Determinants and Differences in Satisfaction with the Inhaler Among Patients with Asthma or COPD
Plaza, Vicente (Institut d'Investigació Biomèdica Sant Pau)
Giner, Jordi (Institut d'Investigació Biomèdica Sant Pau)
Curto Sánchez, Elena (Institut d'Investigació Biomèdica Sant Pau)
Alonso-Ortiz, M. Belén (Hospital Universitario de Gran Canaria Doctor Negrín Las Palmas de Gran Canaria)
Orue, Miren Itxaso (Centro de Salud Javier Sáenz de Buruaga (Bilbao, País Basc))
Vega, José María (Hospital Regional Universitario de Málaga)
Cosio, Borja G. (Institut d'Investigació Sanitària Illes Balears (Mallorca, Balears))
Bellido Linares, Virginia (Hospital Hospital Universitario Virgen Macarena (Sevilla, Andalusia))
Mora, Roberto Bernabeu (Hospital General Universitario Morales Meseguer (Múrcia))
Cabrera César, Eva (Hospital Universitario Virgen de la Victoria (Màlaga, Andalusia))
Callero Viera, Ariel (Hospital Universitario Ntra. Sra.de Candelaria (Santa Cruz de Tenerife))
Castillo, Rafael (Hospital de Llíria)
Delgado Romero, Julio (Hospital Universitario Virgen Macarena (Sevilla, Andalusia))
de los Monteros-Garde, Mª José Espinosa (Hospital Virgen de la Salud)
Fernández Rodríguez-Lacín, José María (Centro de Salud Nata-hoyo)
García Robaina, José Carlos (Hospital Universitario Nuestra Señora de Candelaria (Santa Cruz de Tenerife))
Hernández Gil, Aníbal Manuel (Hospital Comarcal de Laredo)
Hernández Rey, José Miguel (Hospital Punta de Europa)
Santana, Guacimara Hernández (Hospital Punta de Europa)
López Ruiz, Cristina (Hospital Universitari Vall d'Hebron)
Balaguer, Enrique Mascaros (Centro de Salud Fuente San Luis)
Mazo Echaniz, Francisco Javier (Hospital de Basurto (Bilbao, Biscaia))
Moreno Pérez, Núria (Hospital Universitari Vall d'Hebron)
Arrondo, Antoni Parra (Hospital Abente y Lago)
Sánchez, José Portillo (Hospital General Universitario de Ciudad Real)
Rodríguez Encinar, José Ramón (Centro de Salud Arroyo de la Media Legua)
Rodríguez Plata, Elena (Hospital Universitario Nuestra Señora de Candelaria (Santa Cruz de Tenerife))
Román Bernal, Berta (Hospital Dr. José Molina Osora)
Cunill Sala, Anna (Hospital Universitari Vall d'Hebron)
Sánchez Lora, Fernando J. (Hospital Universitario Virgen de la Victoria (Màlaga, Andalusia))
Sánchez Nieto, Juan Miguel (Hospital General Universitario Morales Meseguer (Múrcia))
Serra Batlles, Joan (Hospital Universitari de Vic)
Torres Relucio, José Joaquín (Hospital General Universitari de Castelló (País Valencià))
Valido Morales, Agustín S. (Hospital Universitario Virgen Macarena (Sevilla, Andalusia))
Vázquez Alarcón, Rubén Luciano (Centro de Salud VERA)
Velasco Garrido, José Luis (Hospital Universitario Virgen de la Victoria (Màlaga, Andalusia))
Universitat Autònoma de Barcelona

Fecha:	2020
Resumen:	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.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Asthma ; Chronic obstructive ; Nebulizers ; Patient compliance ; Patient satisfaction ; Pulmonary disease ; Self-reported success ; Vaporizers
Publicado en:	Journal of Allergy and Clinical Immunology: In Practice, Vol. 8 Núm. 2 (february 2020) , p. 645-653, ISSN 2213-2198

DOI: 10.1016/j.jaip.2019.09.020

9 p, 397.0 KB

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