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Evaluation of a novel educational strategy, including inhaler-based reminder labels, to improve asthma inhaler technique [with consumer summary]
Basheti IA, Armour CL, Bosnic-Anticevich SZ, Reddel HK
Patient Education and Counseling 2008 Jul;72(1):26-33
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the feasibility, acceptability and effectiveness of a brief intervention about inhaler technique, delivered by community pharmacists to asthma patients. METHODS: Thirty-one pharmacists received brief workshop education (active n = 16, control n = 15). Active group pharmacists were trained to assess and teach dry powder inhaler technique, using patient-centered educational tools including novel inhaler technique labels. Interventions were delivered to patients at four visits over 6 months. RESULTS: At baseline, patients (active 53, control 44) demonstrated poor inhaler technique (mean +/- SD score out of 9, 5.7 +/- 1.6). At 6 months, improvement in inhaler technique score was significantly greater in active cf control patients (2.8 +/- 1.6 cf 0.9 +/- 1.4, p < 0.001), and asthma severity was significantly improved (p = 0.015). Qualitative responses from patients and pharmacists indicated a high level of satisfaction with the intervention and educational tools, both for their effectiveness and for their impact on the patient-pharmacist relationship. CONCLUSION: A simple feasible intervention in community pharmacies, incorporating daily reminders via inhaler technique labels on inhalers, can lead to improvement in inhaler technique and asthma outcomes. PRACTICE IMPLICATIONS: Brief training modules and simple educational tools, such as inhaler technique labels, can provide a low-cost and sustainable way of changing patient behavior in asthma, using community pharmacists as educators.
With permission from Excerpta Medica Inc.

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