Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial
Aim: To investigate the effects of inhaler device technique education on improving inhaler technique in older people with asthma. Methods: In a randomised controlled trial, device technique education was provided to a sample of 123 adults aged >55 years who had a doctor diagnosis of asthma. The a...
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| Veröffentlicht in: | NPJ primary care respiratory medicine 2014-09, Vol.24 (1), p.14034-14034, Article 14034 |
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| creator | Crane, Melanie A Jenkins, Christine R Goeman, Dianne P Douglass, Jo A |
| description | Aim:
To investigate the effects of inhaler device technique education on improving inhaler technique in older people with asthma.
Methods:
In a randomised controlled trial, device technique education was provided to a sample of 123 adults aged >55 years who had a doctor diagnosis of asthma. The active education group received one-on-one technique coaching, including observation, verbal instruction and physical demonstration at baseline. The passive group received a device-specific instruction pamphlet only. Inhaler technique, including the critical steps for each device type, was assessed and scored according to Australian National Asthma Council (NAC) guidelines. Device technique was scored objectively at baseline and again at 3 and 12 months post education.
Results:
The majority of participants demonstrated poor technique at baseline. Only 11 (21%) of the active intervention group and 7 (16%) of the passive group demonstrated 100% correct technique. By 3 months 26 (48%) of the active group achieved adequate technique. Improvement in technique was observed in the active group at 3 months (
P |
| doi_str_mv | 10.1038/npjpcrm.2014.34 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4373405</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4050696201</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-2093b2bcb2fe72b8fcee4e38d61f910c4019ab04bab3e6107e5ae53ad9116b9c3</originalsourceid><addsrcrecordid>eNp1kcuLFDEQxhtR3GXdszcJePEys5VHvzwIsvhYWPCi55BH9XSGdNIm3QN78083y4zLKHiqgvrlq_ryVdVrClsKvLsJ8342adoyoGLLxbPqkkFdbyhQeH7WX1TXOe8BgLK6bRl7WV2wmnadAH5Z_boLo_KYiMWDM0gWNGNwP1ckRgWikbhpTvGAlrhAoreFVHb1SybLmOK6G8minI-pAGhXoxYXw3syuGBd2GUypDgRRZIKNk4uF8rEsKTofWmX5JR_Vb0YlM94fapX1Y_Pn77fft3cf_tyd_vxfmNEw5YNg55rpo1mA7ZMd4NBFMg729Chp2AE0F5pEFppjg2FFmuFNVe2p7TRveFX1Yej7rzqCa3Bcobyck5uUulBRuXk35PgRrmLByl4ywXUReDdSSDF8j95kcWQQe9VwLhmSesG6rajPSvo23_QfVxTKPYkbbu246LpeKFujpRJMeeEw9MxFORjwPIUsHwMWHJRXrw59_DE_4mzAHAEchmFHaazxf_R_A0ej7a9</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1787834683</pqid></control><display><type>article</type><title>Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central Open Access</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Crane, Melanie A ; Jenkins, Christine R ; Goeman, Dianne P ; Douglass, Jo A</creator><creatorcontrib>Crane, Melanie A ; Jenkins, Christine R ; Goeman, Dianne P ; Douglass, Jo A</creatorcontrib><description>Aim:
To investigate the effects of inhaler device technique education on improving inhaler technique in older people with asthma.
Methods:
In a randomised controlled trial, device technique education was provided to a sample of 123 adults aged >55 years who had a doctor diagnosis of asthma. The active education group received one-on-one technique coaching, including observation, verbal instruction and physical demonstration at baseline. The passive group received a device-specific instruction pamphlet only. Inhaler technique, including the critical steps for each device type, was assessed and scored according to Australian National Asthma Council (NAC) guidelines. Device technique was scored objectively at baseline and again at 3 and 12 months post education.
Results:
The majority of participants demonstrated poor technique at baseline. Only 11 (21%) of the active intervention group and 7 (16%) of the passive group demonstrated 100% correct technique. By 3 months 26 (48%) of the active group achieved adequate technique. Improvement in technique was observed in the active group at 3 months (
P
<0.001) and remained significant at 12 months (
P
<0.001). No statistically significant improvement was observed in the passive group.
Conclusion:
The provision of active device technique education improves device technique in older adults. Passive education alone fails to achieve any improvement in device technique.
