Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study
Abstract Background Incorrect use of inhalers among asthma and COPD patients is very prevalent. Yet, no single intervention is considered standard of care. We aimed to conduct a COPD-specific investigation of active one-on-one coaching as the educational intervention to improve pressurized metered d...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-08-01
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| Series: | BMC Pulmonary Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12890-021-01627-y |
| _version_ | 1819066288643768320 |
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| author | Jin Sun Kim Nader Hashweh Hannah Li Salik Choudhary Sadashiv Santosh Edward Charbek |
| author_facet | Jin Sun Kim Nader Hashweh Hannah Li Salik Choudhary Sadashiv Santosh Edward Charbek |
| author_sort | Jin Sun Kim |
| collection | DOAJ |
| description | Abstract Background Incorrect use of inhalers among asthma and COPD patients is very prevalent. Yet, no single intervention is considered standard of care. We aimed to conduct a COPD-specific investigation of active one-on-one coaching as the educational intervention to improve pressurized metered dose inhaler (pMDI) technique and COPD symptoms management. Methods COPD patients who have pMDI in their treatment regimen were enrolled in this prospective study using the Global Initiative for Chronic Obstructive Lung Disease criteria. After rapid cognitive screen, inhaler technique was assessed and an active one-on-one coaching was provided utilizing the 12-step American Thoracic Society instructions. Patients’ inhaler technique was assessed and scored again at their regular follow-up visits. Results One hundred and one patients participated in the study. The percentage of pMDI misuse decreased from 43.5% pre-teaching to 12.9% post-teaching (binomial test p value < 0.001). The mean number of errors decreased from 3.1 errors pre-teaching to 1.7 errors post-teaching (paired t-test p value < 0.001). The number needed to treat was 3.3 patients to prevent one misuse. Patients with an impaired cognitive function were more likely to have inhaler misuse in general and less likely to improve their technique when provided training. Conclusions This study reveals that many COPD patients have incorrect pMDI techniques that can be improved with a short training in the clinic. Trial Registration : Not applicable. |
| first_indexed | 2024-12-21T15:59:59Z |
| format | Article |
| id | doaj.art-a77d66a2986f4bccacb8179d07a6d69f |
| institution | Directory Open Access Journal |
| issn | 1471-2466 |
| language | English |
| last_indexed | 2024-12-21T15:59:59Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj.art-a77d66a2986f4bccacb8179d07a6d69f2022-12-21T18:58:01ZengBMCBMC Pulmonary Medicine1471-24662021-08-012111710.1186/s12890-021-01627-yEffectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical studyJin Sun Kim0Nader Hashweh1Hannah Li2Salik Choudhary3Sadashiv Santosh4Edward Charbek5Division of Pulmonary, Critical Care and Sleep Medicine, Saint Louis University School of MedicineDivision of Pulmonary, Critical Care and Sleep Medicine, Saint Louis University School of MedicineDivision of Pulmonary, Critical Care and Sleep Medicine, Saint Louis University School of MedicineDivision of Pulmonary, Critical Care and Sleep Medicine, Saint Louis University School of MedicineDivision of Pulmonary, Critical Care and Sleep Medicine, Saint Louis University School of MedicineDivision of Pulmonary, Critical Care and Sleep Medicine, Saint Louis University School of MedicineAbstract Background Incorrect use of inhalers among asthma and COPD patients is very prevalent. Yet, no single intervention is considered standard of care. We aimed to conduct a COPD-specific investigation of active one-on-one coaching as the educational intervention to improve pressurized metered dose inhaler (pMDI) technique and COPD symptoms management. Methods COPD patients who have pMDI in their treatment regimen were enrolled in this prospective study using the Global Initiative for Chronic Obstructive Lung Disease criteria. After rapid cognitive screen, inhaler technique was assessed and an active one-on-one coaching was provided utilizing the 12-step American Thoracic Society instructions. Patients’ inhaler technique was assessed and scored again at their regular follow-up visits. Results One hundred and one patients participated in the study. The percentage of pMDI misuse decreased from 43.5% pre-teaching to 12.9% post-teaching (binomial test p value < 0.001). The mean number of errors decreased from 3.1 errors pre-teaching to 1.7 errors post-teaching (paired t-test p value < 0.001). The number needed to treat was 3.3 patients to prevent one misuse. Patients with an impaired cognitive function were more likely to have inhaler misuse in general and less likely to improve their technique when provided training. Conclusions This study reveals that many COPD patients have incorrect pMDI techniques that can be improved with a short training in the clinic. Trial Registration : Not applicable.https://doi.org/10.1186/s12890-021-01627-yCOPD patientsInhaler techniqueOne-on-one coachingEducational interventionpMDI |
| spellingShingle | Jin Sun Kim Nader Hashweh Hannah Li Salik Choudhary Sadashiv Santosh Edward Charbek Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study BMC Pulmonary Medicine COPD patients Inhaler technique One-on-one coaching Educational intervention pMDI |
| title | Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study |
| title_full | Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study |
| title_fullStr | Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study |
| title_full_unstemmed | Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study |
| title_short | Effectiveness of one-on-one coaching in improving pressurized metered dose inhaler (pMDI) technique among COPD patients: a prospective clinical study |
| title_sort | effectiveness of one on one coaching in improving pressurized metered dose inhaler pmdi technique among copd patients a prospective clinical study |
| topic | COPD patients Inhaler technique One-on-one coaching Educational intervention pMDI |
| url | https://doi.org/10.1186/s12890-021-01627-y |
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