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A systematic review of educational interventions designed to improve inhaler technique in asthma and COPD found that most interventions could produce a meaningful improvement in technique. The review included dozens of interventions delivered through different educational formats, with repeated evidence that clinician demonstration, patient re-demonstration, and structured education can change inhaler use. However, the effect was not always durable, and technique could deteriorate over time. The practical implication is highly relevant to routine respiratory care: inhaler technique should be checked repeatedly, especially when symptoms remain uncontrolled or when therapy is being escalated. Simply telling a patient how to use an inhaler at the time of first prescribing is rarely enough. For HCPs, the best workflow is usually teach–demonstrate–return-demonstrate–reinforce, with attention to the specific device the patient actually uses. The review supports the conference’s emphasis on correcting inhaler technique before stepping up therapy in airway disease. It also illustrates a broader principle of chronic respiratory medicine: implementation quality can determine whether a pharmacologically effective treatment produces the expected clinical benefit.
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A systematic review of educational interventions designed to improve inhaler technique in asthma and COPD found that most interventions could produce a meaningful improvement in technique. The review included dozens of interventions delivered through different educational formats, with repeated evidence that clinician demonstration, patient re-demonstration, and structured education can change inhaler use. However, the effect was not always durable, and technique could deteriorate over time. The practical implication is highly relevant to routine respiratory care: inhaler technique should be checked repeatedly, especially when symptoms remain uncontrolled or when therapy is being escalated. Simply telling a patient how to use an inhaler at the time of first prescribing is rarely enough. For HCPs, the best workflow is usually teach–demonstrate–return-demonstrate–reinforce, with attention to the specific device the patient actually uses. The review supports the conference’s emphasis on correcting inhaler technique before stepping up therapy in airway disease. It also illustrates a broader principle of chronic respiratory medicine: implementation quality can determine whether a pharmacologically effective treatment produces the expected clinical benefit.
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