TY - JOUR
T1 - Demonstrating and assessing metered-dose inhaler-spacer technique
T2 - Pediatric care providers' self-reported practices and perceived barriers
AU - Reznik, Marina
AU - Jaramillo, Yudilyn
AU - Wylie-Rosett, Judith
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The work was supported by the American Lung Association Clinical Patient Care Grant (CG-120837-N, Reznik, Principal Investigator); the New York Community Trust Foundation (Reznik, Principal Investigator); Stony Wold-Herbert Fund, Inc. (Reznik, Principal Investigator); Monaghan Medical Corporation (Reznik, Principal Investigator); and Department of Pediatrics, the Children’s Hospital at Montefiore. We would like to acknowledge the Diabetes Research and Training Center P60DK20541 for salary support of Judith Wylie-Rosett for her work on this article.
PY - 2014/3
Y1 - 2014/3
N2 - The National Asthma Education and Prevention Program recommends that providers demonstrate and assess metered-dose inhaler-spacer (MDI-S) technique at each medical visit. To examine practice behaviors and perceived barriers to demonstrating and assessing MDI-S technique, we surveyed pediatric providers (n = 114) at an inner-city academic medical center. While 82% of providers demonstrated MDI-S technique, only 5% of providers demonstrate the technique at every visit. Although 67% of providers assessed MDI-S technique, only 13% assess the technique at every visit. None of the providers used MDI-S checklist for assessment. Attendings were more likely than residents to demonstrate with illustrations (24% vs 6%, P =.01) and when patient's asthma was not well controlled (68% vs 47%, P =.05). Provider-identified barriers included limited access to MDI-S device, lack of time, and inadequate knowledge. Suggestions to address barriers include in-service training, device access, and nurse/health educators to alleviate the time constraints. Clinic modifications and education are needed.
AB - The National Asthma Education and Prevention Program recommends that providers demonstrate and assess metered-dose inhaler-spacer (MDI-S) technique at each medical visit. To examine practice behaviors and perceived barriers to demonstrating and assessing MDI-S technique, we surveyed pediatric providers (n = 114) at an inner-city academic medical center. While 82% of providers demonstrated MDI-S technique, only 5% of providers demonstrate the technique at every visit. Although 67% of providers assessed MDI-S technique, only 13% assess the technique at every visit. None of the providers used MDI-S checklist for assessment. Attendings were more likely than residents to demonstrate with illustrations (24% vs 6%, P =.01) and when patient's asthma was not well controlled (68% vs 47%, P =.05). Provider-identified barriers included limited access to MDI-S device, lack of time, and inadequate knowledge. Suggestions to address barriers include in-service training, device access, and nurse/health educators to alleviate the time constraints. Clinic modifications and education are needed.
KW - MDI-spacer technique
KW - asthma
KW - barriers
KW - pediatric care provider
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U2 - 10.1177/0009922813512521
DO - 10.1177/0009922813512521
M3 - Article
C2 - 24336438
AN - SCOPUS:84894108849
SN - 0009-9228
VL - 53
SP - 270
EP - 276
JO - Clinical Pediatrics
JF - Clinical Pediatrics
IS - 3
ER -