Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia

Introduction: Metered-dose inhalers (MDI) are the most used inhalers worldwide. However, improper MDI techniques remain a significant problem and cause uncontrolled asthma. Studies worldwide have reported that the causes of inefficient inhaler technique are multifactorial. However, this topic has be...

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Autores principales:	Nurafiza Binti Mohd Arif, Lee Ping Yein, Cheong Ai Theng, Roshan Nur Anand Ananthan
Formato:	article
Lenguaje:	EN
Publicado:	Academy of Family Physicians of Malaysia 2021
Materias:	metered-dose inhaler technique adult asthma primary care setting Medicine R
Acceso en línea:	https://doaj.org/article/9a2f5eaf8b7341f6b0d647f81588f140
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spelling	oai:doaj.org-article:9a2f5eaf8b7341f6b0d647f81588f1402021-12-04T07:08:58ZFactors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia10.51866/oa12311985-2274https://doaj.org/article/9a2f5eaf8b7341f6b0d647f81588f1402021-06-01T00:00:00Zhttps://e-mfp.org/wp-content/uploads/v16n2-OA-Factors-associated-with-improper.pdfhttps://doaj.org/toc/1985-2274Introduction: Metered-dose inhalers (MDI) are the most used inhalers worldwide. However, improper MDI techniques remain a significant problem and cause uncontrolled asthma. Studies worldwide have reported that the causes of inefficient inhaler technique are multifactorial. However, this topic has been less well studied in the Asian population. This study aimed to evaluate the MDI technique and associated factors among adults with asthma in a primary care setting in Malaysia. Method: This was a cross-sectional study with universal sampling conducted between July and October 2017. A total of 146 patients with asthma aged 18 years and older in a primary care clinic in Putrajaya, Malaysia were recruited. Logistic regressions were used for statistical analysis to examine the association between improper MDI techniques and their related factors. Results: The majority (83%) of respondents were female with a median age of 37 (IQR = 30.75–49.25) years, and the median duration of asthma of 20 (IQR = 10–30) years. An improper MDI technique was observed in 100 (71.9%) patients. The most frequently missed step was exhaling gently and fully before inhalation (51.4%). Respondents who were not on an MDI preventer (adjusted OR: 2.487, 95% CI: 1.121–5.519, p = 0 .025) or had used an MDI 5 years or fewer (adjusted OR: 3.369, 95% CI: 1.425–7.964, p = 0.006) were more likely to employ an improper MDI technique. Conclusion: There was a high proportion of improper MDI techniques among patients with asthma. Patients not using an MDI preventer or who had used an MDI less than 5 years were at higher risk of improper MDI technique.Nurafiza Binti Mohd ArifLee Ping YeinCheong Ai ThengRoshan Nur Anand AnanthanAcademy of Family Physicians of Malaysiaarticlemetered-dose inhalertechniqueadultasthmaprimary care settingMedicineRENMalaysian Family Physician, Vol 16, Iss 2, Pp 58-66 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	metered-dose inhaler technique adult asthma primary care setting Medicine R
spellingShingle	metered-dose inhaler technique adult asthma primary care setting Medicine R Nurafiza Binti Mohd Arif Lee Ping Yein Cheong Ai Theng Roshan Nur Anand Ananthan Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia
description	Introduction: Metered-dose inhalers (MDI) are the most used inhalers worldwide. However, improper MDI techniques remain a significant problem and cause uncontrolled asthma. Studies worldwide have reported that the causes of inefficient inhaler technique are multifactorial. However, this topic has been less well studied in the Asian population. This study aimed to evaluate the MDI technique and associated factors among adults with asthma in a primary care setting in Malaysia. Method: This was a cross-sectional study with universal sampling conducted between July and October 2017. A total of 146 patients with asthma aged 18 years and older in a primary care clinic in Putrajaya, Malaysia were recruited. Logistic regressions were used for statistical analysis to examine the association between improper MDI techniques and their related factors. Results: The majority (83%) of respondents were female with a median age of 37 (IQR = 30.75–49.25) years, and the median duration of asthma of 20 (IQR = 10–30) years. An improper MDI technique was observed in 100 (71.9%) patients. The most frequently missed step was exhaling gently and fully before inhalation (51.4%). Respondents who were not on an MDI preventer (adjusted OR: 2.487, 95% CI: 1.121–5.519, p = 0 .025) or had used an MDI 5 years or fewer (adjusted OR: 3.369, 95% CI: 1.425–7.964, p = 0.006) were more likely to employ an improper MDI technique. Conclusion: There was a high proportion of improper MDI techniques among patients with asthma. Patients not using an MDI preventer or who had used an MDI less than 5 years were at higher risk of improper MDI technique.
format	article
author	Nurafiza Binti Mohd Arif Lee Ping Yein Cheong Ai Theng Roshan Nur Anand Ananthan
author_facet	Nurafiza Binti Mohd Arif Lee Ping Yein Cheong Ai Theng Roshan Nur Anand Ananthan
author_sort	Nurafiza Binti Mohd Arif
title	Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia
title_short	Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia
title_full	Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia
title_fullStr	Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia
title_full_unstemmed	Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia
title_sort	factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in malaysia
publisher	Academy of Family Physicians of Malaysia
publishDate	2021
url	https://doaj.org/article/9a2f5eaf8b7341f6b0d647f81588f140
work_keys_str_mv	AT nurafizabintimohdarif factorsassociatedwithimpropermetereddoseinhalertechniqueamongadultswithasthmainaprimarycareclinicinmalaysia AT leepingyein factorsassociatedwithimpropermetereddoseinhalertechniqueamongadultswithasthmainaprimarycareclinicinmalaysia AT cheongaitheng factorsassociatedwithimpropermetereddoseinhalertechniqueamongadultswithasthmainaprimarycareclinicinmalaysia AT roshannuranandananthan factorsassociatedwithimpropermetereddoseinhalertechniqueamongadultswithasthmainaprimarycareclinicinmalaysia
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Factors associated with improper metered-dose inhaler technique among adults with asthma in a primary care clinic in Malaysia

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