RT Journal Article
SR Electronic
T1 Checklists for Powder Inhaler Technique: A Review and Recommendations
JF Respiratory Care
FD American Association for Respiratory Care
SP 1140
OP 1154
DO 10.4187/respcare.02342
VO 59
IS 7
A1 Iman A Basheti
A1 Sinthia Z Bosnic-Anticevich
A1 Carol L Armour
A1 Helen K Reddel
YR 2014
UL http://rc.rcjournal.com/content/59/7/1140.abstract
AB Turbuhaler and Diskus are commonly used powder inhaler devices for patients with respiratory disease. Their effectiveness is limited in part by a patient's ability to use them correctly. This has led to numerous studies being conducted over the last decade to assess the correct use of these devices by patients and health care professionals. These studies have generally used device-specific checklists to assess technique, this being the most feasible and accessible method for assessment. However, divergence between the checklists and scoring systems for the same device in different studies makes direct comparison of results difficult and at times inappropriate. Little evidence is available to assess the relative importance of different criteria; however, brief patient training based on specific inhaler technique checklists leads to significant improvement in asthma outcomes. This paper reviews common checklists and scoring systems used for Turbuhaler and Diskus, discusses the problem of heterogeneity between different checklists, and finally recommends suitable checklists and scoring systems for these devices based on the literature and previous findings. Only when similar checklists are used across different research studies will accurate comparisons and meta-analysis be possible.