Validation of scores of use of inhalation devices: valoration of errors

Detalhes bibliográficos
Autor(a) principal: Zambelli-Simões,Letícia
Data de Publicação: 2015
Outros Autores: Martins,Maria Cleusa, Possari,Juliana Carneiro da Cunha, Carvalho,Greice Borges, Coelho,Ana Carla Carvalho, Cipriano,Sonia Lucena, Carvalho-Pinto,Regina Maria de, Cukier,Alberto, Stelmach,Rafael
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Pneumologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000400313
Resumo: AbstractObjective: To validate two scores quantifying the ability of patients to use metered dose inhalers (MDIs) or dry powder inhalers (DPIs); to identify the most common errors made during their use; and to identify the patients in need of an educational program for the use of these devices.Methods: This study was conducted in three phases: validation of the reliability of the inhaler technique scores; validation of the contents of the two scores using a convenience sample; and testing for criterion validation and discriminant validation of these instruments in patients who met the inclusion criteria.Results: The convenience sample comprised 16 patients. Interobserver disagreement was found in 19% and 25% of the DPI and MDI scores, respectively. After expert analysis on the subject, the scores were modified and were applied in 72 patients. The most relevant difficulty encountered during the use of both types of devices was the maintenance of total lung capacity after a deep inhalation. The degree of correlation of the scores by observer was 0.97 (p < 0.0001). There was good interobserver agreement in the classification of patients as able/not able to use a DPI (50%/50% and 52%/58%; p < 0.01) and an MDI (49%/51% and 54%/46%; p < 0.05).Conclusions: The validated scores allow the identification and correction of inhaler technique errors during consultations and, as a result, improvement in the management of inhalation devices.
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spelling Validation of scores of use of inhalation devices: valoration of errorsAsthmaDry powder inhalersMetered dose inhalersValidation studiesAbstractObjective: To validate two scores quantifying the ability of patients to use metered dose inhalers (MDIs) or dry powder inhalers (DPIs); to identify the most common errors made during their use; and to identify the patients in need of an educational program for the use of these devices.Methods: This study was conducted in three phases: validation of the reliability of the inhaler technique scores; validation of the contents of the two scores using a convenience sample; and testing for criterion validation and discriminant validation of these instruments in patients who met the inclusion criteria.Results: The convenience sample comprised 16 patients. Interobserver disagreement was found in 19% and 25% of the DPI and MDI scores, respectively. After expert analysis on the subject, the scores were modified and were applied in 72 patients. The most relevant difficulty encountered during the use of both types of devices was the maintenance of total lung capacity after a deep inhalation. The degree of correlation of the scores by observer was 0.97 (p < 0.0001). There was good interobserver agreement in the classification of patients as able/not able to use a DPI (50%/50% and 52%/58%; p < 0.01) and an MDI (49%/51% and 54%/46%; p < 0.05).Conclusions: The validated scores allow the identification and correction of inhaler technique errors during consultations and, as a result, improvement in the management of inhalation devices.Sociedade Brasileira de Pneumologia e Tisiologia2015-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000400313Jornal Brasileiro de Pneumologia v.41 n.4 2015reponame:Jornal Brasileiro de Pneumologia (Online)instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)instacron:SBPT10.1590/S1806-37132015000004435info:eu-repo/semantics/openAccessZambelli-Simões,LetíciaMartins,Maria CleusaPossari,Juliana Carneiro da CunhaCarvalho,Greice BorgesCoelho,Ana Carla CarvalhoCipriano,Sonia LucenaCarvalho-Pinto,Regina Maria deCukier,AlbertoStelmach,Rafaeleng2015-09-14T00:00:00Zoai:scielo:S1806-37132015000400313Revistahttp://www.jornaldepneumologia.com.br/default.aspONGhttps://old.scielo.br/oai/scielo-oai.php||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br1806-37561806-3713opendoar:2015-09-14T00:00Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)false
dc.title.none.fl_str_mv Validation of scores of use of inhalation devices: valoration of errors
title Validation of scores of use of inhalation devices: valoration of errors
spellingShingle Validation of scores of use of inhalation devices: valoration of errors
Zambelli-Simões,Letícia
Asthma
Dry powder inhalers
Metered dose inhalers
Validation studies
title_short Validation of scores of use of inhalation devices: valoration of errors
title_full Validation of scores of use of inhalation devices: valoration of errors
title_fullStr Validation of scores of use of inhalation devices: valoration of errors
title_full_unstemmed Validation of scores of use of inhalation devices: valoration of errors
title_sort Validation of scores of use of inhalation devices: valoration of errors
author Zambelli-Simões,Letícia
author_facet Zambelli-Simões,Letícia
Martins,Maria Cleusa
Possari,Juliana Carneiro da Cunha
Carvalho,Greice Borges
Coelho,Ana Carla Carvalho
Cipriano,Sonia Lucena
Carvalho-Pinto,Regina Maria de
Cukier,Alberto
Stelmach,Rafael
author_role author
author2 Martins,Maria Cleusa
Possari,Juliana Carneiro da Cunha
Carvalho,Greice Borges
Coelho,Ana Carla Carvalho
Cipriano,Sonia Lucena
Carvalho-Pinto,Regina Maria de
Cukier,Alberto
Stelmach,Rafael
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Zambelli-Simões,Letícia
Martins,Maria Cleusa
Possari,Juliana Carneiro da Cunha
Carvalho,Greice Borges
Coelho,Ana Carla Carvalho
Cipriano,Sonia Lucena
Carvalho-Pinto,Regina Maria de
Cukier,Alberto
Stelmach,Rafael
dc.subject.por.fl_str_mv Asthma
Dry powder inhalers
Metered dose inhalers
Validation studies
topic Asthma
Dry powder inhalers
Metered dose inhalers
Validation studies
description AbstractObjective: To validate two scores quantifying the ability of patients to use metered dose inhalers (MDIs) or dry powder inhalers (DPIs); to identify the most common errors made during their use; and to identify the patients in need of an educational program for the use of these devices.Methods: This study was conducted in three phases: validation of the reliability of the inhaler technique scores; validation of the contents of the two scores using a convenience sample; and testing for criterion validation and discriminant validation of these instruments in patients who met the inclusion criteria.Results: The convenience sample comprised 16 patients. Interobserver disagreement was found in 19% and 25% of the DPI and MDI scores, respectively. After expert analysis on the subject, the scores were modified and were applied in 72 patients. The most relevant difficulty encountered during the use of both types of devices was the maintenance of total lung capacity after a deep inhalation. The degree of correlation of the scores by observer was 0.97 (p < 0.0001). There was good interobserver agreement in the classification of patients as able/not able to use a DPI (50%/50% and 52%/58%; p < 0.01) and an MDI (49%/51% and 54%/46%; p < 0.05).Conclusions: The validated scores allow the identification and correction of inhaler technique errors during consultations and, as a result, improvement in the management of inhalation devices.
publishDate 2015
dc.date.none.fl_str_mv 2015-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132015000400313
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1806-37132015000004435
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
dc.source.none.fl_str_mv Jornal Brasileiro de Pneumologia v.41 n.4 2015
reponame:Jornal Brasileiro de Pneumologia (Online)
instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
instacron:SBPT
instname_str Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
instacron_str SBPT
institution SBPT
reponame_str Jornal Brasileiro de Pneumologia (Online)
collection Jornal Brasileiro de Pneumologia (Online)
repository.name.fl_str_mv Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
repository.mail.fl_str_mv ||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br
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