Evaluation of the technique of use of inhaler devices by patients at home through a video mobile application: A pilot study

Dhadge, Nagesh; Shevade, Madhuragauri; Narke, Govinda; Pathak, Dhananjay; Shastri, Neerja; Barne, Monica; Madas, Sapna; Kale, Nisha; Salvi, Sundeep

doi:10.1183/13993003.congress-2019.pa5027

Cited by 1 publication

(2 citation statements)

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“…Several works indicated that from 50% to 94% of patients are not able to carry out the inhalation technique correctly (Chrystyn et al, 2017;Adib-Hajbaghery and Karimi, 2018;Duarte-de-Araújo et al, 2019;Rincon-Montaña and Rosselli, 2019;Dhadge et al, 2020;Vila Jato, 2020;Dekhuijzen et al, 2022;Sulku et al, 2022), even though the success of the treatment depends on it (Chrystyn et al, 2017;Adib-Hajbaghery and Karimi, 2018;Duarte-de-Araújo et al, 2019;Lindh et al, 2019;Padmanabhan et al, 2019;Rincon-Montaña and Rosselli, 2019;Rodriguez-Garcia et al, 2020;Schreiber et al, 2020;Dekhuijzen et al, 2022). The errors found in all the devices are similar to those reported by Melani (2021) in a review.…”

Section: Discussionsupporting

confidence: 59%

“…To acquire proficiency in handling inhalers, it is essential to provide proper training to patients (Poureslami et al, 2016;Dhadge et al, 2020;Luley et al, 2020;Rodrigues et al, 2021;Lindh et al, 2022;Sulku et al, 2022), since education on the proper use of inhalers is received by only a small number of them (Poureslami et al, 2016;Dekhuijzen et al, 2022). Furthermore, COPD clinical practice guidelines pay particular attention to proper advice and instruction on inhaler management as a vital part of treatment.…”

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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