Inhaler use and education characteristics among English and non-English speaking patients: A pilot needs assessment survey |
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Authors: | Sucharita Kher Hillary Landau Stephanie M. Hon Janis L. Breeze Nadine Al-Naamani Jessica K. Paulus Andrew Martin Rosemary Tsacoyianis |
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Affiliation: | 1. Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA;2. Tufts University School of Medicine, 145 Harrison avenue, Boston, MA, USA;3. Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA;4. Tufts Clinical and Translational Science Institute, Tufts University, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center 35 Kneeland Street, Boston, MA, 02111, USA;5. Predictive Analytics and Comparative Effectiveness (PACE) Center, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, 35 Kneeland Street, Boston, MA, 02111, USA;6. Department of Pharmacy, Tufts Medical Center, 800 Washington Street, Boston, MA, 02111, USA |
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Abstract: | ![]()
ObjectiveIdentify inhaler use characteristics among English (ESP) and non-English speaking patients (NSP) to develop quality improvement efforts.MethodsOutpatients were surveyed for technique confidence, education, preferences and disease control. We compared characteristics between ESP and NSP.ResultsOf 197 respondents, 75% were ESP, 25% were NSP. Compared to NSP, ESP responders were more likely female (57% vs 31%, p?=?0.001), used inhalers for a longer time (10 vs 6 years, p?=?0.008) and had higher rates of metered dose inhaler use (85% vs. 60%, p?0.001). Both language groups had similar confidence in inhaler use, after adjustment for age, gender and duration of use. Similar rates of inhaler technique education were reported by ESP and NSP at the initial visit. More NSP reported receiving education at subsequent visits (54% vs. 72%, p?=?0.03). Education for both groups was mostly performed by a clinician. Both language groups reported low internet use for learning proper technique, low interest in a separate education session, preferred an active learning method.ConclusionsThese findings will be used to further develop quality inhaler education efforts at our institution.Practical implicationsLocal patient preferences should be considered when designing inhaler education programs. |
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Keywords: | Language Culture Chinese Patient education as topic COPD Asthma Metered dose inhalers Pulmonary medicine Boston Needs assessment Quality improvement |
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