Zhang Gregory, Landau Hillary, Kher Sucharita
Tufts University School of Medicine, Boston, MA, USA.
Department of Internal Medicine, University of Pennsylvania, Philadelphia, PA, USA.
J Asthma. 2021 Dec;58(12):1623-1629. doi: 10.1080/02770903.2020.1817937. Epub 2020 Sep 8.
Inhaler technique education among non-English speaking patients in the United States is understudied, with communication barriers and language differences serving as important challenges to education. A previous needs assessment at our institution identified an opportunity to improve inhaler education for our Mandarin-speaking population. This pilot study evaluates the feasibility of a multimodal intervention to identify errors in inhaler technique.
Adult Mandarin-speaking subjects with chronic obstructive pulmonary disease or asthma participated in a hospital outpatient clinic inhaler training session that utilized multimedia education. Pre-intervention information on demographics, confidence, and disease control was gathered. Post-intervention, subjects were asked if they would change their inhaler technique and what they found useful.
On pre-intervention survey, eight of eleven (73%) subjects reported being very or completely confident in their inhaler technique. Following the intervention, seven (88%) of those 8 subjects self-identified errors in their technique. Video and handout were reported to be the most useful materials.
A multimodality inhaler technique education intervention helped self-identify errors in inhaler technique among non-English speaking subjects. Implementation and use of language-targeted educational interventions is feasible in an outpatient clinic setting.
在美国,针对非英语患者的吸入器技术教育研究不足,沟通障碍和语言差异对教育构成了重大挑战。我们机构之前的需求评估发现了一个改善针对说普通话人群的吸入器教育的机会。这项试点研究评估了一种多模式干预措施以识别吸入器技术错误的可行性。
患有慢性阻塞性肺疾病或哮喘的成年说普通话受试者参加了医院门诊的吸入器培训课程,该课程采用了多媒体教育。收集了干预前关于人口统计学、信心和疾病控制的信息。干预后,询问受试者是否会改变他们的吸入器技术以及他们认为哪些内容有用。
在干预前的调查中,11名受试者中有8名(73%)报告对自己的吸入器技术非常有信心或完全有信心。干预后,这8名受试者中有7名(88%)自行发现了技术上的错误。视频和手册被报告为最有用的材料。
一种多模式的吸入器技术教育干预措施有助于非英语受试者自行识别吸入器技术错误。在门诊环境中实施和使用针对特定语言的教育干预措施是可行的。