title: Using Tailored Videos to Teach Inhaler Technique to Children With Asthma: Results From a School Nurse-Led Pilot Study.
abstract: Our purpose was to test whether a tailored inhaler technique video intervention: (1) could be feasibly implemented by school nurses and (2) improve the inhaler technique of children with asthma.
  
  
  METHODS
  School nurses recruited a convenience sample of 25 children with asthma (ages 7-17) and assessed their inhaler technique. Children then watched a tailored video that provided: (1) step-by-step feedback on which steps (out of 8) they performed correctly, (2) praise for correctly-performed steps, and (3) statements about why incorrectly-performed steps are important. Nurses reassessed the child's inhaler technique immediately after watching the video and again 1month later. Non-parametric Wilcoxon signed rank tests were calculated to assess whether children's technique significantly improved from baseline to post-video and baseline to 1-month follow-up. A focus group with the school nurses was conducted post-intervention to discuss feasibility issues.
  
  
  RESULTS
  Children's inhaler technique improved by 1.2 steps (with spacer; p=0.03) and 2.7 steps (without spacer; p<0.01) from baseline to post-video. These improvements were maintained at 1-month follow-up. School nurses believed the intervention was feasible to implement and met an important educational need.
  
  
  CONCLUSIONS
  A school nurse-led tailored video intervention is feasible to implement and a promising method for improving children's inhaler technique.
authors.affiliation: University of North Carolina, Asheville, NC. Electronic address: dmcarpenter@unc.edu.
authors.forename: Delesha M
authors.initials: DM
authors.lastname: Carpenter
authors.affiliation: University of North Carolina, Asheville, NC.
authors.forename: Dayna S
authors.initials: DS
authors.lastname: Alexander
authors.affiliation: Buncombe County Department of Health, Asheville, NC.
authors.forename: Alice
authors.initials: A
authors.lastname: Elio
authors.affiliation: University of North Carolina, Chapel Hill, NC.
authors.forename: Darren
authors.initials: D
authors.lastname: DeWalt
authors.affiliation: Polyglot Systems, Inc, Morrisville, NC.
authors.forename: Charles
authors.initials: C
authors.lastname: Lee
authors.affiliation: University of North Carolina, Chapel Hill, NC.
authors.forename: Betsy L
authors.initials: BL
authors.lastname: Sleath
mesh_terms: D000280:Administration, Inhalation; D000293:Adolescent; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage*; D001249:Asthma / Q000175:diagnosis / Q000188:drug therapy*; D002648:Child; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D009330:Nebulizers and Vaporizers; D010353:Patient Education as Topic / Q000458:organization & administration*; D010865:Pilot Projects; D015397:Program Evaluation; D012573:School Nursing / Q000379:methods*; D014741:Video Recording
chemical_list: D018927:Anti-Asthmatic Agents
keywords: Asthma; Children; Medication; Metered dose inhaler; School nurses; Videos