Empowering Family Physicians to Impart Proper Inhaler Teaching to Patients with Chronic Obstructive Pulmonary Disease and Asthma

Author:

Leung Janice M1,Bhutani Mohit2,Leigh Richard3,Pelletier Dan4,Good Cathy5,Sin Don D16

Affiliation:

1. Centre for Heart Lung Innovation, St Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada

2. Division of Pulmonary Medicine, University of Alberta, Edmonton, Canada

3. Division of Respiratory Medicine, University of Calgary, Calgary, Alberta, Canada

4. AstraZeneca Canada Inc, Mississauga, Ontario, Canada

5. GoodInnovations, Calgary, Alberta, Canada

6. Division of Respiratory Medicine, St Paul’s Hospital, University of British Columbia, Vancouver, British Columbia, Canada

Abstract

BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) and asthma depend on inhalers for management, but critical errors committed during inhaler use can limit drug effectiveness. Outpatient education in inhaler technique remains inconsistent due to limited resources and inadequate provider knowledge.OBJECTIVE: To determine whether a simple, two-session inhaler education program can improve physician attitudes toward inhaler teaching in primary care practice.METHODS: An inhaler education program with small-group hands-on device training was instituted for family physicians (FP) in British Columbia and Alberta. Sessions were spaced one to three months apart. All critical errors were corrected in the first session. Questionnaires surveying current inhaler teaching practices and attitudes toward inhaler teaching were distributed to physicians before and after the program.RESULTS: Forty-one (60%) of a total 68 participating FPs completed both before and after program questionnaires. Before the program, only 20 (49%) reported providing some form of inhaler teaching in their practices, and only four (10%) felt fully competent to teach patients inhaler technique. After the program, 40 (98%) rated their inhaler teaching as good to excellent. Thirty-four (83%) reported providing inhaler teaching in their practices, either by themselves or by an allied health care professional they had personally trained. All stated they could teach inhaler technique within 5 min. Observation of FPs during the second session by certified respiratory educators found that none made critical errors and all had excellent technique.CONCLUSION: A physician inhaler education program can improve attitudes toward inhaler teaching and facilitate implementation in clinical practices.

Publisher

Hindawi Limited

Subject

Pulmonary and Respiratory Medicine

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