany.
Sarah Bettina SchwarzDepartment of Pneumology, Kliniken der Stadt Köln gGmbH, Universität Witten/Herdecke, Cologne, Germany.ORCID 0000-0001-8989-0211
Friederike Sophie MagnetDepartment of Pneumology, Kliniken der Stadt Köln gGmbH, Universität Witten/Herdecke, Cologne, Germany.
Michael DreherDepartment of Pneumology, University Hospital RWTH Aachen, Aachen, Germany.
Claudia SchmoorClinical Trials Department, Faculty of Medicine and Medical Center-University of Freiburg, Freiburg, Germany.
Jan Hendrik StorreDepartment of Intensive Care, Sleep Medicine and Mechanical Ventilation, Asklepios Fachkliniken Munich-Gauting, Munich-Gauting, Germany.
Verena KnipelDepartment of Pneumology, Kliniken der Stadt Köln gGmbH, Universität Witten/Herdecke, Cologne, Germany.
Witten/Herdecke University · DERWTH Aachen University · DEUniversity Medical Center Freiburg · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInhalation errors frequently occur in patients receiving inhalation treatment, which can significantly impair treatment success. While this underscores the importance of inhalation training, the role of modern web-based instructional videos has not yet been investigated.

methodsA randomized controlled trial using standardized checklists (10 items: preparation, N = 3, inhalation routine, N = 6, and closure of inhalation, N = 1) was carried out to determine the relative effects of web-based, device-specific videos versus standard personal instruction on reducing multiple (≥2) inhalation errors in severe COPD patients requiring hospitalisation. Investigators assessing inhalation errors were blinded to the intervention.

resultsMultiple handling errors were recorded at baseline in 152 out of 159 patients (95.6%). Each teaching method led to a similar reduction in errors (videos: from 4.2±1.6 to 1.5±1.5 errors; personal instruction: from 3.8±1.5 to 1.3±1.6; p<0.0001), although non-inferiority of web-based video teaching could not be confirmed statistically due to an unpredictably high number of patients in both groups still making multiple handling errors (44.0% versus 40.3%, mean difference 3.7%; 95%CI [-12.0-19.4%]).

conclusionMultiple inhalation errors regularly occur in severe COPD patients requiring hospitalisation. Web-based video teaching is capable of reducing inhalation errors. However, compared to personal instruction non-inferiority could not be established. This was due to an unexpectedly high number of patients with persisting inhalation errors despite training.

trial registrationClinical trial Registration: German Clinical Trial Register, DRKS 00004320.

Indexed as

InternetNebulizers and VaporizersVideo RecordingAdministration, InhalationAgedBronchodilator AgentsFemaleHospitalizationHumansMaleMiddle AgedPatient Education as TopicProspective StudiesPulmonary Disease, Chronic ObstructivePulmonary MedicineReproducibility of ResultsBronchodilator Agents

Identifiers

PMID30325931
PMCPMC6191087
OpenAlexW2896892430

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.