Evaluation of a novel educational strategy, including inhaler-based reminder labels, to improve asthma inhaler technique

Iman A. Basheti, Carol L. Armour, Sinthia Z. Bosnic-Anticevich, Helen K. Reddel

Research output: Contribution to journalArticlepeer-review

137 Citations (Scopus)


Objective: To evaluate the feasibility, acceptability and effectiveness of a brief intervention about inhaler technique, delivered by community pharmacists to asthma patients.

Methods: Thirty-one pharmacists received brief workshop education (Active: n = 16, Control: n = 15). Active Group pharmacists were trained to assess and teach dry powder inhaler technique, using patient-centered educational tools including novel Inhaler Technique Labels. Interventions were delivered to patients at four visits over 6 months.

Results: At baseline, patients (Active: 53, Control: 44) demonstrated poor inhaler technique (mean ± S.D. score out of 9, 5.7 ± 1.6). At 6 months, improvement in inhaler technique score was significantly greater in Active cf. Control patients (2.8 ± 1.6 cf. 0.9 ± 1.4, p < 0.001), and asthma severity was significantly improved (p = 0.015). Qualitative responses from patients and pharmacists indicated a high level of satisfaction with the intervention and educational tools, both for their effectiveness and for their impact on the patient–pharmacist relationship.

Conclusion: A simple feasible intervention in community pharmacies, incorporating daily reminders via Inhaler Technique Labels on inhalers, can lead to improvement in inhaler technique and asthma outcomes.

Practice implications: Brief training modules and simple educational tools, such as Inhaler Technique Labels, can provide a low-cost and sustainable way of changing patient behavior in asthma, using community pharmacists as educators.
Original languageEnglish
Pages (from-to)26-33
Number of pages8
JournalPatient Education and Counseling
Issue number1
Publication statusPublished - 2008
Externally publishedYes


  • Asthma
  • Community pharmacists
  • Patient education
  • Educational tools
  • Inhaler technique
  • Counseling
  • Feasibility
  • Turbuhaler
  • Diskus


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