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• W2605081346 abstract "Abstract With the current wealth of new inhalers available and insurance policy driven inhaler switching, the need for insights in optimal education on inhaler use is more evident than ever. We aimed to systematically review educational inhalation technique interventions, to assess their overall effectiveness, and identify main drivers of success. Medline, Embase and CINAHL databases were searched for randomised controlled trials on educational inhalation technique interventions. Inclusion eligibility, quality appraisal (Cochrane’s risk of bias tool) and data extraction were performed by two independent reviewers. Regression analyses were performed to identify characteristics contributing to inhaler technique improvement. Thirty-seven of the 39 interventions included (95%) indicated statistically significant improvement of inhaler technique. However, average follow-up time was relatively short (5 months), 28% lacked clinical relevant endpoints and all lacked cost-effectiveness estimates. Poor initial technique, number of inhalation procedure steps, setting (outpatient clinics performing best), and time elapsed since intervention (all, p < 0.05), were shown to have an impact on effectiveness of the intervention, explaining up to 91% of the effectiveness variation. Other factors, such as disease (asthma vs. chronic obstructive pulmonary disease), education group size (individual vs. group training) and inhaler type (dry powder inhalers vs. pressurised metered dose inhalers) did not play a significant role. Notably, there was a trend ( p = 0.06) towards interventions in adults being more effective than those in children and the intervention effect seemed to wane over time. In conclusion, educational interventions to improve inhaler technique are effective on the short-term. Periodical intervention reinforcement and longer follow-up studies, including clinical relevant endpoints and cost-effectiveness, are recommended." @default.
• W2605081346 created "2017-04-14" @default.
• W2605081346 creator A5010411606 @default.
• W2605081346 creator A5039764074 @default.
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• W2605081346 creator A5091663221 @default.
• W2605081346 date "2017-04-13" @default.
• W2605081346 modified "2023-10-14" @default.
• W2605081346 title "Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review" @default.
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• W2605081346 doi "https://doi.org/10.1038/s41533-017-0022-1" @default.
• W2605081346 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5435089" @default.
• W2605081346 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28408742" @default.
• W2605081346 hasPublicationYear "2017" @default.
• W2605081346 type Work @default.
• W2605081346 sameAs 2605081346 @default.
• W2605081346 citedByCount "83" @default.

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