Literature DB >> 25265316

Inhaler devices for chronic obstructive pulmonary disease: insights from patients and healthcare practitioners.

Mathieu Molimard1, Paul Colthorpe2.   

Abstract

BACKGROUND: The choice of inhaler device for patients with chronic obstructive pulmonary disease (COPD) depends upon multiple attributes. An online survey was devised to assess COPD patients' and healthcare practitioners' (HCPs; physicians and nurses) opinions and preferences for inhaler devices.
METHODS: Patients diagnosed with COPD ≥6 months from United States (US), United Kingdom (UK), France, and Germany, and HCPs from the US, UK, France, Italy, and Japan were enrolled to participate in an online quantitative 35 minutes survey. A proprietary analytical tool from Sawtooth Software was used to collect, randomize, and analyze participant opinions and preferences of device attributes, including functionality.
RESULTS: A total of 245 patients (mean age, 60.7 years) completed the survey. Of these, 124 and 121 patients were taking fluticasone/salmeterol, and tiotropium, respectively. Patients cited ease of use, dose recording, and dose capacity (single or multi-dose) as important attributes for the device. Key factors that patients considered would make the device easier to use were fewer steps to operate the inhaler, confirmation that the dose has been taken correctly, easier coordination of breathing manoeuver, and least resistance while inhaling. A total of 504 HCPs (380 physicians and 124 nurses) completed the survey, and cited patient satisfaction and ease of use as the most important attributes when selecting an inhaler device for patients. Dose recording and multi-dose versus single-dose designs were given less importance than other attributes such as patient satisfaction and cost by HCPs.
CONCLUSION: The survey provides important insights into what patients and HCPs consider to be key attributes of an ideal inhaler device for COPD management. Given that patients with COPD self-administer their COPD chronic medication and need to deliver the correct dose, it is important to consider these insights for the appropriate management of COPD.

Entities:  

Keywords:  chronic obstructive pulmonary disease; healthcare practitioners' preference; inhaler devices; patient preference

Mesh:

Substances:

Year:  2014        PMID: 25265316      PMCID: PMC4559157          DOI: 10.1089/jamp.2014.1142

Source DB:  PubMed          Journal:  J Aerosol Med Pulm Drug Deliv        ISSN: 1941-2711            Impact factor:   2.849


  26 in total

Review 1.  Problems with inhaler use: a call for improved clinician and patient education.

Authors:  James B Fink; Bruce K Rubin
Journal:  Respir Care       Date:  2005-10       Impact factor: 2.258

2.  Inhaled therapy in elderly COPD patients; time for re-evaluation?

Authors:  Sheba Jarvis; Philip W Ind; Robert J Shiner
Journal:  Age Ageing       Date:  2007-01-31       Impact factor: 10.668

3.  Challenges and opportunities in respiratory drug delivery devices.

Authors:  Kurt Nikander
Journal:  Expert Opin Drug Deliv       Date:  2010-10-12       Impact factor: 6.648

Review 4.  Inhaler devices for asthma and COPD: choice and technique.

Authors:  Nicola Stevens
Journal:  Prof Nurse       Date:  2003-07

5.  Handling of and preferences for available dry powder inhaler systems by patients with asthma and COPD.

Authors:  Martina Schulte; Karim Osseiran; Reiner Betz; Marion Wencker; Peter Brand; Thomas Meyer; Peter Haidl
Journal:  J Aerosol Med Pulm Drug Deliv       Date:  2008-12       Impact factor: 2.849

Review 6.  The ADMIT series - Issues in inhalation therapy. 4) How to choose inhaler devices for the treatment of COPD.

Authors:  Walter Vincken; Pn Richard Dekhuijzen; Peter Barnes
Journal:  Prim Care Respir J       Date:  2010-03

7.  Reduced Peak Inspiratory Effort through the Diskus((R)) and the Turbuhaler((R)) due to Mishandling is Common in Clinical Practice.

Authors:  Andrea S Melani; Letizia S Bracci; Marcello Rossi
Journal:  Clin Drug Investig       Date:  2005       Impact factor: 2.859

Review 8.  Medication adherence issues in patients treated for COPD.

