Satisfacción y preferencia del paciente asmático por los dispositivos de inhalación. Aplicación del FSI-10

Tordera, Miguel Perpiñá; Viejo, José Luís; Sanchís, J.; Badı́a, Xavier; Cobos, N.; Picado, César; Sobradillo, V.; Río, Jaime Martínez González del; Duce, F.; Cabrera, Luís Muñoz

doi:10.1016/s0300-2896(08)70447-2

Cited by 28 publications

(18 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite both these aspects are absolutely critical for the choice of the most convenient device, only a few specific and validated research instruments are available in real life [3–7]. …”

Section: Background and Resultsmentioning

confidence: 99%

“…Moreover, the concept of the NHQ-2 questionnaire is also different from that of the FSI-10 Questionnaire [7] which is a self-completed questionnaire for mainly assessing the patients’ satisfaction, but it is not provided with the objective control of expert nurses checking all the inhalation steps up to the first proper actuation of patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Cultural and linguistic validation of the NHQ-2 Questionnaire: a specific instrument for assessing patient’s usability of inhalation devices

Negro¹,

Povero²

2016

Multidiscip Respir Med

View full text Add to dashboard Cite

BackgroundAn increasing number of inhalation devices are presently available in the market. They are differently characterized in terms of their handling and usability, both factors which may affect the outcomes of respiratory treatment.The assessment of the preference and the usability rate of all devices can be carried out by means of specific questionnaires. Before their use, the identification of errors due to the incorrect wording of questions included in the questionnaires, together with the trans-cultural reliability represents the main issues of their cultural and linguistic validation.Methods and resultsThe New Handling Questionnaire - NHQ-2 is a novel specific questionnaire aimed to measure both the preference and the usability of all kinds of inhalation devices. The method used for its validation has been summarized in the first section of the present paper, while the results of the specific validation and translation process have been described in the second section, together with the grading of improvement achieved over the process. The comprehensibility and the reproducibility rates achieved for both the Italian and the English final versions of the NHQ-2 questionnaire were very high, such as >90 % for each question included.ConclusionsThe novel NHQ-2 questionnaire proved very high comprehensibility and reproducibility in both its Italian and English final versions. It can be proposed for the trans-cultural clinical use when the usability, and not only the patients’ preference of devices, should be assessed.Electronic supplementary materialThe online version of this article (doi:10.1186/s40248-016-0067-y) contains supplementary material, which is available to authorized users.

show abstract

Section: Background and Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cultural and linguistic validation of the NHQ-2 Questionnaire: a specific instrument for assessing patient’s usability of inhalation devices

Negro¹,

Povero²

2016

Multidiscip Respir Med

View full text Add to dashboard Cite

show abstract

“…The literature review identified 17 citations that were considered potentially relevant to the study, which identified several instruments or surveys of interest, mainly focused on preferences and satisfaction with inhalation devices in asthma,28,29 satisfaction with asthma health care services,30,31 satisfaction with corticosteroid treatment for asthma,32 and allergies treated with sublingual allergen-specific immunotherapy that included some questions about satisfaction with treatment 33…”

Section: Resultsmentioning

confidence: 99%

Development of a questionnaire to assess patient satisfaction with allergen-specific immunotherapy in adults: item generation, item reduction, and preliminary validation

Justicia

Baró²,

Cardona³

et al. 2011

PPA

View full text Add to dashboard Cite

Background:Allergen-specific immunotherapy (SIT) is a treatment capable of modifying the natural course of allergy, so ensuring good adherence to SIT is fundamental. Up until now there has not existed an instrument specifically developed to measure patient satisfaction with SIT, although its assessment could help us to comprehend better and improve treatment adherence and effectiveness. The aim of this study was to develop an instrument to measure adult patient satisfaction with SIT.Methods:Items were generated from a literature review, focus groups with allergic adult patients undergoing SIT, and a meeting with experts. Potential items were administered to allergic patients undergoing SIT in an observational, cross-sectional, multicenter study. Item reduction was based on quantitative and qualitative criteria. A preliminary assessment of feasibility, reliability, and validity of the retained items was performed.Results:An initial pool of 70 items was administered to 257 patients undergoing SIT. Fifty-four items were eliminated resulting in a provisional instrument with 16 items. Factor analysis yielded four factors that were identified as perceived efficacy, activities and environment, cost-benefit balance, and overall satisfaction, explaining 74.8% of variance. Ceiling and floor effects were negligible for overall score. Overall score was associated with the type and intensity of symptoms.Conclusion:This is the first attempt to develop a satisfaction with SIT measure from the perspective of the allergic patient, and evidence has been found in favor of its reliability and validity.