Asthma: Improving inhaler technique in older adults
Individual coaching rather than written information is important to improve the inhaler technique of older adults with asthma. Management of asthma symptoms requires the correct use of inhalers to administer drugs effectively but many people with asthma, particularly those who are older, do not use their inhalers properly. In an Australian study, Melanie Crane and colleagues showed that in 123 adults with asthma over age 55, most did not demonstrate correct inhaler technique. Participants who then received one-on-one coaching on proper inhaler use improved their technique while those who received only passive education via an instructional booklet showed no improvement in technique. The findings suggest that active teaching of inhaler use is necessary to achieve proper inhaler technique in older adults.</description><identifier>ISSN: 2055-1010</identifier><identifier>EISSN: 2055-1010</identifier><identifier>DOI: 10.1038/npjpcrm.2014.34</identifier><identifier>PMID: 25188403</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/249/2510/31 ; 692/700/1719 ; 692/700/565 ; Aged ; Aged, 80 and over ; Asthma - drug therapy ; Bronchodilator Agents - administration & dosage ; Female ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nebulizers and Vaporizers ; Patient Education as Topic ; Pneumology/Respiratory System ; Primary Care Medicine ; Single-Blind Method ; Thoracic Surgery</subject><ispartof>NPJ primary care respiratory medicine, 2014-09, Vol.24 (1), p.14034-14034, Article 14034</ispartof><rights>The Author(s) 2014</rights><rights>Copyright Nature Publishing Group Sep 2014</rights><rights>Copyright © 2014 Primary Care Respiratory Society UK/Macmillan Publishers Limited 2014 Primary Care Respiratory Society UK/Macmillan Publishers Limited</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-2093b2bcb2fe72b8fcee4e38d61f910c4019ab04bab3e6107e5ae53ad9116b9c3</citedby><cites>FETCH-LOGICAL-c462t-2093b2bcb2fe72b8fcee4e38d61f910c4019ab04bab3e6107e5ae53ad9116b9c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4373405/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4373405/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25188403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crane, Melanie A</creatorcontrib><creatorcontrib>Jenkins, Christine R</creatorcontrib><creatorcontrib>Goeman, Dianne P</creatorcontrib><creatorcontrib>Douglass, Jo A</creatorcontrib><title>Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial</title><title>NPJ primary care respiratory medicine</title><addtitle>npj Prim Care Resp Med</addtitle><addtitle>NPJ Prim Care Respir Med</addtitle><description>Aim:
To investigate the effects of inhaler device technique education on improving inhaler technique in older people with asthma.
Methods:
In a randomised controlled trial, device technique education was provided to a sample of 123 adults aged >55 years who had a doctor diagnosis of asthma. The active education group received one-on-one technique coaching, including observation, verbal instruction and physical demonstration at baseline. The passive group received a device-specific instruction pamphlet only. Inhaler technique, including the critical steps for each device type, was assessed and scored according to Australian National Asthma Council (NAC) guidelines. Device technique was scored objectively at baseline and again at 3 and 12 months post education.
Results:
The majority of participants demonstrated poor technique at baseline. Only 11 (21%) of the active intervention group and 7 (16%) of the passive group demonstrated 100% correct technique. By 3 months 26 (48%) of the active group achieved adequate technique. Improvement in technique was observed in the active group at 3 months (
P
<0.001) and remained significant at 12 months (
P
<0.001). No statistically significant improvement was observed in the passive group.
Conclusion:
The provision of active device technique education improves device technique in older adults. Passive education alone fails to achieve any improvement in device technique.
Asthma: Improving inhaler technique in older adults
Individual coaching rather than written information is important to improve the inhaler technique of older adults with asthma. Management of asthma symptoms requires the correct use of inhalers to administer drugs effectively but many people with asthma, particularly those who are older, do not use their inhalers properly. In an Australian study, Melanie Crane and colleagues showed that in 123 adults with asthma over age 55, most did not demonstrate correct inhaler technique. Participants who then received one-on-one coaching on proper inhaler use improved their technique while those who received only passive education via an instructional booklet showed no improvement in technique. The findings suggest that active teaching of inhaler use is necessary to achieve proper inhaler technique in older adults.