In recent studies, more than 50% of patients with COPD could not correctly demonstrate their inhaler technique just weeks after initiation—even when they left the clinic confident in their skills. This reflects the challenges of managing a lifelong respiratory condition amid complex devices and fluctuating symptoms.
Structured onboarding can shift that trajectory. Using “teach-to-goal” (ie, repeated practice until correct use is demonstrated) and scheduling follow-up checks within weeks have been linked to improved control scores and fewer exacerbations. Brief refreshers at each encounter—during vitals or while updating the EMR—can help reinforce proper technique.
But effective education must go beyond technique. The patient journey includes emotional stages. Some patients are eager to master their device; others may be anxious, in denial, frustrated, or discouraged. Providing tailored education on flare-up management, treatment milestones, and integrating therapy into daily life can improve engagement. Addressing practical barriers such as cost, forgetfulness, or lack of support further supports long-term adherence.
During a busy COPD follow-up, where do you find time for a quick but effective inhaler technique review? How have you adapted your approach for patients who resist repeated inhaler education?
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BRETT NILE1moSo often times I found the double team approach to be effective. I usually have the nurse see if he has his device and demonstrate how to use it, then Show More
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LYNN CHARRLIN2moI can discuss this at their office visit and demonstrate how to do it or if they have their own inhaler I can have them demonstrate use for me. It Show More