Mobile device: a useful tool to teach inhaler devices to healthcare professionals. (Preprint)

2020 ◽  
Author(s):  
Ser Hon Puah ◽  
Chee Yen Goh ◽  
Chung Leung Chan ◽  
Amy Kui Jie Teoh ◽  
Hao Zhang ◽  
...  
Keyword(s):  
Nursing Students ◽  
Mobile Devices ◽  
Mobile Device ◽  
Healthcare Professionals ◽  
Airway Disease ◽  
Obstructive Airway Disease ◽  
Inhaler Technique ◽  
Inhaler Device ◽  
Correct Usage ◽  
Inhaler Devices

BACKGROUND Proper inhaler device usage is paramount for control of underlying obstructive airway disease. Hence, education to healthcare professionals who will eventually educate patients need to be done effectively. OBJECTIVE We developed an application for mobile devices for education on medical inhaler devices and studied if there were any difference between the application and the manufacturer’s instructions on inhaler technique. METHODS Participants, who were nursing students, were randomized to learn the inhaler devices via the manufacturer’s instruction guide or a mobile device app designed specifically for education on inhaler devices. RESULTS There were 45 participants in each group. 78% of them were females with a median age of 21 (IQR 3). 67% used an Apple mobile device and the remainder used an Android device. Both interventions showed improvement in total scores for demonstrating the correct usage of all inhaler devices. The mobile device showed better total improvement points for the Turbuhaler device (262 vs 287 points; P=0.02). Participants learning from the manufacturer’s guide had a significantly higher total improvement points in the Breezhaler (370 vs 327 points; P<0.01) and Ellipta (214 vs 174 points; P<0.01) device. The app was well received and scored of 4.42 of 5 with regards to its quality. CONCLUSIONS Using a mobile inhaler app is just as effective to teach inhaler device techniques to healthcare professionals and is likely a more convenient, versatile and important adjunct to learning.

scholarly journals Confidence of nurses with inhaler device education and competency of device use in a specialised respiratory inpatient unit

2021 ◽  
Vol 18 ◽  
pp. 147997312110022
Author(s):  
Vinita Swami ◽  
Jin-Gun Cho ◽  
Tracy Smith ◽  
John Wheatley ◽  
Mary Roberts
Keyword(s):  
Cross Sectional Study ◽  
Inpatient Unit ◽  
Strongly Correlated ◽  
Inhaler Technique ◽  
Sectional Study ◽  
Cross Sectional ◽  
Inhaler Device ◽  
The Mean ◽  
Device Use ◽  
Inhaler Devices

We performed a cross-sectional study within a specialised respiratory inpatient unit assessing 25 nurses’ [85% female, 8.0 ± 7.9 (mean ± SD) years’ experience in nursing] confidence in providing inhaler device education using a self-reported questionnaire, and their competency (% correct steps) in using eight different inhaler devices. Sixteen percent of participants were ‘not confident’ providing inhaler education, while 84% were ‘moderately’ or ‘extremely’ confident. The mean (±SD)% correct steps for all devices was 47 ± 17%. There was no correlation between % correct steps and nursing years (r = 0.21, p = 0.31), or ‘confidence’ with providing inhaler education (r = 0.02, p = 0.91) but % correct steps strongly correlated with number of individual device prescriptions within the hospital in the preceding year (r = 0.78, p = 0.039). Most respiratory nurses felt confident in teaching inhaler technique but their overall demonstrated ability to correctly use inhalers was poor, especially for less frequently prescribed devices within our hospital. Regular assessment and ongoing education on correct inhaler technique for respiratory nurses is necessary to optimise all device usage by nurses, irrespective of experience or confidence.

scholarly journals A study on effectiveness and progress outcomes of educational inhaler technique intervention in asthma and COPD patients

2019 ◽  
Vol 9 (2) ◽  
pp. 170-179
Author(s):  
R Bhavana ◽  
R Suchithra ◽  
Manupati Thejaswini ◽  
Gundlapalli Harish Kumar ◽  
Dev Apoorva
Keyword(s):  
Success Factors ◽  
Pharmacist Intervention ◽  
Inhaler Technique ◽  
Face To Face ◽  
Copd Patients ◽  
Correct Usage ◽  
Inhaler Devices ◽  
Keywords Asthma

Aim: A study on effectiveness and success factors of educational inhaler technique intervention in asthma and COPD. Objectives: To identify the percentage of common errors done by people who use inhalers. To identify the risk factors associated with asthma and COPD. Method: Data was collected from the subject’s face to face interview in a community setup and the lung capacities were measured using spirometer and peak flow meter; the values were noted and the subjects were asked to demonstrate their inhaler technique using placebo inhalers; numbers of correct and incorrect steps were noted. After a period of one month; the subjects were taken to follow up and measured the lung capacities and checked the inhaler steps; number of correct and incorrect steps were noted. Results: A total of 572 samples were collected and 500 were followed up, in which 300 had Asthma and 200 had COPD. Out of which 189 were female and 311 were male. Low education level was the single most important factor leading to incorrect technique. Formal training resulted in a statistically significant increase in the percentage of correct techniques for all the devices. For pMDI (54.01% vs. 91.03%, *p=0.005 before & after training respectively). For pMDI+Spacer (52.75% vs. 94.85%, *p=0.007 before & after training respectively). For Accuhaler (54.07% vs. 91.27%, *p=0.017 before & after training respectively). For Rotahaler (63.94 vs. 98.64%. *p=0.029 before & after training respectively). For Nebuliser (56.97% vs. 91.88%, *p=0.001 before & after training respectively. Conclusion: Proper education to patients on correct usage may not only improve control of the symptoms of the disease but might also allow dose reduction in long term. The number of subjects doing correct steps gradually increased after the pharmacist led intervention. Thus, proper counselling for the inhaler use in patients must be encouraged as it is directly linked to the quality of life of patient. Keywords: Asthma and COPD control inhaler devices, inhaler technique, pharmacist intervention, inhaler education.

