Inability of Physicians to Use Metered-Dose Inhalers
The effectiveness of antiasthmatic therapy with metered-dose inhalers (MDIs) is usually limited by defective inhalational technique. This study surveyed the MDI inhalation performance and knowledge of 100 physicians whose performance (demarcated into six stages) and knowledge scores correlated (r =...
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| Veröffentlicht in: | The Journal of asthma 1997, Vol.34 (6), p.493-498 |
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| container_end_page | 498 |
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| container_issue | 6 |
| container_start_page | 493 |
| container_title | The Journal of asthma |
| container_volume | 34 |
| creator | Tsang, Kenneth W. T. Lam, Wah-kit Ip, Mary Kou, Maybelle Yam, Loretta Lam, Bing Cheung, Man-tak Lauder, Ian J. Kumana, Cyrus R. |
| description | The effectiveness of antiasthmatic therapy with metered-dose inhalers (MDIs) is usually limited by defective inhalational technique. This study surveyed the MDI inhalation performance and knowledge of 100 physicians whose performance (demarcated into six stages) and knowledge scores correlated (r = 0.33, p < 0.001). Inhalation performance scores for shaking the canister, full expiration prior to using the MDI, breath holding thereafter, and positioning of the mouthpiece correlated with their corresponding knowledge scores (p ≤ 0.02). Training of physicians entailing actual instruction and supervision of inhalational maneuvers may enhance the ability of doctors to use MDIs and facilitate better patient supervision. |
| doi_str_mv | 10.3109/02770909709055393 |
| format | Article |
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T. ; Lam, Wah-kit ; Ip, Mary ; Kou, Maybelle ; Yam, Loretta ; Lam, Bing ; Cheung, Man-tak ; Lauder, Ian J. ; Kumana, Cyrus R.</creator><creatorcontrib>Tsang, Kenneth W. T. ; Lam, Wah-kit ; Ip, Mary ; Kou, Maybelle ; Yam, Loretta ; Lam, Bing ; Cheung, Man-tak ; Lauder, Ian J. ; Kumana, Cyrus R.</creatorcontrib><description>The effectiveness of antiasthmatic therapy with metered-dose inhalers (MDIs) is usually limited by defective inhalational technique. This study surveyed the MDI inhalation performance and knowledge of 100 physicians whose performance (demarcated into six stages) and knowledge scores correlated (r = 0.33, p < 0.001). Inhalation performance scores for shaking the canister, full expiration prior to using the MDI, breath holding thereafter, and positioning of the mouthpiece correlated with their corresponding knowledge scores (p ≤ 0.02). Training of physicians entailing actual instruction and supervision of inhalational maneuvers may enhance the ability of doctors to use MDIs and facilitate better patient supervision.</description><identifier>ISSN: 0277-0903</identifier><identifier>EISSN: 1532-4303</identifier><identifier>DOI: 10.3109/02770909709055393</identifier><identifier>PMID: 9428295</identifier><identifier>CODEN: JOUADU</identifier><language>eng</language><publisher>New York, NY: Informa UK Ltd</publisher><subject>Administration, Inhalation ; Adult ; Aerosol ; Anti-Asthmatic Agents - administration & dosage ; Anti-Asthmatic Agents - therapeutic use ; Asthma ; Asthma - drug therapy ; Biological and medical sciences ; Clinical Competence ; Female ; Humans ; Knowledge ; Male ; Medical sciences ; Metered-dose inhalers ; Nebulizers and Vaporizers ; Pharmacology. Drug treatments ; Physician's Role ; Physicians ; Respiratory system ; Surveys and Questionnaires</subject><ispartof>The Journal of asthma, 1997, Vol.34 (6), p.493-498</ispartof><rights>1997 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1997</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-1710c65dfa1e2550bf7e48ba9643a303ed0bcb049351e0025332cd4df4ffbb2b3</citedby><cites>FETCH-LOGICAL-c399t-1710c65dfa1e2550bf7e48ba9643a303ed0bcb049351e0025332cd4df4ffbb2b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.3109/02770909709055393$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.3109/02770909709055393$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,780,784,4024,27923,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2101960$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9428295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsang, Kenneth W. T.</creatorcontrib><creatorcontrib>Lam, Wah-kit</creatorcontrib><creatorcontrib>Ip, Mary</creatorcontrib><creatorcontrib>Kou, Maybelle</creatorcontrib><creatorcontrib>Yam, Loretta</creatorcontrib><creatorcontrib>Lam, Bing</creatorcontrib><creatorcontrib>Cheung, Man-tak</creatorcontrib><creatorcontrib>Lauder, Ian J.</creatorcontrib><creatorcontrib>Kumana, Cyrus R.</creatorcontrib><title>Inability of Physicians to Use Metered-Dose Inhalers</title><title>The Journal of asthma</title><addtitle>J Asthma</addtitle><description>The effectiveness of antiasthmatic therapy with metered-dose inhalers (MDIs) is usually limited by defective inhalational technique. This study surveyed the MDI inhalation performance and knowledge of 100 physicians whose performance (demarcated into six stages) and knowledge scores correlated (r = 0.33, p < 0.001). Inhalation performance scores for shaking the canister, full expiration prior to using the MDI, breath holding thereafter, and positioning of the mouthpiece correlated with their corresponding knowledge scores (p ≤ 0.02). Training of physicians entailing actual instruction and supervision of inhalational maneuvers may enhance the ability of doctors to use MDIs and facilitate better patient supervision.