Impact of patient satisfaction with his or her inhaler on adherence and asthma control

Plaza, Vicente; Giner, Jordi; Calle, Myriam; Rytilä, Paula; Campo, Carlos; Ribó, Paula; Valero, Antonio

doi:10.2500/aap.2018.39.4183

Cited by 44 publications

(46 citation statements)

References 30 publications

(36 reference statements)

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“…Among other features, ease of use, convenient weight and size, and ease of portability contributed to higher satisfaction with EH. These results confirm the findings in the whole ASCONA population, where patient satisfaction was also higher with EH than with TH or DKAH [9]. Moreover, although the aim of our study was not to prove the clinical relevance of differences in FSI-10 score, results of ASCONA main analysis [9] showed that these differences are clinically relevant.…”

Section: Discussionsupporting

confidence: 89%

“…A relationship between satisfaction and adherence has been found in other studies [3,27], but these did not compare different inhalers. In the main analysis of ASCONA, high patient satisfaction with inhaler was related to adherence and asthma control [9]. However, because of the sample size in our subanalysis, the difference in satisfaction was insufficient to be reflected in adherence and asthma control.…”

Section: Discussionmentioning

confidence: 71%

“…With regard to features such as perception of inhalation, size, discreetness, mouthpiece comfort, and dose counter, EH was rated higher than other inhaler devices by asthma patients [8]. In an observational, multicenter study, patient satisfaction with inhaler was higher in asthma patients treated with EH [9]. Here we present a post-hoc analysis of a homogeneous subpopulation of this study.…”

Section: Introductionmentioning

confidence: 85%

“…The method used in the ASCONA (Asthma Satisfaction, CONtrol and Adherence) study has been previously reported [9]. Briefly, the ASCONA scientific committee selected and invited the participating physicians.…”

Section: Methodsmentioning

confidence: 99%

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Asthma patient satisfaction with different dry powder inhalers

Valero

Ribó

Máiz

et al. 2019

Expert Review of Respiratory Medicine

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Background: The preferences and opinions of patients are important when choosing the optimal inhaler device for asthma management. We compared patient satisfaction of three dry powder inhalers in patients with moderate to severe asthma. Methods: We selected a group of patients treated with Easyhaler TM (n = 164) and a second group of patients treated with Turbuhaler TM (n = 100) or Diskus TM (Accuhaler TM) (n = 64) from the register of an observational, multicenter study. Data of patients were paired according to age, gender, and asthma severity. Patient satisfaction with the inhaler type was assessed with the specific 'Feeling of Satisfaction with Inhaler' (FSI-10) questionnaire. Results: Specific satisfaction with inhaler was statistically significantly higher with Easyhaler TM , as well as the percentage of patients with high satisfaction with inhaler. (FSI-10 score ≥43). Scores for Easyhaler TM were also statistically significantly better for individual FSI-10 items such as learning how to use, inhaler preparation, inhaler use, weight and size, and portability. There were no significant differences in asthma control (ACT, Mini-AQLQ) and adherence (TAI global score). Conclusions: Specific satisfaction with inhaler was higher with Easyhaler TM in a homogeneous population of patients with moderate to severe asthma. However, the relationship between satisfaction with the inhaler and adherence and asthma control deserves more investigation.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 85%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Asthma patient satisfaction with different dry powder inhalers

Valero

Ribó

Máiz

et al. 2019

Expert Review of Respiratory Medicine

Self Cite

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“…Satisfaction with inhaler is defined as how satisfied patients' are with their inhaler devices regarding ease and convenient to use. Inhaler satisfaction is very important part of the treatment with chronic airway diseases, enhancing both adherence and disease control 12,31 . Inhaler satisfaction differs between different inhaler devices in asthma and COPD patients 21,22 .…”

Section: Discussionmentioning

confidence: 99%

The effects of repeated inhaler device handling education in COPD patients: a prospective cohort study

Ahn

Chung

Shin

et al. 2020

Sci Rep

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Inhaler education for chronic obstructive pulmonary disease (COPD) patients improves inhaler technique and adherence. However, the effects of such education on the quality of life and inhaler satisfaction remain unclear. Here, we evaluated inhaler handling and adherence, and changes in quality of life and inhaler satisfaction, after repeated education for COPD patients. We prospectively enrolled COPD patients who had used inhalers for over 1 month and evaluated the effects of repeated education. Three visits were made over 6 months; an advanced practice nurse evaluated inhaler technique and adherence, and instructed the patients in inhaler technique during face-to-face sessions. Inhaler technique and adherence were assessed at every visits, and the modified Medical Research Council (mMRC) test, COPD Assessment Test (CAT), EuroQol-5D (EQ-5D), Patient Health Questionnaire (PHQ-9), and Feeling of Satisfaction with Inhaler questionnaire (FSI-10) were administered before (visit 1) and after two educational sessions (visit 3). A total of 261 COPD patients (308 inhalers) were included. Education significantly reduced the proportion of critical errors after two educational sessions (visit 3), from 43.2 to 8.8% (p < 0.001). The proportion of highly compliant patients increased after two visits, from 81.6% to 87.7% (p = 0.005). The FSI-10 score improved significantly after education, from 44.36 ± 4.69 to 47.64 ± 4.08 (p < 0.001); the scores on the other instruments (mMRC, CAT, EQ-5D, and PHQ-9) did not improve. Repeated face-to-face inhaler education by an advanced practice nurse significantly improved inhaler satisfaction, technique, and adherence. However, inhaler education did not significantly improve quality of life.

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Understanding Dry Powder Inhalers: Key Technical and Patient Preference Attributes

Levy¹,

Carroll

Alonso

et al. 2019

Adv Ther

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Inhalable medications for patients with asthma and chronic obstructive pulmonary disease (COPD) can be confusing even for health care professionals because of the multitude of available devices each with different operating principles. Dry powder inhalers (DPI) are a valuable option for almost all of the patients with asthma or COPD. Based on recorded patient inspiratory profiles, the peak inspiratory flow requirement of 30 L min−1 of high-resistance devices does not usually pose any practical limitations for the patients. Suboptimal adherence and errors in device handling are common and require continuous checking and patient education in order to avoid these pitfalls of all inhalation therapy. The aim of this opinion paper is to describe the working principles of DPIs and to summarise their key properties in order to help prescribing the correct inhaler for each patient.Funding: Orion Pharma.

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Impact of patient satisfaction with his or her inhaler on adherence and asthma control

Cited by 44 publications

References 30 publications

Asthma patient satisfaction with different dry powder inhalers

Asthma patient satisfaction with different dry powder inhalers

The effects of repeated inhaler device handling education in COPD patients: a prospective cohort study

Understanding Dry Powder Inhalers: Key Technical and Patient Preference Attributes

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