Evaluation of health-care providers' knowledge in the science of aerosol drug delivery: Educational sessions are necessary

Al-Otaibi, Hajed M.

doi:10.4103/jfcm.jfcm_138_19

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…However, when they were given a demonstration with the device, this percentage increased to 62%. Al-Otaibi (2020 ) performed the intervention on physicians, pharmacists, respiratory therapists, and health educators who attended a training course where an improvement in the inhaler handling questionnaire score of almost 40% was observed. Cvetkovski et al (2020) carried out their study on primary care physicians, showing that only 0.88% of the professionals performed the IT incorrectly after reading a leaflet and witnessing an explanation with a device.…”

Section: Discussionmentioning

confidence: 99%

“…Although many patients indicated that they had received IT instruction, the rate of incorrect techniques was high. This fact could be due, in part, to the limited knowledge of the professionals who prescribe these medicines on how to manage inhalers and the teaching techniques ( Aksu et al, 2016 ; Plaza et al, 2018 ; Al-Otaibi, 2020 ; Cvetkovski et al, 2020 ), as well as to a lack of regular IT verification with reminders and to the kind of training chosen ( Klijn et al, 2017 ; Takaku et al, 2017 ; Kaplan and Price, 2018 ; Lavorini et al, 2019 ; Melani, 2021 ; Lindh et al, 2022 ). These results agree with the findings of this work, where the GPs manifested a high level of incorrect IT in their patients and where the reminders of the IT were performed with inappropriate periodicity.…”

Section: Discussionmentioning

confidence: 99%

“…Healthcare professionals (e.g., general practitioners, respiratory physiotherapists, community pharmacists, or health educators) also need to be properly trained, as evidence suggests that their knowledge of the use of inhaled medicines can be improved ( Al-Otaibi, 2020 ; Cvetkovski et al, 2020 ). IT also improves for them after training, either by attending educational workshops ( Al-Otaibi, 2020 ) or conferences ( Takemura et al, 2011 ), providing explanatory leaflets ( Cvetkovski et al, 2020 ; Matsuyama et al, 2022 ), or demonstrations with placebo devices ( Basheti et al, 2008 ) or through videos ( Cvetkovski et al, 2020 ; Matsuyama et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

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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.

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

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“…Besides physical abilities, several other patient-related factors may impact inhaler use, including patients' age, adherence (e.g., unintentional factors like poor communication between health care professionals and patients and language barriers in local dialects), and patient device preference ( 12 , 27 ). In addition, healthcare professionals (e.g., respiratory physicians and pharmacists) might lack the appropriate knowledge and skills to use different inhaler devices ( 28 ). Still, as educators, they played a critical role in enabling patients to acquire the initial correct inhaler technique and maintain the proper inhaler use over time ( 29 , 30 ).…”

Section: Introductionmentioning

confidence: 99%

Qualitative and quantitative evaluation of a standardized training model for improving patients' ability to use inhalers

Huang

Miao

Dai

et al. 2023

Front. Public Health

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ObjectiveTraining contributes to the effectiveness of aerosol inhalation therapy. However, qualitative and quantitative evaluation of effective training methods is rarely reported. This study aimed to evaluate the effectiveness of a standardized training model by pharmacists based on verbal instruction and physical demonstration in improving patients' ability to use inhalers using qualitative and quantitative methods. Risk or protective factors affecting correct inhaler use were also explored.Methods431 Outpatients with asthma or COPD were recruited and randomly divided into a standardized training group (n = 280) and a usual training group (control group, n = 151). A framework of qualitative (e.g., multi-criteria analysis) and quantitative comparisons [percentage of correct use (CU%), percentage of complete error (CE%), and percentage of partial error (PE%)] was established to evaluate the two training models. In addition, the changes of key factors (age, education level, adherence, device type, etc.) influencing patients' ability to use inhalers of two models were observed.ResultsThe multi-criteria analysis showed that the standardized training model had comprehensive advantages in qualitative indicators. The average correct use percentage (CU%) of the standardized training group was significantly higher than that of the usual training group (77.6% vs. 35.5%). A stratified analysis further demonstrated that the ORs (95%CI) in the usual training group of age and educational level was 2.263 (1.165–4.398) and 0.556 (0.379–0.815), while in the standardized training group, age and educational level were not the key factors influencing the ability to use inhaler devices (P > 0.05). Logistic regression analysis demonstrated that standardized training was a protective factor for inhalation ability.ConclusionThese findings indicate that the framework of qualitative and quantitative comparisons could be used to evaluate training models, and the standardized training model by pharmacists can significantly improve patients' ability to use inhalers correctly and address the influence of older age and lower education because of its methodological advantages. Further studies with more extended follow-up are needed to validate the role of the standardized training model by pharmacists in the correct use of inhalers.Clinical trial registrationchictr.org.cn, ChiCTR2100043592 (23-02-2021).

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Comparison of the knowledge and skill levels of pharmacists and pharmacy technicians on the implementation of inhaler drug-delivery devices: a cross-sectional study in Şanlıurfa, Turkey

Imamoglu

Yilmaz

Koruk

2022

Drugs Ther Perspect

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Evaluation of health-care providers' knowledge in the science of aerosol drug delivery: Educational sessions are necessary

Cited by 5 publications

References 18 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

Qualitative and quantitative evaluation of a standardized training model for improving patients' ability to use inhalers

Comparison of the knowledge and skill levels of pharmacists and pharmacy technicians on the implementation of inhaler drug-delivery devices: a cross-sectional study in Şanlıurfa, Turkey

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