2015 APHA Annual Meeting & Expo

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Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

327014
Using tailored videos to teach children with asthma correct inhaler technique in a school setting


Wednesday, November 4, 2015 : 12:30 p.m. - 12:50 p.m.

Delesha Carpenter, PhD, MSPH, Division of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, Asheville, NC
Dayna Alexander, DrPH, MSPH, CHES, Division of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, Asheville, NC
Alice Elio, RN, Buncombe County Health Department, Asheville, NC
Darren DeWalt, MD, MPH, Learning and Diffusion Group, Center for Medicare and Medicaid Innovation, Baltimore, MD
Betsy L. Sleath, PhD, Cecil Sheps Center for Health Services Research and School of Pharmacy, University of North Carolina, Chapel Hill, NC
Audio (mp3) recording Recorded Presentation (mp4)
Introduction. Very few children with asthma can demonstrate correct inhaler technique, and suboptimal inhaler technique has been associated with worse asthma control and more emergency department visits. School-based inhaler technique education may circumvent many of the logistical issues that limit youth from receiving inhaler technique training. This abstract presents findings from a school-based pilot study in which we assessed the effects of a tailored inhaler technique video software program.

Methods. Seven school nurses recruited 35 children with asthma (ages 7-17) from the Buncombe County school district in North Carolina. Children demonstrated their metered-dose inhaler technique with or without a spacer to their school nurse, who used a validated 8-step checklist to document which steps the child performed correctly. The nurse then entered which steps the child performed incorrectly into a tailored video software program, which generated a video that provided step-by-step feedback on what the child did correctly and incorrectly. The video was also targeted to the child’s gender, race (White, Black), and ethnicity (Hispanic/Latino or not). The school nurse then reassessed the child’s inhaler technique immediately after watching the video and again one month later. T-tests will be calculated to examine change in the number of steps children preformed correctly from pre-video to post-video and 1-month follow-up. We will also calculate descriptive statistics to determine whether video effects vary by child gender, race, and age.

Results. We are currently collecting pilot data for this study. Data collection will be completed by June 2015.

Learning Areas:

Chronic disease management and prevention
Other professions or practice related to public health
Public health or related research

Learning Objectives:
Demonstrate how school nurses used a tailored software program to generate inhaler technique videos for their students with asthma Present results from a pilot study that examined whether the tailored inhaler technique videos improved children’s inhaler technique immediately and at 1-month follow-up

Keyword(s): Asthma, School-Based Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Certified Respiratory Therapist and behavioral researcher with over 10 years of experience in pediatric asthma. I have published 10 peer-reviewed articles in the area of pediatric asthma and have been the principal or co-principal investigator on 2 asthma related grants.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5182.0: Medical and Emergency Readiness in Schools