show abstract

“…The possibility of grading objectively the performance of each device in terms of both usability and therapeutic convenience in daily life would represent a strong operational index [22, 28], particularly when derived from specific, comprehensive, and validated investigational instruments [14, 15, 21, 23]. …”

Section: Discussionmentioning

confidence: 99%

“…The PUP level is usually assessed by means of validated tools (such as, questionnaires) [14, 15]. The Handling Questionnaire is a validated questionnaire which was specifically designed to identify and compare the determinants of choice and acceptability of different inhalation devices in patients with persistent airflow limitation, namely bronchial asthma and chronic obstructive pulmonary disease (COPD) [14, 15].…”

Section: Introductionmentioning

confidence: 99%

Dry-powder inhalers in patients with persistent airflow limitation: usability and preference

Negro¹,

Povero²

2016

Multidiscip Respir Med

View full text Add to dashboard Cite

BackgroundInhalation devices represent per sé critical factors because they can affect the therapeutic outcomes independently of the drug used. The role of patients’ usability and preference (PUP) for Dry Powder Inhalers (DPIs) is high indeed because they can influence the extent of the adherence to treatment and the therapeutic outcomes.Aim of the study was to assess and compare the PUP of three different DPIs in out-patients with persistent airflow limitation due to asthma or COPD.MethodsThe PUP of three different DPIs (Breezhaler; Genuair; Handihaler) were investigated by means of the Handling Questionnaire in out-patients with persistent airflow limitation needing an inhalation therapy. Patients had to report their preference before and after the nurse’s instruction on the handling of each device. The nurse had also to note the critical steps during the patient’s procedure for actuation; to count the number of attempts needed for actuating the device properly, and to measure the time (in sec.) required for these procedures. Data were collected up to three attempts per device.Statistics: Welch test was used for normal distributed variables, while the Wilcoxon test for not normal distributed variables. The χ2 test and the ANOVA test were also used. Univariate and multivariate regressions were also performed in order to investigate the effect of patients’ characteristics and of technical differences of each device on their proper use.ResultsThree hundred thirty-three consecutive out-patients (age range 55–58 years, and well matched for gender), with persistent airway limitation of different severity were investigated, suffering from bronchial asthma (n = 175) or from chronic obstructive pulmonary disease (COPD) (n = 158). In particular, 127 patients (38 %) tested the three DPIs, while 110 (33 %) tested Breezhaler and Genuair, and 96 (29 %) Breezhaler and Handihaler. More than 50 % of patients who tested all devices preferred the Genuair and perceived this device as the easiest to use. The nurse’s judgement confirmed their opinion. When compared to the other two DPIs, Genuair proved the least problematic either according to the patients’ judgement and to the nurse’s opinion. Mean number of attempts aimed to achieving the first proper actuation was lower with Genuair than with Breezhaler and Handihaler (1.5 vs 2.5–2.6, p < 0.0001). Finally, Genuair also proved the easiest to use and the least problematic according to the nurse judgement (0.0001), the most easily learned (0.0001), and that one with a successful rate of more than 56 % at the first attempt. Breezhaler and Handihaler needed an average of about one additional attempt to be used properly (p < 0.0001), and their usability proved significantly more difficult (OR of successful rate between 0.15 and 0.17, p < 0.001). In general, older patients needed more attempts to perform their first proper inhalation; their successful rate was lower, and they needed more time to learn how to use devices properly: with Genuair these differences were minimized.Conclusions...

show abstract

Satisfacción y preferencia del paciente asmático por los dispositivos de inhalación. Aplicación del FSI-10

Cited by 28 publications

References 16 publications

Cultural and linguistic validation of the NHQ-2 Questionnaire: a specific instrument for assessing patient’s usability of inhalation devices

Cultural and linguistic validation of the NHQ-2 Questionnaire: a specific instrument for assessing patient’s usability of inhalation devices

Development of a questionnaire to assess patient satisfaction with allergen-specific immunotherapy in adults: item generation, item reduction, and preliminary validation

Dry-powder inhalers in patients with persistent airflow limitation: usability and preference

Contact Info

Product

Resources

About