Facteurs déterminants la qualité de la prise des traitements inhalés dans l’asthme

Inhaler devices in asthma and COPD – An assessment of inhaler technique and patient preferences

“…Likewise, our results are in agreement with previous literature reporting that there is no difference in the performance of inhaler technique according to the number of inhaler devices in use [2,9]. However, some authors reported more misuse amongst patients with multiple types of devices [7,10,12].…”

“…We observed a similar trend in multivariate logistic regression analysis, with individuals with 5e9 years of school education presenting the highest OR for incorrect technique; however, individuals with higher level of school education were not significantly different from those with 1e4 years of education. Fayas et al [12] observed that knowledge on asthma and inhaler technique, but not the level of academic education, was associated with better inhalation techniques; in our study, no specific data on asthma knowledge was collected. Nevertheless, recently, the WHO Regional Office for Europe suggested school education as one of the many factors that influences health Table 3 Motives stated by participants for choosing a device as favourite for daily use, sorted by preference for daily use (see Fig.…”

“…Moreover, our data suggests that females, when compared to males, present a greater odds of having incorrect inhaler technique. However, in what refers to gender, most of the published studies reported no differences in inhaler technique [2,9,11,12]. This disagreement may be due to methodological differences, such as restricted analysis to specific errors [2,9] or application of cut-offs to define correct technique [11,12].…”

“…However, in what refers to gender, most of the published studies reported no differences in inhaler technique [2,9,11,12]. This disagreement may be due to methodological differences, such as restricted analysis to specific errors [2,9] or application of cut-offs to define correct technique [11,12]. Nevertheless, it seems that female patients often have worse asthma control in spite of higher inhaled corticosteroid use [21] and COPD females seem to have more limitation, more dyspnoea and higher consumption of respiratory medication [22].…”

“…To understand how to improve the use of inhalers, different aspects have been studied, such as types of devices [2,7e10]; patient factors (age, gender, education) [2,9,11,12]; and patient preferences. [8,13] Yet, research results regarding the interaction between patient, device and technique are insufficient and inconsistent.…”