Inhaler Counselling, the Real Deal or Just Fresh Air?

Goodwin, Richard L.; Chander, Tiranvir; Shah, Neha; Tomlin, Steve

doi:10.1136/archdischild-2016-311535.35

Cited by 6 publications

(4 citation statements)

References 1 publication

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“…There are several effective tools that can make instructions more impactful such as printed material, videos, and patient support programs. [45][46][47] Future studies should focus on individualizing counseling and assessing which interventions are the most impactful by the patient group.…”

Section: Resultsmentioning

confidence: 99%

Asthma and COPD Patients’ Perception of Appropriate Metered-Dose Inhaler Technique

et al. 2020

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Objectives: Asthma and chronic obstructive pulmonary disease (COPD) are chronic illnesses of the airways affecting a good number of people in Lebanon and the Middle East. Pressurized metered-dose inhalers (pMDIs) are important drug delivery systems used to treat such pulmonary diseases. Drugs proven to be valuable and effective may fail to act effectively if such inhalers are used incorrectly. The purpose of this study was to assess the technical use of pMDIs by patients with pulmonary diseases presenting to the community pharmacies in Lebanon. Methods: A structured questionnaire was developed to collect data. A total of 601 patients using drugs delivered through pMDIs and presenting to 12 Lebanese community pharmacies were recruited to participate in the research project. The questionnaire items were divided into 3 subscales: subscale 1—assessing the device preparation; subscale 2—investigating the device use; and subscale 3—examining the knowledge and use of spacers. After confirming the reliability and validity of the survey tool, patients’ responses were analyzed and compared according to many variables. Results: Many patients answered inaccurately to questions assessing both the device preparation and use. Around 40% of patients said they do not coordinate the inhalation with pressing the canister down. The mean scores were 1.72 (± 0.73) over 6 and 5.67 (± 1.44) over 7 for subscales 1 and 2, respectively. The mean total score on all questions was 7.39 over 13, with a standard deviation of 1.75. While patients’ age did not impact the results, asthmatic, well-educated, male patients had fewer wrong answers when it comes to preparing and using the device ( P < .01). Conclusions: Our study showed that many patients with asthma and COPD might not be properly using their pMDIs. Appropriate inhaler use is crucial for successful pulmonary disease management. As pMDIs are one of the most difficult devices to use, proper and tailored instructions should be given to patients.

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Section: Resultsmentioning

confidence: 99%

Asthma and COPD Patients’ Perception of Appropriate Metered-Dose Inhaler Technique

et al. 2020

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“…This implies that healthcare professionals should be empowered and motivated to impart this knowledge in a uniform, systematic way as part of the routine management of obstructive airway diseases. Since apparently only a small minority (∼10%) of healthcare professionals appears to be capable of teaching patients how to use inhaler devices, including spacers, properly [ 86 ], the need for recommendations for use and maintenance, as well as training and teaching, would appear as pressing as ever.…”

Section: Discussionmentioning

confidence: 99%

Spacer devices for inhaled therapy: why use them, and how?

et al. 2018

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We present an extensive review of the literature to date pertaining to the rationale for using a spacer/valved holding chamber (VHC) to deliver inhaled therapy from a pressurised, metered-dose inhaler, a discussion of how the properties of individual devices may vary according to their physical characteristics and materials of manufacture, the potential risks and benefits of ancillaries such as valves, and the evidence that they contribute tangibly to the delivery of therapy.We also reiterate practical recommendations for the correct usage and maintenance of spacers/VHCs, which we trust offer practical help and advice to patients and healthcare professionals alike.

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“…Many providers cannot describe all of the steps involved or demonstrate correct inhaler use for all of the inhalers they prescribe. 159,160 The most effective patient training technique has been established as verbal instruction combined with a demonstration by the provider and then a reciprocal demonstation by the patient. This is challenging due to the lack of an available device that the patient can use to demonstrate adequate technique.…”

Section: Patient Educationmentioning

confidence: 99%

Aerosol Delivery Devices for Obstructive Lung Diseases

Pleasants

Hess

2018

Respir Care

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Drug delivery by inhalation is the principal strategy to treat obstructive lung diseases, which affect about 15% of the population in the United States. Aerosol delivery devices have evolved over more than 60 years from the basic pressurized metered-dose inhaler and nebulizer to numerous types of inhalers and devices, including valved holder chambers, dry powder inhalers, soft mist inhalers, as well as smart inhalers and nebulizers. Although these devices improve a patient's ability to self-administer medication, many problems with optimal delivery still exist. Appropriate selection and repeated patient education can help lessen the problems with these devices. Aerosol science is evolving, with methods of measurement that include radio-scintigraphy and magnetic resonance imaging, to provide a better understanding of aerosol delivery and effects. Understanding the science and clinical application of aerosol drug delivery can substantially aid clinicians in optimizing these therapies for their patients.

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Inhaler Counselling, the Real Deal or Just Fresh Air?

Cited by 6 publications

References 1 publication

Asthma and COPD Patients’ Perception of Appropriate Metered-Dose Inhaler Technique

Asthma and COPD Patients’ Perception of Appropriate Metered-Dose Inhaler Technique

Spacer devices for inhaled therapy: why use them, and how?

Aerosol Delivery Devices for Obstructive Lung Diseases

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