Metered Dose Inhaler Training: It is known that incorrect inhaler use is more common, especially in elderly individuals, and that common errors in metered-dose inhaler use include poor hand-mouth coordination, inability to simultaneously spray and inhale, and failure to hold the breath during inhalation. This study evaluates metered-dose inhaler use only in elderly individuals. Furthermore, not only will the inhaler application steps be evaluated, but the experimental group will also receive education and reminder interventions.
Metered Dose Inhaler Reminder Card: This reminder card contains the inhaler administration steps included in the "Measured Dose Inhaler Medication Use Skill Chart". Participants in the experimental group will be able to access the medication administration steps on the reminder card before administering their inhaler medication. Participants will be asked in the final interview whether they used the reminder cards.
Metered Dose Inhaler Application Video: This video was prepared by the responsible researcher, taking into account the application steps included in the "Metered Dose Inhaler Medication Use Skill Chart". Participants in the experimental group will be able to access the application steps via the inhaler video before administering their inhaler medication.
Study summary
This study will evaluate the effect of metered-dose inhaler training and reminders on treatment adherence in elderly individuals.
Eligibility
Sex
ALL
Min age
65 Years
Max age
—
Healthy volunteers
No
Inclusion criteria for the study:
* Age ≥ 65 years old
* Having at least basic literacy,
* Receiving metered-dose inhaler therapy for at least 6 months,
* Being hospitalized in the pulmonary ward,
* Presenting to the pulmonary function test unit,
* Presenting to the pulmonary outpatient clinic,
* Signing the informed consent form for participation in the study,
* Having internet access and a mobile device with Android/iOS operating system,
* Being able to use a telephone,
* Having no communication barriers,
* Being able to use the inhaler without needing assistance,
* Making an error in at least one of the usage steps according to the MDI usage skills chart.
Exclusion criteria for the study:
* Age \<65
* Illiteracy
* Receiving metered-dose inhaler therapy for \<6 months
* Outpatient treatment
* Being hospitalized in the intensive care unit
* Being hospitalized in wards other than the pulmonary ward (such as surgery, physical therapy)
* Visiting outpatient clinics other than the pulmonary clinic (such as surgery, physical therapy)
* Not signing the informed consent form for participation in the study
* Not having internet access and a mobile device with Android/iOS operating system
* Not having telephone skills
* Having communication barriers
* Requiring assistance while using the inhaler
* Not making any errors in the usage steps according to the MDI usage skills chart
* Wanting to withdraw from the study/withdrawing from participation during the research process
* Not completing the questionnaire
Primary outcome measure(s)
Metered Dose Inhaler Skill — the initial screening and three months after the initial screening (three months) The "Measured Dose Inhaler Skill Chart" involves evaluating the participant's inhaler usage and checking the application steps. Performing all steps correctly will be considered "correct inhaler technique," while performing at least one or more steps incorrectly or not at all will be considered "incorrect inhaler technique." For each step, incorrect application or omission will receive "0 points," and correct application will receive "1 point," resulting in a total score between "0 and 10." Participants who make at least "1 mistake" or score "below 10" will be included in the study. When evaluating scores based on inhaler usage steps, "0-3" points will be considered poor, "4-6" points moderate, and "7-10" points good.
Medication Adherence Reporting Scale — the initial screening and three months after the initial screening (three months) The scale consists of 5 items in total. The total test score is determined by summing the scores obtained from the items. Scores obtained from the scale range from 5 to 25. Higher total scores indicate better medication adherence, while lower total scores indicate poor medication adherence.
Trial sites (1)
Facility
City
Region
Status
Department of Nursing, Faculty of Health Sciences, Canakkale Onsekiz Mart University
Çanakkale
Turkey (Türkiye)
Recruiting
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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