Effectiveness of Various Methods of Teaching Proper Inhaler Technique
| Autor: | Jamie L. Fairclough, Seena L. Haines, Samantha Axtell |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
COPD
medicine.medical_specialty business.industry Inhaler Teaching method Psychological intervention medicine.disease 03 medical and health sciences 0302 clinical medicine 030228 respiratory system medicine Physical therapy Pharmacology (medical) 030212 general & internal medicine business Health fairs Patient education Asthma |
| Zdroj: | Journal of Pharmacy Practice. 30:195-201 |
| ISSN: | 1531-1937 0897-1900 |
| DOI: | 10.1177/0897190016628961 |
| Popis: | Objective: To compare the effectiveness of 4 different instructional interventions in training proper inhaler technique. Design: Randomized, noncrossover trial. Setting: Health fair and indigent clinic. Participants: Inhaler-naive adult volunteers who spoke and read English. Interventions: Subjects were assigned to complete the following: (1) read a metered dose inhaler (MDI) package insert pamphlet, (2) watch a Centers for Disease Control and Prevention (CDC) video demonstrating MDI technique, (3) watch a YouTube video demonstrating MDI technique, or (4) receive direct instruction of MDI technique from a pharmacist. Primary Outcome: Inhaler use competency (completion of all 7 prespecified critical steps). Results: Of the 72 subjects, 21 (29.2%) demonstrated competent inhaler technique. A statistically significant difference between pharmacist direct instruction and the remaining interventions, both combined ( P < .0001) and individually ( P ≤ .03), was evident. No statistically significant difference was detected among the remaining 3 intervention groups. Critical steps most frequently omitted or improperly performed were exhaling before inhalation and holding of breath after inhalation. Conclusion: A 2-minute pharmacist counseling session is more effective than other interventions in successfully educating patients on proper inhaler technique. Pharmacists can play a pivotal role in reducing the implications of improper inhaler use. |
| Databáze: | OpenAIRE |
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