Asthma is a dangerous condition, with rates increasing. However deaths from asthma have been decreasing. 1 in 4 children in Australia suffer from asthma and it'the second most common reason for children being admitted to hospital
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Why is it such a problem in Australia?
Poor adherence to prescribed medication.
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What is the compliance rate?
Patient compliance to asthma medication is low in all groups, reported to be between 30% and 70%
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Why is compliance low in Children?
Either the child doesn't want to use it OR their caregiver is non complient (say it is too stressful to get their child to use it)
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What is the relationship between compliance and asthma attacks?
Clear relationship between frequency of asthma attacks and compliance. Asthmatic children have an average 13.7% compliance rate compared to those without attacks of 68.2%
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What is Operant Conditioning?
A form of associative learning, where associations and connections are formed between stimuli and responses that didn't exist before learning occurred. Operant conditioning involves learning through the consequences of behavioural responses.
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What was the aim of Chaney's study?
To show the use of a novel asthma spacer device, the funhaler, which incorporates the incentive toys which are isoloated from the main inspiratory circuit by a valve by not compromising drug delivery, can provide positive reinforcement which leads to
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What did the study act as?
A pilot study to establish whether as specially designed funhaler would increase compliance in a group of young children with asthma.
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What was the Research Method of Chaney's study?
A field experiment conducted in participants homes in Australia which used a repeated measures design.
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What were the independent and dependent variables?
The IV was whether the child used the standard Breath-a-Tech deviced or whether the child used the Funhaler. The DV was the amount of adherence to the prescribed medical regime.
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Who made up the sample of the study?
32 Asthma suffering children aged between 1.5-6 yrs. The parents provided informed consent.
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What was the study conducted through?
Questionnaires and telephone interviews.
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What was compared before the study and what did it show?
A comparison was made between the Breath-a-Tech and the funhaler to make such drug delivery wasn't compromised. Overall no significant difference was found meaning drug delivery wasn't compromised.
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What were the participants asked to do?
To use the Funhaler instead of their normal inhaler to administer their medication. Matched pairs were completed (by parents) after sequential use of the Breath-a-Tech inhaler and the funhaler.
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When were the questionnaires completed?
The first questionnaire was completed at the beginning of the research before the funhaler had been used. After 2 weeks of using the funhaler the second questionnaire was done.
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What did the data collected from the self report relate to?
How easy the device was to use, compliance of parents and children and treatment attitudes.
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What also happened during the course of the study?
Each parent was called at random to find out whether they had attempted to medicate their child the day before?
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How does the Funhaler make spacers appealing to children?
The design attempts to link the optimal function of the toy to deep breathing pattern conductive to effective medication.
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Key Findings- What was the overall key finding?
The use of the Funhaler was associated with improved parent and child compliance.
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Key Findings- How many parents had medicated their child the day before compared to the spacer?
When surveyed at random 38% more parents were found to have medicated their children the previous day when using the funhaler compared to the original spacer; 22/27 (81%) vs 16/27 (59%).
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Key Findings- How many children took the recommended 4 or more cycles?
24/30 (80%) took the recommended 4 or more cycles using the Funhaler compared to 15/30 (50%) using the standard spacer.
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Key Findings- How many parents reported they were 'always' successful in medicating their children?
Significantly more- 22/30 (73%) compared to 3/30 (10%)
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Key Findings- How many children screamed when the inhaler came towards them?
Original- 15 (48%) Funhaler- 1 (3%)
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What was the conclusion of this study?
Improved adherance combined with satisfactory delivery characteristics, suggests that the Funhaler may be useful for managing young asthmatics.
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Other cards in this set
Card 2
Front
Why is it such a problem in Australia?
Back
Poor adherence to prescribed medication.
Card 3
Front
What is the compliance rate?
Back
Card 4
Front
Why is compliance low in Children?
Back
Card 5
Front
What is the relationship between compliance and asthma attacks?
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