Evidence map›Paper›PMID 26436910›Full record

Trial reportCanadian respiratory journal

Empowering family physicians to impart proper inhaler teaching to patients with chronic obstructive pulmonary disease and asthma.

Janice Leung, Mohit Bhutani, Richard Leigh, Dan Pelletier, Cathy Good, Don D Sin

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Educating frontline health workers to support evidence-based management and treatment for chronic obstructive pulmonary disease patients: A literature review.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2022
    Review
  7. Article
  8. Article
  9. Choosing the right inhaler for your asthma or COPD patient.Therapeutics and clinical risk management · 2019
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Diagnosing COPD: advances in training and practice - a systematic review.Advances in medical education and practice · 2016
    Review
  16. Influence of inhaler technique on asthma and COPD control: a multicenter experience.International journal of chronic obstructive pulmonary disease · 2016
    Observational
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 1 country.

Janice Leung
Mohit Bhutani
Richard Leigh
Dan Pelletier
Cathy Good
Don D Sin
AstraZeneca (Canada) · CAFPInnovations · CASt. Paul's Hospital · CAUniversity of Alberta · CAUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic obstructive pulmonary disease (COPD) and asthma depend on inhalers for management, but critical errors committed during inhaler use can limit drug effectiveness. Outpatient education in inhaler technique remains inconsistent due to limited resources and inadequate provider knowledge.

objectiveTo determine whether a simple, two-session inhaler education program can improve physician attitudes toward inhaler teaching in primary care practice.

methodsAn inhaler education program with small-group hands-on device training was instituted for family physicians (FP) in British Columbia and Alberta. Sessions were spaced one to three months apart. All critical errors were corrected in the first session. Questionnaires surveying current inhaler teaching practices and attitudes toward inhaler teaching were distributed to physicians before and after the program.

resultsForty-one (60%) of a total 68 participating FPs completed both before and after program questionnaires. Before the program, only 20 (49%) reported providing some form of inhaler teaching in their practices, and only four (10%) felt fully competent to teach patients inhaler technique. After the program, 40 (98%) rated their inhaler teaching as good to excellent. Thirty-four (83%) reported providing inhaler teaching in their practices, either by themselves or by an allied health care professional they had personally trained. All stated they could teach inhaler technique within 5 min. Observation of FPs during the second session by certified respiratory educators found that none made critical errors and all had excellent technique.

conclusionA physician inhaler education program can improve attitudes toward inhaler teaching and facilitate implementation in clinical practices.

Indexed as

Nebulizers and VaporizersAlbertaAmbulatory CareAsthmaAttitude of Health PersonnelBritish ColumbiaClinical CompetenceEducation, Medical, ContinuingFamily PracticeHumansMedication ErrorsPatient Education as TopicPractice Patterns, Physicians'Pulmonary Disease, Chronic ObstructiveRespiratory System AgentsRespiratory System Agents

Identifiers

PMID26436910
PMCPMC4596648
OpenAlexW2223939435

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.