Improving spirometry testing by understanding patient preferences

Area of Science:

• Pulmonary Medicine
• Respiratory Diagnostics
• Patient-Reported Outcomes

Background:

• Spirometry is crucial for diagnosing and managing respiratory conditions.
• Updating technical standards for spirometry aims to enhance measurement accuracy and patient experience.

Purpose of the Study:

• To gather patient perspectives on spirometry testing to inform updated technical standards.
• To identify patient-reported challenges and preferences for improving spirometry procedures.

Main Methods:

• An online survey was conducted in 10 languages, gathering data from 1760 respondents across 52 countries.
• The survey focused on patient experiences, knowledge of spirometry metrics (FEV1), and perceived difficulties during testing.

Main Results:

• Most respondents lacked understanding of forced expiratory volume in 1 second (FEV1) and their own results.
• Commonly reported issues included being asked to continue blowing when no air felt present, coughing, tiredness, and shortness of breath concerns.
• While generally acceptable, 17% of patients found spirometry difficult, highlighting a need for improved patient support.

Conclusions:

• Patients desire comprehensive information before, during, and after spirometry, including medication guidance.
• Operator communication and environmental adjustments can significantly improve patient comfort and test ease.
• Providing patients with access to and understanding of their spirometry results is essential for their health management.