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Incentive Spirometry Adherence: A National Survey of Provider Perspectives
Adam E M Eltorai1, Grayson L Baird2,3, Ashley Szabo Eltorai2
1Yale University School of Medicine, New Haven, Connecticut. adam_eltorai@brown.edu.
Respiratory Care
|January 25, 2018
Summary
Healthcare providers report poor patient adherence to incentive spirometry (IS) due to forgetfulness and incorrect usage. Improving IS adherence is crucial for effective patient-administered therapies.
Area of Science:
- Pulmonary Medicine
- Respiratory Therapy
- Healthcare Provider Perspectives
Background:
- Patient adherence is vital for therapies like incentive spirometry (IS).
- Current patient adherence levels with IS are largely unknown.
- This study explores healthcare providers' views on IS adherence.
Purpose of the Study:
- To assess provider perspectives on incentive spirometry adherence.
- To identify factors contributing to poor patient adherence with IS.
- To highlight the need for interventions to improve IS use.
Main Methods:
- A national survey of respiratory therapists (RTs) and nurses was conducted.
- Surveys were distributed via social media and professional nursing/RT society newsletters.
- Data were collected from 1,681 healthcare providers across the United States.
Main Results:
- A vast majority of providers (86%) believe patient adherence to IS is poor.
- Providers cited patient forgetfulness (83.5%) as the primary barrier to IS adherence.
- Ineffective use (74.4%) and infrequent use (70.7%) were also significant concerns.
Conclusions:
- Healthcare providers perceive low patient adherence to incentive spirometry.
- Patient forgetfulness is a major factor contributing to nonadherence.
- Targeted strategies are needed to enhance patient adherence to IS therapy.
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