Assessment of Asthma Inhaler Technique in Two Community Pharmacies

Farabaugh, Nicole; McMillan, Ashlee; Garofoli, Gretchen K.

doi:10.24926/iip.v5i3.353

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…However Kae & Sporrong recently explored the reasons why users join or not to this service, and they found that the vast majority of users do not feel the need for this service and will adhere only if persuaded to do so. 21 Interestingly, the literature reveals that between 50% and 80% or more of patients had at least one error in their inhalation technique 8 - 11 , 18 , which was higher in our study (87%). Further studies should focus on assessing the reasons why patients do not sufficiently value these services and what should pharmacists do to improve their acceptance.…”

Section: Discussioncontrasting

confidence: 57%

“… 8 , 9 Many studies have been published focusing on the incorrect use of inhaler devices 6 , but few refer to the possibility of such assessments to be done routinely in a community pharmacy. 8 , 10 , 11 To our knowledge, nothing has been published in Portugal in this area. Thus, the aim of this study was to evaluate the inhaler technique and identify potential errors of patients treated with inhalers, by testing a routine procedure to be implemented in community pharmacies.…”

Section: Introductionmentioning

confidence: 99%

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Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Castel‐Branco¹,

Fontes²,

Figueiredo³

2017

Pharm Pract (Granada)

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Background:A correct selection of drugs prescribed, but also the choice of the appropriate inhaler device, is crucial for the control of respiratory diseases.Objective:To evaluate the inhaler technique and identify potential errors of patients when treated with inhalers by testing a routinary procedure to be implemented in any community pharmacy.Methods:Adults with asthma/COPD and under inhalation therapy were invited to demonstrate how they use their inhalers. After direct observation it was registered whether all the sequential steps included in the summary of product characteristics (SmPC) were performed.Results:The study involved 67 patients from 4 community pharmacies (Portugal central region): 34 (50.7%) males, 65.4 (SD=18.28) years old, 42 (62.7%) with COPD, and 23 (34.3%) using more than one inhaler. The 67 patients used 95 inhalers, comprising: 57 (60.0%) multiple dose DPI (dry powder inhalers), 18 (18.9%) single dose DPI, 16 (16.8%) pMDI (pressurized metered dose inhalers), 2 (2.1%) pMDI+spacer and 2 (2.1%) SMI (soft mist inhalers). No errors were made only by 9 (13.4%) patients. In the 75 DPIs techniques, the most frequent errors were ‘no previous forced expiration’ (46=61.3%) and ‘no 10s apnea after inhalation’ (51=68.0%); in the 16 pMDIs techniques common errors were ‘lack of hand-lung coordination’ (7=43.8 %), ‘no previous forced exhalation’ (8=50.0%) and ‘no apnea after inhalation’ (10=62.5%). After inhaling from 56 devices containing corticosteroids, 34 (60.7%) of the patients did not wash their mouth.Conclusion:The study demonstrated the possibility of performing this procedure routinely in Portuguese community pharmacies and also its utility, since 58 (87%) of patients had at least one error during the inhalers use.

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Section: Discussioncontrasting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Castel‐Branco¹,

Fontes²,

Figueiredo³

2017

Pharm Pract (Granada)

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Section: Discussionmentioning

confidence: 99%

“…As for inhaler technique demonstration skills, similar to what has been reported before, among 31 surveys distributed between two community pharmacies for asthma patients using DPI, only 9.6% reported using their inhaler correctly. 24 Additionally, a study performed in France in 2008 at a respiratory clinic assessing the inhaler technique used in patients using DPI showed that around half had at least one administration technique error. 25 Differences in inhaler types and use were reported to have different predicted outcomes in practice.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

