Long-term maintenance of pharmacists' inhaler technique demonstration skills

Abstract

Objective: To assess the effectiveness of a single educational intervention, followed by patient education training, in pharmacists retaining their inhaler technique skills.

Methods: A convenience sample of 31 pharmacists attended an educational workshop and their inhaler techniques were assessed. Those randomly assigned to the active group were trained to assess and teach correct Turbuhaler and Diskus inhaler techniques to patients and provided with patient education tools to use in their pharmacies during a 6-month study. Control pharmacists delivered standard care. All pharmacists were reassessed 2 years after initial training.

Results: Thirty-one pharmacists participated in the study. At the initial assessment, few pharmacists demonstrated correct technique (Turbuhaler:13%, Diskus:6%). All pharmacists in the active group demonstrated correct technique following training. Two years later, pharmacists in the active group demonstrated significantly better inhaler technique than pharmacists in the control group (p < 0.05) for Turbuhaler and Diskus (83% vs.11%; 75% vs.11%, respectively).

Conclusion: Providing community pharmacists with effective patient education tools and encouraging their involvement in educating patients may contribute to pharmacists maintaining their competence in correct inhaler technique long-term.

Keywords: asthma; community pharmacists; dry powder inhalers; education.

Figures

Figure 1

Inhaler Technique Labels. At each visit, the Inhaler Technique Label was highlighted by the pharmacists with any steps which the patient performed incorrectly at initial assessment at that visit.

Figure 2

CONSORT diagram for pharmacists, showing disposition and retention throughout the workshop, followup 6-month study, and 2 years post initial training (educational workshop).

Figure 3

Mean score of inhaler technique (Turbuhaler and Diskus) for pharmacists in the Active group (n=16) and Control group (n=15), pre and post education in the educational workshop; 3 and 6 months during the follow-up 6-month study, and 2 years post initial training (educational workshop).