2026-05-31T13:35:10Zhttps://riuma.uma.es/rest/oai/requestoai:riuma.uma.es:10630/284632026-02-03T11:09:46Zcom_10630_2254col_10630_37953
RIUMA. Repositorio Institucional de la Universidad de Málaga
author
Vázquez-González, Noemí
author
Leiva-Fernández, José
author
Cotta-Luque, Víctor M.
author
Leiva-Fernández, Francisca
author
Ríus-Díaz, Francisca
author
Martos-Crespo, Francisco
author
Martín-Montañez, Elisa
author
Barnestein Fonseca, Mª del Pilar
2023-12-21T11:57:37Z
2023-12-21T11:57:37Z
2023
Vázquez-González N, Leiva-Fernández J, Cotta-Luque VM, Leiva-Fernández F, Rius-Díaz F, Martos-Crespo F, Martín-Montañez E and Barnestein-Fonseca P (2023), Effectiveness of an educational intervention about inhalation technique in healthcare professionals in primary care: a cluster randomized trial. Front. Pharmacol. 14:1266095. doi: 10.3389/fphar.2023.1266095
https://hdl.handle.net/10630/28463
10.3389/fphar.2023.1266095
Incorrect inhalation technique (IT) is an important issue for COPD patients and healthcare professionals. Studies in which counseling is carried out with healthcare professionals beforehand so that they can properly educate their patients are required. The present trial is to assess the improvement in the performance of the IT in subjects with COPD and prescribed inhaled therapy after the implementation of an educational intervention conducted by their general practitioners. A cluster randomized clinical trial was conducted. A total of 286 COPD patients received scheduled inhalation therapy from 27 general practices in 7 primary care centers. A teach-back educational intervention was implemented for both healthcare professionals and patients. The primary outcome of this study was the performance of the correct IT. It is considered a good technique if all steps in the inhalation data sheet are correctly performed. The secondary outcomes were assessed using forced spirometry, the basal dyspnea index, the Medical Research Council dyspnea scale, SGRQ, and EuroQoL5D-5L. A one-year follow-up was conducted using an intention-to-treat analysis. After the intervention, incorrect IT was observed in 92% of professionals and patients, with rates reaching 50% and 69.2%, respectively. The effectiveness in patients was significant, with a number needed to treat of 2.14 (95% CI 1.79-2.66). Factors related to correct IT in patients included the type of intervention, length of intervention (>25 min), good pulmonary function, age (youngest ≤65, oldest >83), and less limitation of activity due to dyspnea. There was no relation with the cluster. This study shows the effectiveness of direct inhaler technique training provided by a trained professional on an appropriate timescale, aiming to help subjects improve their performance using the teach-back method. This could be an encouraging intervention to improve medication adherence and health promotion in people with COPD.
eng
Attribution 4.0 Internacional
Respiración - Estudio y enseñanza
Effectiveness of an educational intervention about inhalation technique in healthcare professionals in primary care: a cluster randomized trial
journal article
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91dad2a82b14046fab291c468e90c809
1099831
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fphar-14-1266095.pdf