Eficacia de la utilización correcta de los dispositivos de inhalación en pacientes con enfermedad pulmonar obstructiva crónica: ensayo clínico aleatorizado

García, V.R. Cabedo; Asemany, Christian Rodrigo Garcés; A, Berti; Elso, Jesús; Salvador, Francisco Javier Ballester

doi:10.1016/j.medcli.2010.03.027

Cited by 12 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our work shows fewer IT improvements than most studies carried out, although there are some exceptions ( Giner et al, 2002 ; Cabedo García et al, 2010 ; O’Dwyer et al, 2020 ). This may be because the analysis was performed considering the intention-to-treat principle, while the other authors did not take into account the dropouts.…”

Section: Discussioncontrasting

confidence: 60%

Effectiveness of an educational intervention about inhalation technique in healthcare professionals in primary care: a cluster randomized trial

Vázquez-González,

Leiva-Fernández,

Cotta-Luque

et al. 2023

Front. Pharmacol.

View full text Add to dashboard Cite

Background: Incorrect inhalation technique (IT) is an important issue for chronic obstructive pulmonary disease (COPD) patients and healthcare professionals. Studies in which counseling is carried out with healthcare professionals beforehand so that they can properly educate their patients are required. The objective of the present trial is to assess the improvement in the performance of the IT in subjects with COPD and prescribed inhaled therapy after the implementation of an educational intervention conducted by their general practitioners.Methods: A cluster randomized clinical trial was conducted. A total of 286 COPD patients received scheduled inhalation therapy from 27 general practices in seven primary care centers. A teach-back educational intervention was implemented for both healthcare professionals and patients. The primary outcome of this study was the performance of the correct inhalation technique. It is considered a good technique if all steps in the inhalation data sheet are correctly performed. The secondary outcomes were assessed using forced spirometry, the basal dyspnea index, the Medical Research Council dyspnea scale, St George’s Respiratory Questionnaire (SGRQ), and EuroQoL5D-5L for health-related quality of life. A one-year follow-up was conducted using an intention-to-treat analysis.Results: After the intervention, incorrect IT was observed in 92% of professionals and patients, with rates reaching 50% and 69.2%, respectively. The effectiveness in patients was significant, with a number needed to treat of 2.14 (95% CI 1.79–2.66). Factors related to correct IT in patients included the type of intervention, length of intervention (>25 min), good pulmonary function, age (youngest <=65, oldest >83), and less limitation of activity due to dyspnea. There was no relation with the cluster.Conclusion: This study shows the effectiveness of direct inhaler technique training provided by a trained professional on an appropriate timescale (for example, a specific consultation for medication reviews), aiming to help subjects improve their performance using the teach-back method. This could be an encouraging intervention to improve medication adherence and health promotion in people with COPD.Clinical Trial Registration:clinicaltrials.gov, identifier ISRCTN93725230.

show abstract

Section: Discussioncontrasting

confidence: 60%

Effectiveness of an educational intervention about inhalation technique in healthcare professionals in primary care: a cluster randomized trial

Vázquez-González,

Leiva-Fernández,

Cotta-Luque

et al. 2023

Front. Pharmacol.

View full text Add to dashboard Cite

show abstract

Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease

Lenferink

Brusse-Keizer

Valk

et al. 2017

Cochrane Database of Systematic Reviews

218

219

View full text Add to dashboard Cite

Self-management interventions that include a COPD exacerbation action plan are associated with improvements in HRQoL, as measured with the SGRQ, and lower probability of respiratory-related hospital admissions. No excess all-cause mortality risk was observed, but exploratory analysis showed a small, but significantly higher respiratory-related mortality rate for self-management compared to usual care.For future studies, we would like to urge only using action plans together with self-management interventions that meet the requirements of the most recent COPD self-management intervention definition. To increase transparency, future study authors should provide more detailed information regarding interventions provided. This would help inform further subgroup analyses and increase the ability to provide stronger recommendations regarding effective self-management interventions that include action plans for AECOPD. For safety reasons, COPD self-management action plans should take into account comorbidities when used in the wider population of people with COPD who have comorbidities. Although we were unable to evaluate this strategy in this review, it can be expected to further increase the safety of self-management interventions. We also advise to involve Data and Safety Monitoring Boards for future COPD self-management studies.

show abstract

Interventions to improve adherence to pharmacological therapy for chronic obstructive pulmonary disease (COPD)

Janjua

Pike

Carr³

et al. 2021

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Eficacia de la utilización correcta de los dispositivos de inhalación en pacientes con enfermedad pulmonar obstructiva crónica: ensayo clínico aleatorizado

Cited by 12 publications

References 17 publications

Effectiveness of an educational intervention about inhalation technique in healthcare professionals in primary care: a cluster randomized trial

Effectiveness of an educational intervention about inhalation technique in healthcare professionals in primary care: a cluster randomized trial

Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease

Interventions to improve adherence to pharmacological therapy for chronic obstructive pulmonary disease (COPD)

Contact Info

Product

Resources

About