Developing a Virtual Teach-To-Goal™ Inhaler Technique Learning Module: A Mixed Methods Approach
Developing a Virtual Teach-To-Goal™ Inhaler Technique Learning Module: A Mixed Methods Approach
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开发虚拟教学目标™吸入器技术学习模块：混合方法
DOI：
10.1016/j.jaip.2017.04.032
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发表时间：
2017-11-01
影响因子：
9.4
通讯作者：
Press, Valerie G.
中科院分区：
文献类型：
--
作者：
Wu, Meng;Woodrick, Nicole M.;Press, Valerie G.
背景：大多数哮喘或慢性阻塞性肺疾病住院患者误用呼吸吸入器。一个人的教育策略，教学目标（TTG），提高住院患者的吸入器technique.OBJECTIVE：制定一个有效的，便携式的教育干预，仍然可以访问住院患者出院后加强适当的吸入器技术。一个城市学术医院的混合方法被用来迭代地开发，修改，并使用患者最终用户反馈测试虚拟目标教学（TM）（V-TTG（TM））教育干预。一项调查审查了利用技术进行自我管理教育的机会和意愿。焦点小组评估患者对V-TTG（TM）的访问、功能和质量的反馈。结果：48名参与者完成了调查，大多数人报告可以访问互联网; 77%的人在家中使用互联网，82%的人每隔几周至少使用一次互联网。超过80%的人报告说，他们有点或非常有可能使用V-TTG（TM）来获得改善健康的技能。大多数参与者报告使用智能手机（73%）;一半拥有笔记本电脑（52%）。与慢性阻塞性肺疾病相比，哮喘患者更有可能拥有智能手机，有数据计划，每天使用互联网（P <0.05）。九个焦点小组（n = 25）确定的主题为每个域：访问平台和交付，互联网接入，和技术素养;功能有用性，内容和教学策略;和质量清晰度，易用性，长度和likability.CONCLUSIONS：V-TTG（TM）是一个有前途的教育工具，用于改善患者的吸入器技术，迭代开发和完善与患者的输入。在我们的城市，学术医院的患者绝大多数报告访问平台和愿意使用V-TTG（TM）的健康教育。(C)2017年美国过敏、哮喘和免疫学会
BACKGROUND: Most hospitalized patients with asthma or chronic obstructive pulmonary disease misuse respiratory inhalers. An in-person educational strategy, teach-to-goal (TTG), improves inpatients' inhaler technique.OBJECTIVE: To develop an effective, portable education intervention that remains accessible to hospitalized patients postdischarge for reinforcement of proper inhaler technique.METHODS: A mixed methods approach at an urban academic hospital was used to iteratively develop, modify, and test a virtual teach-to-goal (TM) (V-TTG (TM)) educational intervention using patient end-user feedback. A survey examined access and willingness to use technology for self-management education. Focus groups evaluated patients' feedback on access, functionality, and quality of V-TTG (TM).RESULTS: Forty-eight participants completed the survey, with most reporting having Internet access; 77% used the Internet at home and 82% used the Internet at least once every few weeks. More than 80% reported that they were somewhat or very likely to use V-TTG (TM) to gain skills to improve their health. Most participants reported smartphone access (73%); half owned laptop computers (52%). Participants with asthma versus chronic obstructive pulmonary disease were more likely to own a smartphone, have a data plan, and have daily Internet use (P < .05). Nine focus groups (n = 25) identified themes for each domain: access-platform and delivery, Internet access, and technological literacy; functionality-usefulness, content, and teaching strategy; and quality-clarity, ease of use, length, and likability.CONCLUSIONS: V-TTG (TM) is a promising educational tool for improving patients' inhaler technique, iteratively developed and refined with patient input. Patients in our urban, academic hospital overwhelmingly reported access to platforms and willingness to use V-TTG (TM) for health education. (C) 2017 American Academy of Allergy, Asthma & Immunology