PT  - JOURNAL ARTICLE
AU  - Eltorai, Adam E M
AU  - Baird, Grayson L
AU  - Eltorai, Ashley Szabo
AU  - Pangborn, Joshua
AU  - Antoci, Valentin
AU  - Cullen, H Allethaire
AU  - Paquette, Katherine
AU  - Connors, Kevin
AU  - Barbaria, Jacqueline
AU  - Smeals, Kimberly J
AU  - Agarwal, Saurabh
AU  - Healey, Terrance T
AU  - Ventetuolo, Corey E
AU  - Sellke, Frank W
AU  - Daniels, Alan H
TI  - Incentive Spirometry Adherence: A National Survey of Provider Perspectives
AID  - 10.4187/respcare.05882
DP  - 2018 Jan 23
TA  - Respiratory Care
PG  - respcare.05882
4099  - http://rc.rcjournal.com/content/early/2018/01/23/respcare.05882.short
4100  - http://rc.rcjournal.com/content/early/2018/01/23/respcare.05882.full
AB  - BACKGROUND: Patient adherence is a critical factor for success of patient-administered therapies, including incentive spirometry (IS). Patient adherence with IS is not known, so we sought to evaluate providers'perspectives on the current state of IS adherence and elucidate possible factors hindering patient adherence.METHODS: Respiratory therapists (RTs) and nurses across the United States were surveyed via social media and online newsletters. Surveys were distributed to the relevant national RT and nursing societies: the American Association for Respiratory Care, the Academy of Medical-Surgical Nurses, the American Society of Peri-Anesthesia Nurses, and the American Association of Critical-Care Nurses.RESULTS: Responses from 1,681 (83.8% completion rate) RTs and nurses were received. The clear majority of all providers agreed that patient adherence is poor (86.0%; 1,416 of 1,647 respondents) and should be improved (95.4%; 1,551 of 1,626 respondents). Providers believe that IS adherence is hindered by various factors. The most common reasons cited were that patients forget to use their ISs (83.5%; 1,404 of 1,681 respondents), do not use them effectively (74.4%; 1,251 of 1,681 respondents), and do not use them frequently enough (70.7%; 1,188 of 1,681 respondents).CONCLUSIONS: These findings from a large national survey of health care providers highlight the need for improved IS adherence and indicate that patient forgetfulness may be a large contributor to nonadherence. Efforts aimed at improving IS adherence are warranted.