Recognizing and tackling inhaler technique decay in asthma and chronic obstructive pulmonary disease (COPD) clinical practice

Sinthia Bosnic-Anticevich, Bruce G. Bender, Melinda T. Shuler, Mike Hess, Janwillem W. H. Kocks

Research output: Contribution to journalReview articlepeer-review

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Abstract

A poor inhaler technique continues to represent a substantial barrier to effective asthma and chronic obstructive pulmonary disease management. It can result in perceived lack of treatment effectiveness even with apparent adherence to a prescribed regimen of inhaled maintenance therapies, potentially resulting in an unnecessary change or escalation of treatment. Many patients are not trained to inhaler mastery in real-world practice; furthermore, even where mastery is initially achieved, an ongoing assessment and education are seldom maintained. In this review, we present an overview of the evidence for deterioration of the inhaler technique over time after training, investigate the factors that contribute to this deterioration, and explore innovative approaches to addressing the problem. We also propose steps forward drawn from the literature and our clinical insights.

Original languageEnglish
Pages (from-to)2355-2364.e5
Number of pages15
JournalJournal of Allergy and Clinical Immunology: In Practice
Volume11
Issue number8
DOIs
Publication statusPublished - Aug 2023
Externally publishedYes

Bibliographical note

Copyright the Author(s) 2023. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Asthma
  • COPD
  • Inhaler technique
  • Management
  • Patient education
  • Treatment

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