AL-awaisheh¹,

Alsayed²,

Basheti³

2023

PPA

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This study was designed to assess inhaler technique skills, asthma control level, adherence, and quality of life scores amongst asthmatic patients living in Amman, Jordan, investigating the role of pharmacist's educational intervention. Patients and Methods: This single-blinded randomized parallel-group active-controlled study was conducted at the Jordan University Hospital (JUH) clinic in 2019. Patients were assessed at baseline and follow-up (after three months) on their inhaler technique (based on validated published checklists), asthma control based on the asthma control test (ACT) questionnaire, adherence to treatment, and quality of life (QoL). Patients in the active group were counseled on correct inhaler technique and administration skills, orally and using inhaler adhesive labels delivered by the clinical pharmacist. Results: Asthma patients (n = 157; active, n = 79, and control, n = 78) were recruited into the study and grouped based on the controller inhaler they were using (Turbohaler (TH) and Accuhaler (ACC). There was no statistically significant difference between both groups at baseline for inhaler technique, adherence, ACT, and QoL. At follow-up, 93.7% of the active group patients used their inhalers correctly, while only 16.7% of the control group used them correctly (P-value <0.001). Also, the ACT mean score was significantly higher for the active group (21.21±5.27) versus the control group (15.92±7.31; P-value <0.001). The QoL mean score was significantly improved for the active group compared with the control group (active = 63.85±24.78, Control = 38.746±3.23, P-value <0.001). Improvement in adherence for the active group was noticed compared with the control group but did not reach a significant level (P-value=0.691). Conclusion: Through a practical educational intervention, pharmacists were found to significantly improve patients' asthma inhaler technique, ACT scores, and QoL scores for patients with asthma.

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“…COPD treatment is a long term treatment that patient's compliance in taking asthma medicine is highly required. Hence, like in asthma medication, pharmacists' role is very important in providing informational suggestion through education for patients with mild or even chronic condition 14,15,16,17 . Education can be given by using current technology to directly demonstrate how to use inhaler, e.g.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Video Education How to Use Diskus® DryPowder inhaler on Out-Patients Copd In Mojokerto, Indonesia

Mahfouz¹,

Ikawati²,

Wahyono³

2017

IJPCR

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COPD therapy aims to prevent and overcome acute exacerbation on COPD which could be fatal and even lead to death. Thus, it must be prevented with optimum medication during stable condition. Bronchodilator in the form of inhalation are preferred in COPD medication because systemic bronchodilator has many side effects compared to that of topical bronchodilator (inhalation). DPI (dry-powder inhaler) has been developed and introduced to the market since 1967 as a solution or choice concerning MDI (metered-dose inhaler) setbacks where patients felt difficult in coordinating hands and lungs. Evidences suggested that multi-unit dose DPI such as Diskus® offered most reliable and consistent performance and it is preferred by patients. The improper using of inhaler is one of the main causes holding up asthma control since it can affect patients dosage intake which is not optimal. This research aimed to know the efficacy of Diskus® preparation usage education given to COPD patients. Method used in this research was one study group pre-test dan post test. The number of respondents involved in this research was 55 respondents. The result of t-test suggested that t-count is fewer than p-value (0.05) suggesting that there was difference between pre and post test score as a result of oral or motor evaluation. It is then concluded that Diskus® usage education affected the patients in the improvement of inhaler usage accuracy based on oral and motor evaluation. This research only reviewed COPD patients skill in using Diskus®, thus it is required to conduct further research to dig the understanding in the usage of Diskus® like drug indications, interval, how to notice side effects and how to overcome them. Also, this research only reviewed knowledge increase, but yet described outcome improvement from the using of COPD therapy itself.

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Assessment of Asthma Inhaler Technique in Two Community Pharmacies

Cited by 4 publications

References 8 publications

Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Identification of inhaler technique errors with a routine procedure in Portuguese community pharmacy

Assessing the Pharmacist’s Role in Counseling Asthmatic Adults Using the Correct Inhaler Technique and Its Effect on Asthma Control, Adherence, and Quality of Life

The Effectiveness of Video Education How to Use Diskus® DryPowder inhaler on Out-Patients Copd In Mojokerto, Indonesia

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