Inhaler use and education characteristics among English and non-English speaking patients: A pilot needs assessment survey
- PMID: 30573296
- PMCID: PMC6491236
- DOI: 10.1016/j.pec.2018.12.016
Inhaler use and education characteristics among English and non-English speaking patients: A pilot needs assessment survey
Abstract
Objective: Identify inhaler use characteristics among English (ESP) and non-English speaking patients (NSP) to develop quality improvement efforts.
Methods: Outpatients were surveyed for technique confidence, education, preferences and disease control. We compared characteristics between ESP and NSP.
Results: Of 197 respondents, 75% were ESP, 25% were NSP. Compared to NSP, ESP responders were more likely female (57% vs 31%, p = 0.001), used inhalers for a longer time (10 vs 6 years, p = 0.008) and had higher rates of metered dose inhaler use (85% vs. 60%, p < 0.001). Both language groups had similar confidence in inhaler use, after adjustment for age, gender and duration of use. Similar rates of inhaler technique education were reported by ESP and NSP at the initial visit. More NSP reported receiving education at subsequent visits (54% vs. 72%, p = 0.03). Education for both groups was mostly performed by a clinician. Both language groups reported low internet use for learning proper technique, low interest in a separate education session, preferred an active learning method.
Conclusions: These findings will be used to further develop quality inhaler education efforts at our institution.
Practical implications: Local patient preferences should be considered when designing inhaler education programs.
Keywords: Asthma; Boston; COPD; Chinese; Culture; Language; Metered dose inhalers; Needs assessment; Patient education as topic; Pulmonary medicine; Quality improvement.
Copyright © 2018 Elsevier B.V. All rights reserved.
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References
-
- Sanchis J, Gich I, Pedersen S. Systematic Review of Errors in Inhaler Use: Has Patient Technique Improved Over Time? Chest 2016;150:394–406. - PubMed
-
- Westerik JA, Carter V, Chrystyn H, et al. Characteristics of patients making serious inhaler errors with a dry powder inhaler and association with asthma-related events in a primary care setting. The Journal of asthma : official journal of the Association for the Care of Asthma 2016;53:321–9. - PMC - PubMed
-
- Goodyer L, Savage I, Dikmen Z. Inhaler technique in Turkish people with poor English: a case of information discrimination? Pharmacy world & science : PWS 2006;28:107–14. - PubMed