</description><subject>Administration, Inhalation</subject><subject>Adult</subject><subject>Aerosol</subject><subject>Anti-Asthmatic Agents - administration & dosage</subject><subject>Anti-Asthmatic Agents - therapeutic use</subject><subject>Asthma</subject><subject>Asthma - drug therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical Competence</subject><subject>Female</subject><subject>Humans</subject><subject>Knowledge</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metered-dose inhalers</subject><subject>Nebulizers and Vaporizers</subject><subject>Pharmacology. Drug treatments</subject><subject>Physician's Role</subject><subject>Physicians</subject><subject>Respiratory system</subject><subject>Surveys and Questionnaires</subject><issn>0277-0903</issn><issn>1532-4303</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMotVZ_gAthFm5Hb14zDbqR-ipUdGHXQ5JJmCnTSUmmlPn3prQWROgmITnnu5x7ELrGcEcxiHsgeQ4CxPbgnAp6goaYU5IyCvQUDbd6GjV6ji5CWADED8gGaCAYGRPBh4hNW6nqpu76xNnkq-pDrWvZhqRzyTyY5MN0xpsyfXbxMW0r2RgfLtGZlU0wV_t7hOavL9-T93T2-TadPM1STYXoUpxj0BkvrcSGcA7K5oaNlRQZozIGNCUorYAJyrGJ0TilRJestMxapYiiI4R3c7V3IXhji5Wvl9L3BYZiW0Dxr4DI3OyY1VotTXkg9htH_Xavy6BlY71sdR0ONoIBiwyi7XFnq1vr_FJunG_KopN94_wvQ4-lePiDV0Y2XaWlN8XCrX0bWzuyww8fqoai</recordid><startdate>1997</startdate><enddate>1997</enddate><creator>Tsang, Kenneth W. T.</creator><creator>Lam, Wah-kit</creator><creator>Ip, Mary</creator><creator>Kou, Maybelle</creator><creator>Yam, Loretta</creator><creator>Lam, Bing</creator><creator>Cheung, Man-tak</creator><creator>Lauder, Ian J.</creator><creator>Kumana, Cyrus R.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Informa Healthcare</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>1997</creationdate><title>Inability of Physicians to Use Metered-Dose Inhalers</title><author>Tsang, Kenneth W. T. ; Lam, Wah-kit ; Ip, Mary ; Kou, Maybelle ; Yam, Loretta ; Lam, Bing ; Cheung, Man-tak ; Lauder, Ian J. ; Kumana, Cyrus R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-1710c65dfa1e2550bf7e48ba9643a303ed0bcb049351e0025332cd4df4ffbb2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Administration, Inhalation</topic><topic>Adult</topic><topic>Aerosol</topic><topic>Anti-Asthmatic Agents - administration & dosage</topic><topic>Anti-Asthmatic Agents - therapeutic use</topic><topic>Asthma</topic><topic>Asthma - drug therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical Competence</topic><topic>Female</topic><topic>Humans</topic><topic>Knowledge</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metered-dose inhalers</topic><topic>Nebulizers and Vaporizers</topic><topic>Pharmacology. Drug treatments</topic><topic>Physician's Role</topic><topic>Physicians</topic><topic>Respiratory system</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsang, Kenneth W. T.</creatorcontrib><creatorcontrib>Lam, Wah-kit</creatorcontrib><creatorcontrib>Ip, Mary</creatorcontrib><creatorcontrib>Kou, Maybelle</creatorcontrib><creatorcontrib>Yam, Loretta</creatorcontrib><creatorcontrib>Lam, Bing</creatorcontrib><creatorcontrib>Cheung, Man-tak</creatorcontrib><creatorcontrib>Lauder, Ian J.</creatorcontrib><creatorcontrib>Kumana, Cyrus R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The Journal of asthma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsang, Kenneth W. T.</au><au>Lam, Wah-kit</au><au>Ip, Mary</au><au>Kou, Maybelle</au><au>Yam, Loretta</au><au>Lam, Bing</au><au>Cheung, Man-tak</au><au>Lauder, Ian J.</au><au>Kumana, Cyrus R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inability of Physicians to Use Metered-Dose Inhalers</atitle><jtitle>The Journal of asthma</jtitle><addtitle>J Asthma</addtitle><date>1997</date><risdate>1997</risdate><volume>34</volume><issue>6</issue><spage>493</spage><epage>498</epage><pages>493-498</pages><issn>0277-0903</issn><eissn>1532-4303</eissn><coden>JOUADU</coden><abstract>The effectiveness of antiasthmatic therapy with metered-dose inhalers (MDIs) is usually limited by defective inhalational technique. This study surveyed the MDI inhalation performance and knowledge of 100 physicians whose performance (demarcated into six stages) and knowledge scores correlated (r = 0.33, p < 0.001). Inhalation performance scores for shaking the canister, full expiration prior to using the MDI, breath holding thereafter, and positioning of the mouthpiece correlated with their corresponding knowledge scores (p ≤ 0.02). Training of physicians entailing actual instruction and supervision of inhalational maneuvers may enhance the ability of doctors to use MDIs and facilitate better patient supervision.</abstract><cop>New York, NY</cop><pub>Informa UK Ltd</pub><pmid>9428295</pmid><doi>10.3109/02770909709055393</doi><tpages>6</tpages></addata></record> |
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| ispartof | The Journal of asthma, 1997, Vol.34 (6), p.493-498 |
| issn | 0277-0903 1532-4303 |
| language | eng |
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| source | MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Administration, Inhalation Adult Aerosol Anti-Asthmatic Agents - administration & dosage Anti-Asthmatic Agents - therapeutic use Asthma Asthma - drug therapy Biological and medical sciences Clinical Competence Female Humans Knowledge Male Medical sciences Metered-dose inhalers Nebulizers and Vaporizers Pharmacology. Drug treatments Physician's Role Physicians Respiratory system Surveys and Questionnaires |
| title | Inability of Physicians to Use Metered-Dose Inhalers |
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