ABCs of asthma inhaler and device training.
BACKGROUND
The impact of poor adherence and medication administration is well documented, as are the difficulties with asthma inhaler and device usage. However, difficulties with these devices and inhalers continue to present significant challenges to many healthcare providers and patients.


METHODS
A systematic review of the published, peer-reviewed international literature was performed to identify likely teaching needs as well as available and recommended resources to address same.


RESULTS
Asthma inhaler and device use and educational needs vary as widely as do the types and severity of usage errors committed. Multiple interventions have been studied and found to be effective at improving both patient technique and overall asthma outcomes.


CONCLUSIONS
Providers must ensure that patient teaching is performed by suitably prepared staff members. Education should be device-specific, patient-centered, and repeated at frequent intervals. Providers must frequently reassess patient understanding and ability with regard to asthma inhalers and devices in order to maximize therapeutic outcomes.
Department of Otolaryngology-Head and Neck Surgery, Division of Sinus and Allergy, The Ohio State University, Columbus, OH.
Elizabeth
E
Boise
Department of Otolaryngology-Head and Neck Surgery, Rhinology Division, The Emory Clinic, Atlanta, GA.
Melissa
M
Rotella
D000280:Administration, Inhalation; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D001249:Asthma / Q000188:drug therapy*; D006801:Humans; D009330:Nebulizers and Vaporizers / Q000706:statistics & numerical data*; D010353:Patient Education as Topic
D018927:Anti-Asthmatic Agents
asthma; devices; inhalers; medication administration; patient education