The Effect of Telepharmacy Counseling on Metered-Dose Inhaler Technique among Adolescents with Asthma in Rural Arkansas

Abstract

The increased prevalence, morbidity, mortality, and health costs associated with asthma among children suggest the need for accessible asthma education. This study examined the effect of telepharmacy counseling, using interactive compressed video, on metered-dose inhaler (MDI) technique and patient satisfaction among adolescents with asthma in rural Arkansas. The telepharmacy counseling provided accessible education regarding MDI technique for adolescents in this study. Twenty percent of the adolescents who participated had never been shown the appropriate use of an MDI. The study used an experimental design with random assignment of participants to a telepharmacy counseling group (n = 15) or a control group (n = 21). Both groups participated in pre-test, post-test, and 2- to 4-week follow-up assessments for MDI technique and patients satisfaction (follow-up assessment only) via interactive compressed video. Results indicated that from pre-test to follow-up the telepharmacy counseling group showed more improvement in MDI technique than participants in the control group (p < 0.001). There was no significant difference between the telepharmacy counseling group and control group in satisfaction with the instructional sessions (p = 0.132). Both groups had high levels of satisfaction with the telepharmacy sessions. The study findings demonstrated that patient education provided by pharmacists via interactive compressed video was superior to education provided via written instructions on an inhaler package insert. Interactive compressed video is an effective medium for teaching and improving MDI technique in this rural, adolescent, predominantly African-American population.

Telemedicine: Pediatric Applications

“…29 The efficacy of telemedicine in patient education via teleconferencing to teach the proper use of asthma medications has been demonstrated, as has patient satisfaction. 30,31 Similar results have been reported for childhood diabetes teaching. 32 …”

Asynchronous Validation and Documentation of Sterile Compounding in a Hospital Pharmacy

“…Interruptions and distractions are a documented cause of medication errors in pharmacies. 2,3 Traditionally, telepharmacy 4 has been defined as the use of various telecommunications systems to provide pharmaceutical services and care to remote or rural areas [5][6][7][8][9][10][11][12] or to provide such services during times when pharmacists are not readily available on site (e.g., at night). [13][14][15][16] When the photographic system described in the current article was being developed, there were no published reports on the use of cameras as an aid during sterile compounding.…”

Healthy People 2010: Challenges, Opportunities, and a Call to Action for America's Pharmacists

“…Patient satisfaction with this method was significantly greater than when they were simply provided with the written instructions that accompany a MDI package insert (p<0.001). 357 Another study suggests using a patient training video to provide counseling to a large number of patients when adequate staffing for this service is not feasible. 358,359 Not surprisingly, pharmacists who counseled their patients with asthma faceto-face were able to teach proper MDI technique more effectively, when compared with just providing written instructions.…”