A comparison of four tests of cognition as predictors of inability to learn to use a metered dose inhaler in old age

International Journal of Clinical Practice

Volumn 63, Issue 8, 2009, Pages 1150-1153

  Allen, S C ^a   Warwick Sanders, M ^a   Baxter, M ^a  

^a ROYAL BOURNEMOUTH HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; AGING; ARTICLE; CLOCK DRAWING TEST; COGNITION; COPY INTERSECTING PENTAGON TEST; FEMALE; FRAIL ELDERLY; HUMAN; INTERMETHOD COMPARISON; LEARNING; MAJOR CLINICAL STUDY; MALE; METERED DOSE INHALER; MINI MENTAL STATE EXAMINATION; PREDICTION; PRIORITY JOURNAL; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; VALIDATION PROCESS;

AGED; AGED, 80 AND OVER; APTITUDE TESTS; COGNITION; FEMALE; HUMANS; LEARNING; MALE; METERED DOSE INHALERS; PATIENT EDUCATION AS TOPIC; SENSITIVITY AND SPECIFICITY;

EID: 67749127832     PISSN: 13685031     EISSN: 17421241     Source Type: Journal    
DOI: 10.1111/j.1742-1241.2009.02060.x     Document Type: Article

References (23)

1. Newman SP, Moren F, Pavia D, Sheahan NF, Clarke SW. Deposition of pressurized aerosols in the human respiratory tract. Thorax 1981 63 : 52 5.
2. Newman SP, Pavia D, Clarke SW. How should a pressurized beta-adrenergic bronchodilator be inhaled? Eur J Resp Dis 1981 62 : 3 20.
3. Usmani OS, Biddiscombe MF, Nightingale JA, Underwood SR, Barnes P. Effects of bronchodilator particle size in asthmatic patients using monodisperse aerosols. J Appl Physiol 2003 95 : 2106 12.
4. Lawford P, McKenzie D. Pressurized aerosol technique; influence of breath-holding time and relationship of inhaler to mouth. Br J Dis Chest 1982 76 : 229 33.
5. Newman SP, Pavia D, Garland N, Clarke SW. Effects of various inhalation modes on the deposition of radio-active pressurized aerosols. Eur J Resp Dis 1982 63 (Suppl. 119 57 65.
6. Newman SP, Clarke SW. Therapeutic aerosols 1 - physical and practical considerations. Thorax 1983 38 : 881 6.
7. Laube BL, Norman PS, Adams GK. The effect of aerosol distribution on airway responsiveness to inhaled methacholine in patients with asthma. J Allergy Clin Immunol 1992 89 : 510 8.
8. Molimard M, Raherison C, Lignot S, Depont F, Abouelfath A, Moore N. Assessment of handling of inhaler devices in real life: an observational study in 3811 patients in primary care. J Aerosol Med 2003 16 : 249 54.
9. Lenney J, Innes JA, Crompton GK. Inappropriate inhaler use: assessment of use and patient preference of seven inhalation devices. EDICI. Respir Med 2000 94 : 496 500.
10. Brocklebank D, Ram F, Wright J et al. Comparison of the effectiveness of inhaler devices in asthma and chronic obstructive airways disease: a systematic review of the literature. Health Technol Assess 2001 5 : 1 149.
11. Welch MJ, Nelson HS, Shapiro G. Comparison of patient preference and ease of teaching inhaler technique for Pulmicort Turbohaler versus pressurized metered dose inhalers. J Aerosol Med 2004 17 : 129 39.
12. Roberts J, Snyder DL, Johnson D. The effect of age on bronchodilators used to treat asthma. In : Snyder DL, Roberts J, Friedman E, eds. Handbook of Pharmacology of Aging. Philadelphia, PA : CRC Press, 1996 : pp. 111 24.
13. Ho SF, O'Mahony MS, Steward JA, Breay P, Burr ML. Inhaler technique in older people in the community. Age Ageing 2004 33 : 185 8.
14. Allen SC, Jain M, Ragab S, Malik N. Acquisition and short-term retention of inhaler techniques require intact executive function in elderly subjects. Age Ageing 2003 32 : 299 302.
15. Board M, Allen SC. A simple drawing test to identify patients who are unlikely to be able to learn to use an inhaler. Int J Clin Pract 2006 60 : 510 3.
16. Allen SC, Ragab S. Ability to learn inhaler technique in relation to cognitive scores and tests of praxis in old age. Postgrad Med J 2002 78 : 37 9.
17. Allen SC. Competence thresholds for the use of inhalers in people with dementia. Age Ageing 1997 26 : 83 6.
18. Gray SL, Williams DM, Pulliam CC. Characteristics predicting incorrect metered dose inhaler technique in older subjects. Arch Intern Med 1996 156 : 984 8.
19. Royall DR, Cordes JA, Polk M. CLOX: an executive clock drawing task. J Neurol Neurosurg Psychiatry 1998 64 : 588 94.
20. http://www.asthma.org.uk/news-media/news/training-inhaler.html (accessed October 2008).
21. The British Thoracic Society. The British guidelines on asthma management; 1995 review and position statement. Thorax 1997 52 : S1.
22. Folstein FM, Folstein SE, McHugh PR. Mini Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975 12 : 189 98.
23. http://www.graphpad.com (accessed October 2008).