scholarly journals Correcting inhaler technique decreases severity of obstruction and improves quality of life among patients with obstructive airway disease

2019 ◽  
Vol 8 (1) ◽  
pp. 246
Author(s):  
AlkeshKumar Khurana ◽  
Kapil Dubey ◽  
Abhishek Goyal ◽  
KamendraSingh Pawar ◽  
Chaiti Phulwaria ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Airway Disease ◽  
Obstructive Airway Disease ◽  
Inhaler Technique

scholarly journals Critical inhaler technique errors in Swedish patients with COPD: a cross-sectional study analysing video-recorded demonstrations

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Johanna Sulku ◽  
Kristina Bröms ◽  
Marieann Högman ◽  
Christer Janson ◽  
Karin Lisspers ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Inhaler Technique ◽  
Cross Sectional ◽  
Obstructive Pulmonary Disease ◽  
Inhaler Device ◽  
Device Model ◽  
Copd Patients ◽  
Critical Error ◽  
Inhaler Devices

AbstractA correct use of inhaler devices is essential in chronic obstructive pulmonary disease (COPD) treatment. Critical errors were studied by analysing 659 video-recorded demonstrations of inhaler technique from 364 COPD patients using six different inhaler device models. The majority of the included patients used two (55%) or more (20%) device models. Overall, 66% of the patients made ≥1 critical error with at least one device model. The corresponding numbers for patients using 1, 2 and ≥3 device models were 43%, 70% and 86%, respectively. The only factor associated with making ≥1 critical error was simultaneous use of two (adjusted odds ratios (aOR) 3.17, 95% confidence interval (95% CI) 1.81, 5.64) or three or more (aOR 8.97, 95% CI 3.93, 22.1) device models. In conclusion, the proportion of patients making critical errors in inhaler technique was substantial, particularly in those using several different device models. To obtain optimal COPD treatment, it is important to assess a patient’s inhaler technique and to minimise the number of inhaler device models.

scholarly journals A study to investigate the prevalence of device specific errors in inhaler technique in adults with airway disease (The SCORES Study): Protocol for a prevalence study (Preprint)

2020 ◽  
Author(s):  
Ruth De Vos ◽  
Thomas Brown ◽  
Jayne Longstaff ◽  
Hitasha Rupani ◽  
Alexander Hicks ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Therapeutic Effect ◽  
Healthcare Professionals ◽  
Airway Disease ◽  
Error Rates ◽  
Inhaler Technique ◽  
Inclusion Criteria ◽  
Error Frequency ◽  
Future Work

BACKGROUND It is a recurring theme in clinical practice that patients using inhaled medications via an inhaler do not use their device to a standard that allows for optimum therapeutic effect; with some studies showing that up to 90% of people do not use their inhalers properly. Observation and correction of inhaler technique by healthcare professionals is advised in both national and international guidelines and should be performed at every opportunity to ensure that the optimum inhaler technique is being achieved by the user. This study will deliver greater understanding of which technique errors are made most frequently by people using 13 different inhaler types. OBJECTIVE This study aims to identify and compare inhaler technique errors and their prevalence in adults, using device-specific checklists using manufacturers’ guidelines, for 13 specific inhaler types across all lung conditions and to correlate these errors with possible determinants of poor technique. It also aims to assess the error frequency at each step in the device-specific questionnaires and compare error rates between device types. METHODS In a single visit, participants using an inhaler included in the inclusion criteria will have their inhaler technique observed, recorded using device-specific checklists and then optimised. RESULTS The study is already underway, and it is anticipated that the results will be available by 2021. CONCLUSIONS The SCORES Study will ascertain the prevalence of device-specific inhaler technique errors at each step in the device-specific checklists, compare error rates between 13 device types and correlate these errors with possible determinants of poor technique. Future work will involve the clarification and classification of these errors into ‘critical’ and ‘non-critical’ categories. CLINICALTRIAL ClinicalTrials.gov; NCT04262271 https://clinicaltrials.gov/ct2/show/NCT04262271?term=NCT04262271&draw=2&rank=1

Obstructive airway disease associated with heterozygous alpha-1 antitrypsin deficiency

1976 ◽  
Vol 58 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Thomas F. Johnson ◽  
Robert E. Reisman ◽  
Carl E. Arbesman ◽  
Adel G. Mattar ◽  
Willam H. Murphey
Keyword(s):  
Airway Disease ◽  
Obstructive Airway Disease ◽  
Antitrypsin Deficiency ◽  
Alpha 1 Antitrypsin Deficiency ◽  
Alpha 1 Antitrypsin

scholarly journals Dendritic Cell Maturity and Obstructive Airway Disease

2007 ◽  
Vol 176 (8) ◽  
pp. 833-834 ◽  
Author(s):  
Ingel K. Demedts ◽  
Guy F. Joos ◽  
Guy G. Brusselle
Keyword(s):  
Dendritic Cell ◽  
Airway Disease ◽  
Obstructive Airway Disease
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