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Training for Allied Health Professionals: Process

Individual preparation: participants should receive their binder two weeks prior to the group meeting so they can:

  • Answer Self Assessment Learning Tool (SALT) at their leisure.
  • Read One Minute Asthma and the Supplement.
  • Fill in or correct your answers as they do the reading using a different colored pen or pencil.
  • Watch a video on the use of devices, minutes 11 and 17-26.
  • Ask the Coordinator for the SALT Answer Sheet and score their original answers.
  • Fax (413-549-4095) or email jtplaut@pedipress.com your score to Dr. Plaut, using your birth date instead of your name to ensure privacy.
  • Prepare one or two topics assigned by the coordinator.

Coordinator:

  • Assign one or two topics for each participant to present at the group meeting.
  • Discuss indicators of control, changes in the airway, signs of asthma, triggers, medicines, peak flow monitoring, inhalation devices, diaries, asthma action plans and how to choose an asthma doctor.
  • Review instructions for use of metered dose inhaler, dry powder inhaler, holding chamber, holding chamber with mask, nebulizer and peak flow meter. Each participant is videotaped using four or more devices.
  • Send copy of video scores and evaluations to Dr. Plaut.

Follow-up:

  • Each participant retakes the SALT, at home, closed book within five days. Fax (413-549-4095) or email jtplaut@pedipress.com your post scores to Dr. Plaut, using your birth date instead of your name to ensure privacy.
  • Dr. Plaut will report the average and the range of scores for the pre and post SALT to the coordinator.
  • Teleconference two weeks after the group meeting, will last 30 to 60 minutes. We will:
    • discuss videotape scoring and SALT answers.
    • discuss any other asthma questions of interest to you.
    • complete the evaluation by giving an example of an interaction with a patient, parent or professional that improved because of the training. Please enter this example on your original evaluation sheet and fax to Dr. Plaut.

Here are examples from school nurses in Chicago:
The One Minute Asthma Training was an eye-opener for me. I thought I knew how to use inhalers, holding chambers and peak flow meters because of all the demonstrations that I had seen during my years as a nurse. But when I was asked to perform specific steps in using these devices, I found that there was much more that I needed to learn, and I did. I now use direct one-on-one instruction with a return demonstration when I teach children with asthma how to use their devices. Showing and telling is not enough. MLM

Last year, I never got concerned when a mother told me that she was treating her child with antibiotics for chronic bronchitis. After completing the One Minute Asthma Training, I know that asthma is often misdiagnosed as chronic bronchitis. So, whenever I get wind of any child missing school due to chronic bronchitis, I quickly explain to the teacher and the parent that his/her doctor should reassess the child since the treatments are very different. JB

I discussed the Asthma Signs Diary with a group of parents of children under five. Many of them expressed surprise and relief that this simple tracking form exists for them. They plan to share this information with their doctor. CF

A group of mothers were having a good time at my asthma training this week. They laughed frequently during the talk and one of the mothers would start coughing and leave the room. I showed her the statement in One Minute Asthma that says if you cough after laughing your asthma is out of control. As a result, she saw her doctor later in the week and worked out a better treatment plan . FBM

As part of my asthma emergency plan, I used to instruct all of the teachers to call 911 if a child with asthma had difficulty walking or talking, had bluish lips or fingertips or was struggling to breathe. Now I include the Preschool Asthma Emergency Guide as a standard of care which helps teachers and aides assess children easily, before their asthma symptoms become life threatening. JB

Summary
Training Process
Sample Questions & Answers
Report of the Training in a Boston Area Pediatric Office
Report of the Training by Chicago School Nurses

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