Importance of Inhaler Device Use Status in the Control of Asthma in Adults: The Asthma Inhaler Treatment Study

Yıldız, Füsun

doi:10.4187/respcare.02478

Cited by 39 publications

(35 citation statements)

References 15 publications

(13 reference statements)

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“…Finally, the great emphasis that had been given in the program to effectively develop patients' capability of effectively using the inhalers through the group and individual session also contributed to the positive outcome in the current study. This was consistent with Yildiz [56] findings that proper education and training in correct inhalation technique has been reported to have a substantial role in the achievement of optimal therapeutic benefit and asthma control. Yildiz, [56] found that close follow-up with repeated checking of the patient's inhaler technique and correction of errors each time seem to be associated with a significant decrease in the percent of patients who make basic errors in inhalation maneuvers and device-independent errors, and with better control of persistent asthma.…”

Section: Limitations Of the Studysupporting

confidence: 91%

Development and Implementation of an Evidence-based Self-regulation Intervention: Effect on Knowledge and Perceived Control Among Adult Patients with Asthma

Bayoumy¹,

Osman²

2015

Int J Nurs Clin Pract

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Background: Most chronic diseases are variable and an individual must exercise a significant degree of judgment regarding management. Self management therefore requires that the person understands the illness and actively participate in the treatment process. According to self regulation (SR) theory, individuals are required to set personally important goals that guide their behaviors through goalguidance process. Since, very few or almost no available data to assess self-regulation interventions focused on improving asthma knowledge and control, the current study aimed at evaluating the efficacy of asthma-self-regulation intervention among targeted patients. Methods/Design: A pre/post-test study design was used to compare a six-session asthma-self regulation intervention on participants' outcome. Intervention program was based on the principles of self-regulation for disease management, and all program activities and materials are designed to be responsive to the specific needs of participants. Thirty asthmatic patients were recruited for the study.Researchers assessed the effect of the intervention on patients' knowledge gains and control of asthma symptoms. Data were collected at baseline, immediately and two months after the program. Keywords:Asthma, Chronic disease self management, Selfregulation, Knowledge, Asthma control Research Article Open Access IntroductionAsthma is a major public health problem and one of the most common chronic conditions in the world. According to the Global Burden of Disease Study, asthma caused more than 345,000 deaths worldwide in 2010 [1]. In Europe alone, asthma affects 30 million people and the cost of asthma care in Europe is estimated at £18 billion per year; lost productivity accounts for almost £10 billion of this [1]. The second half of the 20 th century was marked by a disturbing increase in frequency of allergic diseases, affecting approximately 20 percent of the global population, and the rate of bronchial asthma amongst adults is 5.4 percent (4.9% in men and 5.8% in women) [2]. Epidemiological studies in Saudi Arabia revealed an increasing prevalence of asthma in the past three decades, which may be attributed to the rapid lifestyle changes related to the modernization of Saudi society, changes in dietary habits, and exposure to environmental factors such as indoor allergens, dust, sand storms, and tobacco [3]. Asthma, a common chronic disorder of the airways in Saudi Arabia affecting more than 2 million Saudis, ranks19 th in terms of disability-adjusted life years [4].Asthma had an enormous impact on patient's wellbeing [5], despite the availability of effective treatments and evidencebased management guidelines [6]. Asthma can result in physical, emotional, and social limitations that can impair patients' quality oflife [7]. There is a growing burden of asthma in terms of morbidity,

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Section: Limitations Of the Studysupporting

confidence: 91%

Development and Implementation of an Evidence-based Self-regulation Intervention: Effect on Knowledge and Perceived Control Among Adult Patients with Asthma

Bayoumy¹,

Osman²

2015

Int J Nurs Clin Pract

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“…Yildiz 22 emphasized that repeated training on 3. Prior to inspiration, the MDI mouthpiece may be positioned 2-4 cm in front of your lips.…”

Section: Discussionmentioning

confidence: 99%

Diverse Inhaler Devices: A Big Challenge for Health-Care Professionals

et al. 2016

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BACKGROUND:The current variety of medication inhaler devices can be confusing to patients due to the many different delivery systems. Many health-care professionals who prescribe these devices may not be educated properly about the administration techniques for different inhalers. The objectives of this study were to evaluate various health-care providers' knowledge of specific inhaler devices and to assess their ability to retain this knowledge for a minimum period of 3 months. METHODS: This was a prospective study that included 4 different health-care professional groups (physicians, respiratory therapists, registered nurses, and pharmacists). All subjects underwent baseline written and practical tests. A checklist was developed for the practicum test for each inhaler on the correct delivery method. The written examination tested knowledge of 4 different inhaler techniques with true or false questions. Then subjects watched an instructional video that demonstrated the correct method of delivery for each device. Last, subjects were retested on the practicum and written tests after a minimum lapse of 3 months. RESULTS: The distribution of written and practical scores at baseline and postintervention was approximately normal (P > .05). The baseline written scores were significantly different across groups (P ‫؍‬ .002). The mean written score of respiratory therapists was significantly higher than those of registered nurses and physicians (P ‫؍‬ .02 and .01, respectively). Similarly, the baseline practical scores were significantly different across groups (P < .001). The mean practical score of respiratory therapists was significantly higher compared with those of registered nurses and physicians (P ‫؍‬ .002 and P < .001, respectively). CONCLUSIONS: We found a suboptimal number of medical professionals who have the proper knowledge base and technical skill to teach different inhaler device techniques. In order to increase the simplicity and effectiveness of delivering inhaler medication, we hope that the industry will provide more uniformity for future inhaler devices.

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“…The evidence recommends inhaler technique checks and education must be reinforced to maintain correct use. The evidence also suggests that the benefits of education wane over time (Pothirat et al 2015, Steier et al 2003, Basheti et al 2008, Ho et al 2004, Hardwell et al 2011, and Yildiz 2014.…”

Section: Review Of the Literaturementioning

confidence: 99%

The effect of structured education on inhaler technique

et al. 2017

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Aim:To investigate the efficacy of 2 different education strategies for teaching and maintaining inhaler technique in older patients. Conclusion:Inhaler technique in older patients is often poor. They are often able to use inhalers correctly when instructed but maintenance of good technique is not prevalent across all devices.In older patients a more structured approach to teaching inhaler technique is no more effective than usual care.

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Importance of Inhaler Device Use Status in the Control of Asthma in Adults: The Asthma Inhaler Treatment Study

Cited by 39 publications

References 15 publications

Development and Implementation of an Evidence-based Self-regulation Intervention: Effect on Knowledge and Perceived Control Among Adult Patients with Asthma

Development and Implementation of an Evidence-based Self-regulation Intervention: Effect on Knowledge and Perceived Control Among Adult Patients with Asthma

Diverse Inhaler Devices: A Big Challenge for Health-Care Professionals

The effect of structured education on inhaler technique

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