Optical Feedback Training of Inhalation with Autohaler� and Turbuhaler� in COPD Patients

Steier, Joerg; Trammer, T; Cloes, Rolf Michael; Petro, W

doi:10.1007/s00408-003-1018-x

Cited by 21 publications

(15 citation statements)

References 18 publications

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“…The most common approach was to give a score of 1 for each correctly/satisfactorily performed step and a score of 0 for each skipped or incorrectly/ unsatisfactorily performed step. 14,20,22,24,36,41, 44 Kesten et al 25 graded pharmacists' Turbuhaler skills as good, fair, adequate, or skipped, with a score of 0 for skipped/not adequate and a score of 1 for good/fair. Rönmark et al 38 allocated a score of 2 for correct, 1 for not completely correct, and 0 for incorrect.…”

Section: Scoring and Reporting Systems For Inhaler Technique Checklistsmentioning

confidence: 99%

“…Some checklists had a more complicated scoring system. Steier et al 44 gave a total score of 0 if a step was left out that was necessary for successful inhalation (eg, opening of the cap, loading) or if the patient exhaled into the device, and all other attempts were rated from 1-9 points. Sestini et al 42 gave a score of 1 for each item of the checklist considered as minor and a score of 3 for each one considered as major.…”

Section: Scoring and Reporting Systems For Inhaler Technique Checklistsmentioning

confidence: 99%

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Checklists for Powder Inhaler Technique: A Review and Recommendations

et al. 2013

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Turbuhaler and Diskus are commonly used powder inhaler devices for patients with respiratory disease. Their effectiveness is limited in part by a patient's ability to use them correctly. This has led to numerous studies being conducted over the last decade to assess the correct use of these devices by patients and health care professionals. These studies have generally used device-specific checklists to assess technique, this being the most feasible and accessible method for assessment. However, divergence between the checklists and scoring systems for the same device in different studies makes direct comparison of results difficult and at times inappropriate. Little evidence is available to assess the relative importance of different criteria; however, brief patient training based on specific inhaler technique checklists leads to significant improvement in asthma outcomes. This paper reviews common checklists and scoring systems used for Turbuhaler and Diskus, discusses the problem of heterogeneity between different checklists, and finally recommends suitable checklists and scoring systems for these devices based on the literature and previous findings. Only when similar checklists are used across different research studies will accurate comparisons and meta-analysis be possible.

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Section: Scoring and Reporting Systems For Inhaler Technique Checklistsmentioning

confidence: 99%

Section: Scoring and Reporting Systems For Inhaler Technique Checklistsmentioning

confidence: 99%

Checklists for Powder Inhaler Technique: A Review and Recommendations

et al. 2013

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“…There are also important clinical ramifications associated with incorrect inhaler use, such as inadequate dose delivery or faulty dispersion of medication in the airways, resulting in suboptimal medication dosing. 8 Simple training interventions significantly improve patients' inhaler technique, [9][10][11][12] thus it is important that pharmacists are aware of the issues associated with inhaler use and are appropriately and adequately trained to deal with them.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Small-Group Training With Self-Directed Internet-based Training in Inhaler Techniques

Toumas¹,

Basheti²,

Bosnic‐Anticevich³

2009

Am J Pharm Educ

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Objectives. To compare the effectiveness of small-group training in correct inhaler technique with self-directed Internet-based training. Design. Pharmacy students were randomly allocated to 1 of 2 groups: small-group training (n 5 123) or self-directed Internet-based training (n 5 113). Prior to intervention delivery, all participants were given a placebo Turbuhaler and product information leaflet and received inhaler technique training based on their group. Technique was assessed following training and predictors of correct inhaler technique were examined. Assessment. There was a significant improvement in the number of participants demonstrating correct technique in both groups (small group training, 12% to 63%; p , 0.05; and Internet-based training, 9% to 59%; p , 0.05) post intervention, with no significant difference between the groups in the percent change (n 5 234, p . 0.05). Increased student confidence following the intervention was a predictor for correct inhaler technique. Conclusions. Self-directed Internet-based training is as effective as small-group training in improving students' inhaler technique.

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“…It is also useful for teaching the optimum inhalation technique 87 and allows prediction of mass output and particle size distribution. Steier et al 88 conducted a prospective randomized crossover study in 200 subjects to teach correct handling and the optimum technique for the Autohaler and Turbuhaler. They evaluated the inhalation technique of subjects through a checklist (observational score), and the Inhalation Manager provided both an optical feedback and computer score.…”

Section: Assessment Of Inhalation Techniquementioning

confidence: 99%

Patient Education and Adherence to Aerosol Therapy

Ari

2015

Respir Care

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SummaryNonadherence to prescribed medications results in disease instability and poor clinical control, with increases in hospital admissions, emergency room visits, school/work absenteeism, morbidity, and mortality. Poor patient adherence to therapy can be due to lack of cognition, competence, or contrivance. Patients who have not been trained or fail to understand use of drug and device combinations (cognition) often do not have the ability to use an aerosol device correctly (competence). Many patients have the competence to use the device correctly and know why they should RESPIRATORY CARE • JUNE 2015 VOL 60 NO 6 941 use the device in the way they were taught; however, they still contrive to use it in an ineffective and suboptimal manner that reduces its efficiency and effectiveness. Ensuring effective aerosol therapy and optimizing its role in disease management involve not only delivery of aerosolized medications to the lungs, but also understanding why, when, and how to use the medications, competence to use the device, motivation to adhere to therapy, and not contriving to use the device in a way that will prevent effective drug delivery. This paper explains some of the problems with patient education and adherence to aerosol therapy and suggests strategies to evaluate, monitor, and improve patient adherence effectively in primary care. Factors affecting patient adherence to prescribed medications, effective educational interventions, and strategies to promote patient adherence to aerosol therapy are also discussed.

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Optical Feedback Training of Inhalation with Autohaler� and Turbuhaler� in COPD Patients

Cited by 21 publications

References 18 publications

Checklists for Powder Inhaler Technique: A Review and Recommendations

Checklists for Powder Inhaler Technique: A Review and Recommendations

Comparison of Small-Group Training With Self-Directed Internet-based Training in Inhaler Techniques

Patient Education and Adherence to Aerosol Therapy

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