Face-to-face Training as an Effective Approach for Instructing Rotahaler Technique in Newly Diagnosed Cases of Asthma and COPD: a Pilot Study
DOI:
https://doi.org/10.31729/jnma.2780Keywords:
asthma; COPD; face-to-face training; inhaler technique; pharmacist.Abstract
Introduction: This study aimed to evaluate the effectiveness of face-to-face training for instructing rotahaler technique in newly diagnosed cases of asthma and chronic obstructive pulmonary disease.
Methods: A hospital-based study was conducted on twenty patients who were prescribed rotahaler for the first time. Patients received face-to-face training on rotahaler technique from pharmacist using GINA guidelines. The patients rotahaler technique was assessed after two weeks of training and scored one for correct and zero for incorrect steps. Descriptive statistics was performed.
Results: The mean age of the study population was 48.85±20.49 years. Eleven (55%) patients were females and 13 (65%) were formally uneducated. Fourteen patients (70%) were able to perform all the steps correctly giving overall median score of 8 (7-8).
Conclusions: Face-to-face training seems to be effective approach for instructing rotahaler technique in asthma and COPD patients.
Keywords: asthma; COPD; face-to-face training; inhaler technique; pharmacist.
References
the last fifty years Prim Care Respir J. 2006;15(6):326-31.
2. Cochrane MG, Bala MV, Downs KE, Mauskopf J, Ben-
Joseph RH. Inhaled corticosteroids for asthma therapy.
Patient compliance, devices and inhalation technique. Chest.
2000;117(2):542–50.
3. Lavorini F, Magnan A, Dubus JC, Voshaar T, Corbetta L,
Broeders M, et al. Effect of incorrect use of dry powder
inhalers on management of patients with asthma and COPD.
Respir Med. 2008;102(4):593-604.
4. Molimard M, Raherison C, Lignot S, Depont F, Abouelfath A,
Moore N. Assessment of handling of inhaler devices in real
life: an observational study in 3811 patients in primary care. J
Aerosol Med. 2003;16(3):249–54.
5. Self TH, Brooks JB, Lieberman P, Ryan MR. The value of
demonstration and role of the pharmacist in teaching the
correct use of pressurized bronchodilators. Can Med Assoc
J. 1983;128(2):129–31.
6. Shrestha S, Sapkota B, Ghimirey A, Shakya R. Impact of
counselling in inhalation technique (rotahaler) in chronic
obstructive pulmonary disease patients. Int J Pharm. 2013;
3(3):442-9.
7. Global Initiative for Asthma (GINA) [. Instruction for inhaler
and Spacer use [online]. (Cited 2014 Oct 7). Available at:
http://www.ginasthma.org/local/uploads/content/files/
inhaler_charts_2011.pdf.
8. Graham LE. The Ineffective Use of Inhalers in Chronic
Obstructive Pulmonary Disease. J Inst Med. 2001;23:22-4.
9. Broeders ME, Molema J, Hop WC, Folgering HT. Inhalation
profiles in asthmatics and COPD patients: reproducibility
and effect of instruction. J Aerosol Med. 2003;16(2):131–41.
10. Giner J, Macian V, Hernandez C; Grupo EDEN. Multicenter
prospective study of respiratory patient education and
instruction in the use of inhalers (EDEN Study). Arch
Bronconeumol. 2002;38(7):300–5.
11. Hammerlein A, Muller U, Schulz M. Pharmacist-led
intervention study to improve inhalation technique in asthma
and COPD patients. J Eval Clin Pract. 2011;17(1):61-70.
Downloads
Published
How to Cite
Issue
Section
License
JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.
