Abstract
Proper inhaler technique is important for effective drug delivery and symptom control in chronic obstructive pulmonary disease (COPD) and asthma, yet not all patients receive inhaler instructions. Using a retrospective chart review of participants in a video telehealth inhaler training program, the study compared inhaler technique within and between monthly telehealth visits and reports associated with patient satisfaction. Seventy-four (N = 74) rural patients prescribed ≥1 inhaler participated in three to four pharmacist telehealth inhaler training sessions using teach-to-goal (TTG) methodology. Within and between visit inhaler technique scores are compared, with descriptive statistics of pre- and postprogram survey results including program satisfaction and computer technical issues. Healthcare utilization is compared between pre- and post-training periods. Sixty-nine (93%) patients completed all three to four video telehealth inhaler training sessions. During the initial visit, patients demonstrated improvement in inhaler technique for metered dose inhalers (albuterol, budesonide/formoterol), dry powder inhalers (formoterol, mometasone, tiotropium), and soft mist inhalers (ipratropium/albuterol) (p < 0.01 for all). Improved ...Continue Reading
References
Jun 29, 2004·The European Respiratory Journal·B R CelliUNKNOWN ATS/ERS Task Force
Sep 29, 2004·American Journal of Public Health·William B WeeksJonathan B Perlin
Apr 30, 2005·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·William B WeeksSteven M Wright
Jul 11, 2006·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·William B WeeksLewis E Kazis
May 18, 2007·American Journal of Respiratory and Critical Care Medicine·Klaus F RabeUNKNOWN Global Initiative for Chronic Obstructive Lung Disease
Oct 4, 2007·Respiration; International Review of Thoracic Diseases·Siegfried Wieshammer, Jens Dreyhaupt
Aug 26, 2009·Thorax·J VestboP W Jones
Jan 21, 2011·Journal of General Internal Medicine·Valerie G PressJerry A Krishnan
Mar 4, 2011·Respiratory Medicine·Andrea S MelaniUNKNOWN Gruppo Educazionale Associazione Italiana Pneumologi Ospedalieri
Jul 20, 2011·Annals of Internal Medicine·Thad E AbramsPeter J Kaboli
Aug 2, 2011·Respiratory Medicine·Violaine GiraudNicolas Roche
Oct 5, 2011·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·May Nawal LutfiyyaMartin Stephen Lipsky
Jan 31, 2012·Expert Review of Respiratory Medicine·Toby G D Capstick, Ian J Clifton
May 18, 2012·Journal of General Internal Medicine·Valerie G PressJerry A Krishnan
Dec 25, 2013·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Gopal K Singh, Mohammad Siahpush
Feb 26, 2016·Journal of Pharmacy Practice·Samantha AxtellJamie Fairclough
Mar 22, 2016·Annals of the American Thoracic Society·Valerie G PressJerry A Krishnan
Apr 5, 2017·NPJ Primary Care Respiratory Medicine·Henry ChrystynMike Thomas
Jul 20, 2017·Respiratory Care·Rachel M ThomasVincent S Fan
Citations
Apr 21, 2020·Expert Review of Respiratory Medicine·Anna VolermanValerie Press
Dec 31, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Tobias MüllerMichael Dreher
Apr 8, 2021·Patient Preference and Adherence·Anna VolermanValerie G Press
Oct 2, 2021·Methods of Information in Medicine·Pouyan Esmaeilzadeh, Tala Mirzaei
Dec 4, 2021·Current Opinion in Pulmonary Medicine·Jennifer A SculleyJerry A Krishnan
Jun 5, 2019··Louise BarkhuusIoanna Chouvarda