Chaney Et Al Flashcards
Aim
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
How many children were used?
32
Age range
1.5-6 years
All children had 2 smilerties
I diagnosed with asthma and all currently using a small volume standard space with device
How were the children recruited?
Children were randomly recruited, using seven local general practices or pediatric clinics
How were parents initially contacted?
Parents were initially contacted by telephone before any home visits were conducted
Ethical issues
Informed consent was given in the parent interviewed using a questionnaire about the current asthmatic device
What were the questions included in the questionire about?
About problems associated with the device of medication and potential child compliant with using the device
When was the fun hater device shown?
After the interview, the fun inhaler device was given to be used instead of the current device
For how long was the device used for?
2 weeks
Explain the inhaler device and why and how was it designed?
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.
When were they contacted by phone
Parents were contacted by Phone at a random point of the study to see whether or not they had completed the two week trial
Who completed the second questionnaire
The same parent who completed the initial interview
What was on the second questionnaire?
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
One example question on the second questionnaire
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
What were the general results?
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
There were significant improvement in the parents being able to successfully medicate their child. What were the percentages?
10% for the current device and 73% for the fun inhaler
How many people continue to have problems
Three people out of the whole sample of 32 kids
What was the child attitude of fear towards the current and funhailer
19 % for the current device and 0% for the funhailer
Panic percentages
31% for current and zero for fun
Dislike percentage
0% dislike for funhiler compared to 16 for existing device
Conclusions
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
Weaknesses
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