</description><subject>692/699/249/2510/31</subject><subject>692/700/1719</subject><subject>692/700/565</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Asthma - drug therapy</subject><subject>Bronchodilator Agents - administration & dosage</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nebulizers and Vaporizers</subject><subject>Patient Education as Topic</subject><subject>Pneumology/Respiratory System</subject><subject>Primary Care Medicine</subject><subject>Single-Blind Method</subject><subject>Thoracic Surgery</subject><issn>2055-1010</issn><issn>2055-1010</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kcuLFDEQxhtR3GXdszcJePEys5VHvzwIsvhYWPCi55BH9XSGdNIm3QN78083y4zLKHiqgvrlq_ryVdVrClsKvLsJ8342adoyoGLLxbPqkkFdbyhQeH7WX1TXOe8BgLK6bRl7WV2wmnadAH5Z_boLo_KYiMWDM0gWNGNwP1ckRgWikbhpTvGAlrhAoreFVHb1SybLmOK6G8minI-pAGhXoxYXw3syuGBd2GUypDgRRZIKNk4uF8rEsKTofWmX5JR_Vb0YlM94fapX1Y_Pn77fft3cf_tyd_vxfmNEw5YNg55rpo1mA7ZMd4NBFMg729Chp2AE0F5pEFppjg2FFmuFNVe2p7TRveFX1Yej7rzqCa3Bcobyck5uUulBRuXk35PgRrmLByl4ywXUReDdSSDF8j95kcWQQe9VwLhmSesG6rajPSvo23_QfVxTKPYkbbu246LpeKFujpRJMeeEw9MxFORjwPIUsHwMWHJRXrw59_DE_4mzAHAEchmFHaazxf_R_A0ej7a9</recordid><startdate>20140904</startdate><enddate>20140904</enddate><creator>Crane, Melanie A</creator><creator>Jenkins, Christine R</creator><creator>Goeman, Dianne P</creator><creator>Douglass, Jo A</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</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><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140904</creationdate><title>Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial</title><author>Crane, Melanie A ; Jenkins, Christine R ; Goeman, Dianne P ; Douglass, Jo A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-2093b2bcb2fe72b8fcee4e38d61f910c4019ab04bab3e6107e5ae53ad9116b9c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>692/699/249/2510/31</topic><topic>692/700/1719</topic><topic>692/700/565</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Asthma - drug therapy</topic><topic>Bronchodilator Agents - administration & dosage</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nebulizers and Vaporizers</topic><topic>Patient Education as Topic</topic><topic>Pneumology/Respiratory System</topic><topic>Primary Care Medicine</topic><topic>Single-Blind Method</topic><topic>Thoracic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crane, Melanie A</creatorcontrib><creatorcontrib>Jenkins, Christine R</creatorcontrib><creatorcontrib>Goeman, Dianne P</creatorcontrib><creatorcontrib>Douglass, Jo A</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>NPJ primary care respiratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crane, Melanie A</au><au>Jenkins, Christine R</au><au>Goeman, Dianne P</au><au>Douglass, Jo A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial</atitle><jtitle>NPJ primary care respiratory medicine</jtitle><stitle>npj Prim Care Resp Med</stitle><addtitle>NPJ Prim Care Respir Med</addtitle><date>2014-09-04</date><risdate>2014</risdate><volume>24</volume><issue>1</issue><spage>14034</spage><epage>14034</epage><pages>14034-14034</pages><artnum>14034</artnum><issn>2055-1010</issn><eissn>2055-1010</eissn><abstract>Aim:
To investigate the effects of inhaler device technique education on improving inhaler technique in older people with asthma.
Methods:
In a randomised controlled trial, device technique education was provided to a sample of 123 adults aged >55 years who had a doctor diagnosis of asthma. The active education group received one-on-one technique coaching, including observation, verbal instruction and physical demonstration at baseline. The passive group received a device-specific instruction pamphlet only. Inhaler technique, including the critical steps for each device type, was assessed and scored according to Australian National Asthma Council (NAC) guidelines. Device technique was scored objectively at baseline and again at 3 and 12 months post education.
Results:
The majority of participants demonstrated poor technique at baseline. Only 11 (21%) of the active intervention group and 7 (16%) of the passive group demonstrated 100% correct technique. By 3 months 26 (48%) of the active group achieved adequate technique. Improvement in technique was observed in the active group at 3 months (
P
<0.001) and remained significant at 12 months (
P
<0.001). No statistically significant improvement was observed in the passive group.
Conclusion:
The provision of active device technique education improves device technique in older adults. Passive education alone fails to achieve any improvement in device technique.
Asthma: Improving inhaler technique in older adults
Individual coaching rather than written information is important to improve the inhaler technique of older adults with asthma. Management of asthma symptoms requires the correct use of inhalers to administer drugs effectively but many people with asthma, particularly those who are older, do not use their inhalers properly. In an Australian study, Melanie Crane and colleagues showed that in 123 adults with asthma over age 55, most did not demonstrate correct inhaler technique. Participants who then received one-on-one coaching on proper inhaler use improved their technique while those who received only passive education via an instructional booklet showed no improvement in technique. The findings suggest that active teaching of inhaler use is necessary to achieve proper inhaler technique in older adults.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>25188403</pmid><doi>10.1038/npjpcrm.2014.34</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; PubMed Central; Alma/SFX Local Collection |
| subjects | 692/699/249/2510/31 692/700/1719 692/700/565 Aged Aged, 80 and over Asthma - drug therapy Bronchodilator Agents - administration & dosage Female Humans Internal Medicine Male Medicine Medicine & Public Health Middle Aged Nebulizers and Vaporizers Patient Education as Topic Pneumology/Respiratory System Primary Care Medicine Single-Blind Method Thoracic Surgery |
| title | Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial |
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