Telecounselling for Asthma Counseling

Telecounselling as a Virtual Platform to Replace On-the-job Training for Asthma Counseling

In the coronavirus 2019 pandemic, on-the-job training for asthma counseling becomes more difficult. Telecounseling as a training platform becomes a mainstream of training during the pandemic. This study is designed to fill the knowledge gap for telecounseling as a training platform for asthma counseling among nurses.

Study Overview

• Status: Not yet recruiting
• Conditions: Asthma

Detailed Description

Asthma education is essential in improving outcomes in asthma management. Patients with asthma exacerbation frequently present to the urgent care centre or emergency department for emergency treatment. Nurse-led asthma education was considered as beneficial to asthma management. However, not all nursing staff in the urgent care centre and emergency department are equipped with skills to counsel patients regarding their asthma control and inhaler use. It is important to empower the nursing staff with these skills such that the care of patients with asthma is not compromised.

In the coronavirus 2019 pandemic, on-the-job training for asthma counseling becomes more difficult. Asthma counseling trainers were usually in the clean zones but recipients of asthma counseling training were usually in the dirty zones. Telecounseling as a training platform becomes a mainstream of training during the pandemic. Telehealthcare interventions on patients with asthma was proven to reduce hospitalization over a 12-month period in a previous meta-analysis. However, there was no study investigating the efficacy of telecounseling to replace on-the-job training for asthma counseling. This study is designed to fill the knowledge gap for telecounseling as a training platform for asthma counseling among nurses.

• Study Type: Observational
• Enrollment (Anticipated): 30

Contacts and Locations

• Study Contact: Name: Lawrence Siu-Chun Law, MD; Phone Number: 919-907-0009; Email: siu_chun_law@nuhs.edu.sg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 21 years to 99 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

This study is to investigate the efficacy of telecounseling to replace on-the-job training for asthma counseling. This study is designed to fill the knowledge gap for telecounseling as a training platform for asthma counseling among nurses. Hence, the study population consists of nurses who are new to asthma counseling.

Description

Including criteria:

• registered nurses
• nurses undergoing a training for asthma telecounseling
• age 21 or more.

Excluding criteria:

• nurses with previous training for asthma counseling
• nurses who do not take care of patients with asthma
• Pregnant women

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Nurses; Including criteria: (1) registered nurses, (2) nurses undergoing a training for asthma telecounseling, (3) age 21 or more. Excluding criteria: (1) nurses with previous training for asthma counseling, (2) nurses who do not take care of patients with asthma, (3) Pregnant women

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-efficacy on asthma teaching scale	Chiang LC, Hsu JY, Liang WM, Yeh KW, Huang JL. Developing a scale to measure self-efficacy on asthma teaching for health care providers. J Asthma. 2009;46(2):113-117.	Immediately before and immediately after the telecounseling training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Satisfaction of the training	Satisfaction of the training	Immediately after the telecounseling training
Qualitative data - Focused Interview with the following specific open-ended questions	What did participants learn from attending Telecounselling?; Are participants more confident in carrying out asthma counselling after attending telecounselling? And why?; Will participants recommend this mode of learning/modelling be added on to future education initiatives on counselling?; Any other good points about this experience?; Any bad points about this experience?	Immediately after the telecounseling training

Collaborators and Investigators

• Sponsor: National University Health System, Singapore

Publications and helpful links

General Publications

• McLean S, Chandler D, Nurmatov U, Liu J, Pagliari C, Car J, Sheikh A. Telehealthcare for asthma. Cochrane Database Syst Rev. 2010 Oct 6;2010(10):CD007717. doi: 10.1002/14651858.CD007717.pub2.
• Ali A, Pena SG, Huggins C, Lugo F, Khaja M, Diaz-Fuentes G. Impact of Group Asthma Education on Asthma Control and Emergency Room Visits in an Underserved New York Community. Can Respir J. 2019 Oct 1;2019:5165189. doi: 10.1155/2019/5165189. eCollection 2019.
• Frey SM, Contento NC, Halterman JS. Nurse-delivered outpatient asthma education for children and caregivers: a pilot study to promote shared asthma management. J Asthma. 2021 Mar;58(3):413-421. doi: 10.1080/02770903.2019.1692028. Epub 2019 Nov 18.
• Spaggiari S, Gehri M, Di Benedetto L, Hafen GM, Pauchard JY, Gervaix A, Pannatier A, Sadeghipour F, Di Paolo ER. Inhalation technique practical skills and knowledge among physicians and nurses in two pediatric emergency settings. J Asthma. 2021 Feb;58(2):190-196. doi: 10.1080/02770903.2019.1674329. Epub 2019 Oct 17.
• Chiang LC, Hsu JY, Liang WM, Yeh KW, Huang JL. Developing a scale to measure self-efficacy on asthma teaching for health care providers. J Asthma. 2009 Mar;46(2):113-7. doi: 10.1080/02770900802444245.

Study record dates

Study Major Dates

• Study Start (Anticipated): September 1, 2021
• Primary Completion (Anticipated): August 1, 2022
• Study Completion (Anticipated): August 1, 2023

Study Registration Dates

• First Submitted: August 15, 2021
• First Submitted That Met QC Criteria: August 21, 2021
• First Posted (Actual): August 26, 2021

Study Record Updates

• Last Update Posted (Actual): August 26, 2021
• Last Update Submitted That Met QC Criteria: August 21, 2021
• Last Verified: August 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Respiratory Tract Diseases; Immune System Diseases; Lung Diseases; Hypersensitivity, Immediate; Bronchial Diseases; Lung Diseases, Obstructive; Respiratory Hypersensitivity; Hypersensitivity; Asthma
• Other Study ID Numbers: 2020/01460

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No