Determinants and Differences in Satisfaction with the Inhaler Among Patients with Asthma or COPD

Satisfaction with the inhaler is an important determinant of treatment adherence in patients with asthma and chronic obstructive pulmonary disease (COPD). However, few studies have compared these 2 groups to identify the factors associated with satisfaction with the inhaler. To assess and compare sa...

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Published in:	The journal of allergy and clinical immunology in practice (Cambridge, MA) Vol. 8; no. 2; pp. 645 - 653
Main Authors:	Plaza, Vicente, Giner, Jordi, Curto, Elena, Alonso-Ortiz, M. Belén, Orue, Miren Itxaso, Vega, José María, Cosío, Borja G., Linares, Virginia Bellido, Mora, Roberto Bernabeu, Cesar, Eva Cabrera, Viera, Ariel Callero, Castillo, Rafael, Romero, Julio Delgado, de los Monteros-Garde, Ma José Espinosa, Fernández Rodríguez-Lacín, José María, García Robaina, José Carlos, Hernández Gil, Aníbal Manuel, Hernández Rey, José Miguel, Santana, Guacimara Hernández, Ruiz, Cristina López, Balaguer, Enrique Mascaros, Mazo Echaniz, Francisco Javier, Pérez, Núria Moreno, Arrondo, Antonio Parra, Sánchez, José Portillo, Rodríguez Encinar, José Ramón, Plata, Elena Rodríguez, Bernal, Berta Román, Cunill, Anna Sala, Sánchez Lora, Fernando J., Sánchez Nieto, Juan Miguel, Batlles, Joan Serra, Torres Relucio, José Joaquín, Morales, Agustín Valido, Vázquez Alarcón, Rubén Luciano, Velasco Garrido, José Luis
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-02-2020 Elsevier Limited
Subjects:	Administration, Inhalation Age Asthma Asthma - drug therapy Bronchodilator Agents - therapeutic use Chronic obstructive Chronic obstructive pulmonary disease Cross-Sectional Studies Disease control Humans Inhalation Inhalers Lung diseases Nebulizers Nebulizers and Vaporizers Obstructive lung disease Patient compliance Patient Satisfaction Patients Personal Satisfaction Primary care Pulmonary disease Pulmonary Disease, Chronic Obstructive - drug therapy Questionnaires Self-reported success Sociodemographics Statistical analysis Studies Thoracic surgery Vaporizers Spain Pulmonary disease Nebulizers Patient compliance Asthma Self-reported success ACT Chronic obstructive FSI-10 Vaporizers CAT Patient satisfaction TAI COPD
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Summary:	Satisfaction with the inhaler is an important determinant of treatment adherence in patients with asthma and chronic obstructive pulmonary disease (COPD). However, few studies have compared these 2 groups to identify the factors associated with satisfaction with the inhaler. To assess and compare satisfaction with the inhaler in patients with asthma or COPD and to determine the variables associated with high inhaler satisfaction. A multicenter, cross-sectional study of 816 patients (406 with asthma and 410 with COPD) was conducted. Satisfaction was assessed with the Feeling of Satisfaction with Inhaler (FSI-10) questionnaire. All participants completed the Test of Adherence to Inhalers and either the Asthma Control Test (ACT) or the COPD Assessment Test (CAT). Overall, the asthma group was significantly more satisfied with the inhaler (mean [standard deviation] FSI-10 scores: 44.1 [6.5] vs 42.0 [7.7]; P < .001) and more satisfied on most (7 of 10; 70%) items. Patients with asthma were significantly more satisfied with the inhaler regardless of the adherence level or the type of nonadherence pattern. Younger age, good disease control (ACT ≥20 or CAT ≤10), previous inhaler training, and absence of unwitting nonadherence were all independently and significantly associated with high inhaler satisfaction. Age, disease control, and training in inhalation technique all play a more significant role than the specific diagnosis in explaining satisfaction with the device in patients with asthma and COPD. These findings underscore the need to provide better training and more active monitoring of the inhalation technique to improve patient satisfaction, treatment adherence, and clinical outcomes.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2213-2198 2213-2201
DOI:	10.1016/j.jaip.2019.09.020