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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7351 p640
28 May 2005

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Training device improves QoL for asthma patients

Metered dose inhaler

Patients using a metered dose inhaler should inhale slowly

A new device designed to help maintain a slow inhalation rate improves quality of life scores in asthma patients, according to researchers who presented their work at the American Thoracic Society’s annual meeting in San Diego this week.

In patients using a metered dose inhaler, inhalation rate should be as slow as possible within the range 30–90L per minute. The study involved 55 patients with good co-ordination but who had an inhalation rate measured as faster than 90L per minute.

Patients received either verbal counselling and training on inhaler technique or verbal counselling and the device, called 2Tone Trainer. The device looks like an MDI but emits a two-tone sound when inhalation is faster than 60L per minute, a one-tone sound when it is between 30 and 60L per minute, and no sound when it is slower than 30L per minute.

Asthma Quality of Life Questionnaire (AQLQ) score was measured before the study and again after six weeks. The researchers found that AQLQ scores in patients using the new device improved more than those in the counselling-only group (P=0.004). There was also a greater decrease in inhalation rate in the 2Tone Trainer group (P<0.001).

The study was conducted by researchers at the school of pharmacy and institute of pharmaceutical innovation, University of Bradford, and the department of respiratory medicine, Leeds General Infirmary.

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