Chaney Et Al Flashcards

1
Q

Aim

A

To establish the acceptance ease of use and compliance of the inhaler device compared to the currently used spacer device in a group of young asthmatic kids
Or
To compare the fund device to currently used spacer device

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2
Q

How many children were used?

A

32

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3
Q

Age range

A

1.5-6 years

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4
Q
A
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5
Q

All children had 2 smilerties

A

I diagnosed with asthma and all currently using a small volume standard space with device

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6
Q

How were the children recruited?

A

Children were randomly recruited, using seven local general practices or pediatric clinics

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7
Q

How were parents initially contacted?

A

Parents were initially contacted by telephone before any home visits were conducted

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8
Q

Ethical issues

A

Informed consent was given in the parent interviewed using a questionnaire about the current asthmatic device

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9
Q

What were the questions included in the questionire about?

A

About problems associated with the device of medication and potential child compliant with using the device

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10
Q

When was the fun hater device shown?

A

After the interview, the fun inhaler device was given to be used instead of the current device

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11
Q

For how long was the device used for?

A

2 weeks

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12
Q

Explain the inhaler device and why and how was it designed?

A

The fun hater device has a meter dose inhaler. It is a fun toy model that can be attached with a spinning disc and whistle. This device is designed to teach how to use effectively and the toy itself does not affect the dose.

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13
Q

When were they contacted by phone

A

Parents were contacted by Phone at a random point of the study to see whether or not they had completed the two week trial

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14
Q

Who completed the second questionnaire

A

The same parent who completed the initial interview

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15
Q

What was on the second questionnaire?

A

This included yes, no questions as well as questions with premeditated responses from devices and the original device and the children’s responses to it

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16
Q

One example question on the second questionnaire

A

What was your child’s attitude towards the device?
Pleasure acceptance, no interest in the device suspicion mild fear or dislike strong, fear, or dislike panic or phobia

17
Q

What were the general results?

A

There was a significant difference in the percentage of children who had been medicated the previous day with more children, having been medicated using the funhaer 50% using the current device and 81% using the fun hater

18
Q

There were significant improvement in the parents being able to successfully medicate their child. What were the percentages?

A

10% for the current device and 73% for the fun inhaler

19
Q

How many people continue to have problems

A

Three people out of the whole sample of 32 kids

20
Q

What was the child attitude of fear towards the current and funhailer

A

19 % for the current device and 0% for the funhailer

21
Q

Panic percentages

A

31% for current and zero for fun

22
Q

Dislike percentage

A

0% dislike for funhiler compared to 16 for existing device

23
Q

Conclusions

A

Improved addherance suggested that funhaier could be useful in managing young children with asthma
Use of fun could improve clinical outcomes in children
Behavior theories, such as operate conditioning can be effective in increasing addherance to medication in children

24
Q

Weaknesses

A

One weakness is that it is a pilot study with a small sample of Australian children, and did not offer a large of sample to be representative of the wider population. It also only shows differences in compliance between children who are already used the spacer meaning of the sample was limited to only Australians, but children who had already used space in the first place, this lowers generalizability

Another weekend is that the involvement of parents in the research may have led to a high level of compliance zone. It’s may be well that it was not the use of the inhaler that’s called the results about the participating in the study. For example, the parent you have wanted to so that they are not neglecting their child’s health so they would have put extra work and effort into ensuring that compliant therefore, the results may have been the same with a normal spacer this lowers the validity of results

25
Strength
The study is useful and it offers a positive application of psychology and the device that could benefit young children with asthma and potential to reduce hospital admissions. This would benefit society as to reduce the burden on health services the fewer hospital admissions in addition to improving the lives of young children with asthma, following them to have a normal life Another strength of the study is that the children use the inhaler in their own home at the time they would have originally did it, and there was minimal contact with the researchers throughout the trial. This means that the results can be applied to real life situations as it has high ecological validity.
26
The use of children in research
It is important that children’s rights and well-being are paramount as they do not always have the language skills to explain why they are upset or uncomfortable, depending on their age or cognitive ability. Chinese research took place in the children’s own home. This was beneficial as a children would be more relaxed, especially as it their parents were administered the device this means that the findings should have high ecological validity. It also makes it more etiquette as a children were trying to find out a new form of medication for their as well. It is important for them to be as relaxed as possible so they can make best use of the inhaler to improve their health had the study been conducted under a laboratory condition they might’ve felt stress due to unfamiliar environments, making the device less effective the parents and Chinese research. Give their consent for the child to take part of the study, so the researchers follow general ethical guidelines