Efficacy of Inhalation Technique Training.

NCT ID: NCT02131454

Last Updated: 2016-11-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2016-08-31

Brief Summary

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Pharmacologic treatment of asthma and COPD is based mainly on inhalations. The aim of the study is to determine if short training of inhalation technique in patients with obstructive diseases may influence the course of asthma and COPD.

Detailed Description

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Both asthma and COPD are common medical problems. Pharmacologic treatment of asthma and COPD is based mainly on inhalations. The inhalation technique is the key factor for effective management of bronchial obstruction. At the same time, a significant proportion of patients with asthma or COPD do not use inhalers properly.

The aim of the study is:

* to analyze the frequency and type of common mistakes in inhalation technique and
* to determine the impact of short individual training of inhalation technique on the course of asthma and COPD.

Fifty patients with asthma and 50 patients with COPD treated in the out-patient clinic or in the Department of Internal Medicine, Pneumonology and Allergology will be enrolled to the study.

The stage of severity (COPD) and control of the disease (asthma), quality of life, proper inhaler intake will be assessed at the study onset and at a second visit after 6 months.

At the second visit all patients will get a short, individual information about the etiology, course and general treatment plan of asthma / COPD. Patients will be randomized into two groups:

A. group of patients trained in proper inhalation technique B. group of patients without inhalation technique training Control visits will be held 3 and 6 months after training.

Conditions

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Asthma Chronic Obstructive Pulmonary Disease

Keywords

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asthma and COPD treatment inhalation techniques training of inhalation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Education and Inhalation technique training

Training in technique of drug inhalation in asthma and COPD patients and education about the role of inhalation therapy in the course of the disease.

Group Type EXPERIMENTAL

Inhalation technique training

Intervention Type OTHER

Training in inhalation technique in asthmatics and COPD patients

Education

Basic education about asthma and COPD.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Inhalation technique training

Training in inhalation technique in asthmatics and COPD patients

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age of 18 - 80 years
* asthma or COPD diagnosed at least 6 months before study enrollment
* everyday usage of at least one of the following: pressured meter dose inhaler (pMDI) or dry powdered inhaler (Aerolizer, Handihaler, Disc or Turbuhaler)
* no other comorbidities that could influence learning of inhalation technique (psychiatric or neurologic disorders)

Exclusion Criteria

* age less than 18 or above 80 years
* lack of informed consent
* asthma or COPD diagnosed less than 6 months prior to screening visit
* coexistence of respiratory diseases other than asthma or COPD
* irregular use (not every day) of at least one inhaled drug
* treatment with inhalers other than: pMDI, Disc, Turbuhaler, Handihaler or Aerolizer
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Warsaw

OTHER

Sponsor Role lead

Responsible Party

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Marta DÄ…browska

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw

Warsaw, , Poland

Site Status

Countries

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Poland

References

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Melani AS, Bonavia M, Cilenti V, Cinti C, Lodi M, Martucci P, Serra M, Scichilone N, Sestini P, Aliani M, Neri M; Gruppo Educazionale Associazione Italiana Pneumologi Ospedalieri. Inhaler mishandling remains common in real life and is associated with reduced disease control. Respir Med. 2011 Jun;105(6):930-8. doi: 10.1016/j.rmed.2011.01.005. Epub 2011 Mar 2.

Reference Type BACKGROUND
PMID: 21367593 (View on PubMed)

Press VG, Arora VM, Shah LM, Lewis SL, Charbeneau J, Naureckas ET, Krishnan JA. Teaching the use of respiratory inhalers to hospitalized patients with asthma or COPD: a randomized trial. J Gen Intern Med. 2012 Oct;27(10):1317-25. doi: 10.1007/s11606-012-2090-9. Epub 2012 May 17.

Reference Type BACKGROUND
PMID: 22592354 (View on PubMed)

Al-Showair RA, Tarsin WY, Assi KH, Pearson SB, Chrystyn H. Can all patients with COPD use the correct inhalation flow with all inhalers and does training help? Respir Med. 2007 Nov;101(11):2395-401. doi: 10.1016/j.rmed.2007.06.008. Epub 2007 Jul 12.

Reference Type BACKGROUND
PMID: 17629471 (View on PubMed)

Dabrowska M, Luczak-Wozniak K, Miszczuk M, Domagala I, Lubanski W, Leszczynski A, Maskey-Warzechowska M, Rubinsztajn R, Hermanowicz-Salamon J, Krenke R. Impact of a Single Session of Inhalation Technique Training on Inhalation Skills and the Course of Asthma and COPD. Respir Care. 2019 Oct;64(10):1250-1260. doi: 10.4187/respcare.06740. Epub 2019 Jun 18.

Reference Type DERIVED
PMID: 31213572 (View on PubMed)

Other Identifiers

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WUM-TI

Identifier Type: -

Identifier Source: org_study_id