Authors:  Ruben D Restrepo; Melissa T Alvarez; Leonard D Wittnebel; Helen Sorenson; Richard Wettstein; David L Vines; Jennifer Sikkema-Ortiz; Donna D Gardner; Robert L Wilkins
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2008

Review 9.  Patient preferences for inhaler devices in chronic obstructive pulmonary disease: experience with Respimat Soft Mist inhaler.

Authors:  Richard Hodder; David Price
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2009-10-19

Review 10.  Adherence to disease management programs in patients with COPD.

Authors:  Johnson George; David C M Kong; Kay Stewart
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2007
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  26 in total

1.  Self-reported COPD Medication Use and Adherence in the COPD Foundation Patient- Powered Registry Network.

Authors:  Cara B Pasquale; Radmila Choate; Gretchen McCreary; Richard A Mularski; William Clark; MaryEllen Houlihan; Elisha Malanga; Barbara P Yawn
Journal:  Chronic Obstr Pulm Dis       Date:  2021-10-28

2.  Tiotropium Respimat(®) vs. HandiHaler(®): real-life usage and TIOSPIR trial generalizability.

Authors:  Sven Schmiedl; Rainald Fischer; Luisa Ibanez; Joan Fortuny; Petra Thürmann; Elena Ballarin; Pili Ferrer; Monica Sabaté; Dominik Rottenkolber; Roman Gerlach; Martin Tauscher; Robert Reynolds; Joerg Hasford; Marietta Rottenkolber
Journal:  Br J Clin Pharmacol       Date:  2015-12-23       Impact factor: 4.335

Review 3.  Optimising Inhaled Pharmacotherapy for Elderly Patients with Chronic Obstructive Pulmonary Disease: The Importance of Delivery Devices.

Authors:  Federico Lavorini; Claudia Mannini; Elisa Chellini; Giovanni A Fontana
Journal:  Drugs Aging       Date:  2016-07       Impact factor: 3.923

4.  The efficacy and safety of combined tiotropium and olodaterol via the Respimat(®) inhaler in patients with COPD: results from the Japanese sub-population of the Tonado(®) studies.

Authors:  Masakazu Ichinose; Hiroyuki Taniguchi; Ayako Takizawa; Lars Grönke; Lazaro Loaiza; Florian Voß; Yihua Zhao; Yoshinosuke Fukuchi
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2016-08-29

5.  Perception of symptoms and quality of life - comparison of patients' and physicians' views in the COPD MIRROR study.

Authors:  Bartolome Celli; Francesco Blasi; Mina Gaga; Dave Singh; Claus Vogelmeier; Valeria Pegoraro; Nicoletta Caputo; Alvar Agusti
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2017-07-27

Review 6.  Practical considerations when prescribing a long-acting muscarinic antagonist for patients with COPD.

Authors:  Anthony D D'Urzo; Peter Kardos; Russell Wiseman
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2018-04-04

7.  A real-world evaluation of indacaterol and other bronchodilators in COPD: the INFLOW study.

Authors:  Georges Juvelekian; Waleed El-Sorougi; Chaicharn Pothirat; Faisal Yunus; Teresita De Guia; Han-Pin Kuo; Shalma Basu Patnaik; Virginia Pilipovic
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2015-10-05

8.  Assessment of satisfaction with different dry powder inhalation devices in Greek patients with COPD and asthma: the ANASA study.

Authors:  Eleftherios Zervas; Konstantinos Samitas; Mina Gaga
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2016-08-05

Review 9.  Patients' perspectives and preferences in the choice of inhalers: the case for Respimat(®) or HandiHaler(®).

Authors:  Pieter Nicolaas Richard Dekhuijzen; Federico Lavorini; Omar S Usmani
Journal:  Patient Prefer Adherence       Date:  2016-08-18       Impact factor: 2.711

10.  Maintenance inhaler preference, attribute importance, and satisfaction in prescribing physicians and patients with asthma, COPD, or asthma-COPD overlap syndrome consulting for routine care.

Authors:  Bo Ding; Mark Small; Gina Scheffel; Ulf Holmgren
Journal:  Int J Chron Obstruct Pulmon Dis       Date:  2018-03-16
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