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Is simulation based training in inhaler technique of health care professionals more effective than written information?: A randomised controlled study

Xavier Valan S. Fernando, Anoop Prakash, Anetha Sabanathan, Graham Fent, Victoria Thorley Dickinson, Frank Edenborough, Jack Kastelik, Alan Rigby, Makani Purva, Jaymin Morjaria
European Respiratory Journal 2015 46: PA3930; DOI: 10.1183/13993003.congress-2015.PA3930
Xavier Valan S. Fernando
1Hull Institute of Learning and Simulation, Hull Royal Infirmary/Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom
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Anoop Prakash
1Hull Institute of Learning and Simulation, Hull Royal Infirmary/Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom
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Anetha Sabanathan
1Hull Institute of Learning and Simulation, Hull Royal Infirmary/Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom
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Graham Fent
1Hull Institute of Learning and Simulation, Hull Royal Infirmary/Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom
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Victoria Thorley Dickinson
1Hull Institute of Learning and Simulation, Hull Royal Infirmary/Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom
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Frank Edenborough
2Department of Respiratory Medicine/ Sheffield Thoracic Institute, Northern General Hospital/ Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom
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Jack Kastelik
3Dept of Resp Medicine, Hull & East Yorkshire NHS Trust, Castle Hill Hospital, Hull, United Kingdom
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Alan Rigby
4Department of Statisctic, University of Hull, Hull, United Kingdom
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Makani Purva
1Hull Institute of Learning and Simulation, Hull Royal Infirmary/Hull and East Yorkshire Hospitals NHS Trust, Hull, United Kingdom
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Jaymin Morjaria
5Dept of Resp Medicine, Hull & East Yorkshire NHS Trust, Castle Hill Hospital, Cottingham; Dept of Academic Resp Medicine, HYMS, University of Hull, Castle Hill Hospital, Cottingham, Hull, United Kingdom
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Abstract

Background Evidence shows lack of competency among health care professionals (HCPs) to demonstrate correct inhaler technique to patients.

Aim: We conducted a multicentre RCT at 2 tertiary hospitals to investigate whether simulation-based training using Aerosol Inhalation Monitor (AIM) and written information is more effective compared to training using written information alone.

Method 160 HCPS (69 doctors, 80 nurses, 8 physiotherapists, 3 pharmacists) were randomised into 2 groups of simulation and written information (Intensive Intervention Arm (IIA; n=80)) and written information only (Minimal Intervention Arm (MIA; n=80)) arms. Inhaler technique was assessed using the AIM machine and checklist score (maximum score 20; 10 for MDI and 10 DPI) which were conducted immediate-post teaching and 1-week after.

Results: Cumulative combined (MDI+DPI) median scores for the IIA group showed significant improvement at post-teaching compared to MIA at 1-week (p<0.001). However the significant improvement shown in the cumulative DPI group median score at 1-week from post-teaching (p <0.001) was not shown in cumulative MDI group (p=0.38).

Conclusion: Our study showed significant overall improvement in combined inhaler technique scores at 1-week using simulation with the AIM machine compared to written information alone. Surprisingly, the addition of simulation only improved DPI technique scores, but this was not reciprocated in MDI technique scores. These results need confirmation in longer and larger duration studies.

  • Education
  • Asthma - management
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Is simulation based training in inhaler technique of health care professionals more effective than written information?: A randomised controlled study
Xavier Valan S. Fernando, Anoop Prakash, Anetha Sabanathan, Graham Fent, Victoria Thorley Dickinson, Frank Edenborough, Jack Kastelik, Alan Rigby, Makani Purva, Jaymin Morjaria
European Respiratory Journal Sep 2015, 46 (suppl 59) PA3930; DOI: 10.1183/13993003.congress-2015.PA3930

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Is simulation based training in inhaler technique of health care professionals more effective than written information?: A randomised controlled study
Xavier Valan S. Fernando, Anoop Prakash, Anetha Sabanathan, Graham Fent, Victoria Thorley Dickinson, Frank Edenborough, Jack Kastelik, Alan Rigby, Makani Purva, Jaymin Morjaria
European Respiratory Journal Sep 2015, 46 (suppl 59) PA3930; DOI: 10.1183/13993003.congress-2015.PA3930
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