Article ; Online: Effectiveness of inhalation technique assessment service for patients with Respimat® inhaler.
Pulmonary pharmacology & therapeutics
2021 Volume 71, Page(s) 102077
Abstract: Objectives: The objective of this study was to examine how Inhalation Technique Assessment Service (ITAS) by community pharmacies affect patients' inhalation techniques when using the Respimat® soft mist inhaler. The inhaler was simultaneously updated ... ...
| Abstract | Objectives: The objective of this study was to examine how Inhalation Technique Assessment Service (ITAS) by community pharmacies affect patients' inhalation techniques when using the Respimat® soft mist inhaler. The inhaler was simultaneously updated into a reusable inhaler. The study focused on the Respimat® inhaler because its use is known to be challenging for patients. Methods: The study was performed as a pre-post design in 33 community pharmacies (CPs) in Finland. Patients' inhalation technique was assessed before ITAS (baseline) and immediately after ITAS (follow-up 1). Follow-up 2 was performed when the patient came to the pharmacy for a refill (1-3 months after the baseline and the follow-up 1). A Respimat specific twenty item checklist was used to assess inhalation technique. The checklist included 1) preparation steps before the first use of the Respimat® inhaler (8 items) and 2) daily use steps of the Respimat® inhaler (12 items). After ITAS, the patients received a brief questionnaire to assess their asthma/COPD history. Results: A total of 228 patients were enrolled at the first visit (mean age 67.8 years, 61.0% female, 85.5% had previous Respimat® use experience) and 42 of them attended the follow-up 2, 1-3 months later (mean age 70.1 years, 69.0% female, 92.9% had previous Respimat® use experience. The median number of the steps performed correctly increased from 17/20 at the baseline to all the 20 steps at the follow-up 1 (p < 0.001). At the baseline, 27.6% of the patients (n = 228) performed all preparation steps correctly, while 87.3% at the follow-up 1 and 71.4% at the follow-up 2. The percentage of the patients with acceptable inhalation technique (all critical daily use steps correct) increased from 69.7% at the baseline to 93.0% at the follow-up 1 (p < 0.001). The corresponding figure at the follow-up 2 was 69.0%. At the baseline, 30.3% of patients had optimal inhalation technique (all daily use steps correct). At the follow-up 1 corresponding figure was 85.1%, and 54.8% at the follow-up 2. Conclusions: A pharmacist-led intervention significantly improved asthma and COPD patients' inhalation technique with the Respimat® inhaler. Significant improvements were found in the daily use steps and the preparation steps before the first use. |
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| MeSH term(s) | Administration, Inhalation ; Aged ; Asthma/drug therapy ; Bronchodilator Agents/therapeutic use ; Female ; Humans ; Male ; Nebulizers and Vaporizers ; Pulmonary Disease, Chronic Obstructive/drug therapy |
| Chemical Substances | Bronchodilator Agents |
| Language | English |
| Publishing date | 2021-09-15 |
| Publishing country | England |
| Document type | Journal Article |
| ZDB-ID | 1399707-5 |
| ISSN | 1522-9629 ; 1094-5539 |
| ISSN (online) | 1522-9629 |
| ISSN | 1094-5539 |
| DOI | 10.1016/j.pupt.2021.102077 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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