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oai:repisalud.isciii.es:20.500.12105/228912024-11-29T02:10:50Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967col_20.500.12105_16972

00925njm 22002777a 4500 dc Plaza, Vicente author Giner, Jordi author Curto, Elena author Alonso-Ortiz, M. Belén author Itxaso Orue, Miren author Vega, Jose María author García-Cosío, Borja author Investigators RE-TAI Study author 2020-02 BACKGROUND: Satisfaction with the inhaler is an important determinant of treatment adherence in patients with asthma and chronic obstructive pulmonary disease (COPD). However, few studies have compared these 2 groups to identify the factors associated with satisfaction with the inhaler. OBJECTIVE: To assess and compare satisfaction with the inhaler in patients with asthma or COPD and to determine the variables associated with high inhaler satisfaction. METHODS: A multicenter, cross-sectional study of 816 patients (406 with asthma and 410 with COPD) was conducted. Satisfaction was assessed with the Feeling of Satisfaction with Inhaler (FSI-10) questionnaire. All participants completed the Test of Adherence to Inhalers and either the Asthma Control Test (ACT) or the COPD Assessment Test (CAT). RESULTS: Overall, the asthma group was significantly more satisfied with the inhaler (mean [standard deviation] FSI-10 scores: 44.1 [6.5] vs 42.0 [7.7]; P < .001) and more satisfied on most (7 of 10; 70%) items. Patients with asthma were significantly more satisfied with the inhaler regardless of the adherence level or the type of nonadherence pattern. Younger age, good disease control (ACT >= 20 or CAT <= 10), previous inhaler training, and absence of unwitting nonadherence were all independently and significantly associated with high inhaler satisfaction. CONCLUSIONS: Age, disease control, and training in inhalation technique all play a more significant role than the specific diagnosis in explaining satisfaction with the device in patients with asthma and COPD. These findings underscore the need to provide better training and more active monitoring of the inhalation technique to improve patient satisfaction, treatment adherence, and clinical outcomes. Plaza V, Giner J, Curto E, Alonso-Ortiz MB, Itxaso Orue M, Vega JM, et al. Determinants and Differences in Satisfaction with the Inhaler Among Patients with Asthma or COPD. J Allergy Clin Immunol-Pract. 2020 Feb;8(2):645-53. Epub 2019 Oct 3. 10.1016/j.jaip.2019.09.020 2213-2201 2213-2198 Journal of Allergy and Clinical Immunology-In Practice http://hdl.handle.net/20.500.13003/17254 31586668 L2003439650 2-s2.0-85074507787 https://hdl.handle.net/20.500.12105/22891 512964500025 Asthma Pulmonary disease Chronic obstructive Self-reported success Patient compliance Patient satisfaction Nebulizers Vaporizers Determinants and Differences in Satisfaction with the Inhaler Among Patients with Asthma or COPD