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Phone-Based Teach-To-Goal Inhaler Education Program for Medicare Advantage Beneficiaries With COPD.

Valerie G Press¹, Aina Katsikas², Kaylyn Swankoski²

¹Department of Medicine, University of Chicago, Chicago, Illinois, United States.

Chronic Obstructive Pulmonary Diseases (Miami, Fla.)

|February 9, 2026

Summary

Phone-based Teach-to-Goal (TTG) inhaler education significantly improved inhaler technique in chronic obstructive lung disease (COPD) patients. This program demonstrated effectiveness across various inhaler types and patient groups, highlighting the potential of remote education strategies.

Keywords:

COPD Inhaler technique self-management teach-to-goal value-based care

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Area of Science:

Pulmonary Medicine
Health Education
Telehealth

Background:

Chronic Obstructive Lung Disease (COPD) patients depend on inhalers for symptom management.
Incorrect inhaler technique is prevalent among COPD patients, hindering treatment efficacy.
Teach-to-Goal (TTG) programs improve inhaler technique, but phone-based delivery effectiveness is understudied.

Purpose of the Study:

To evaluate the impact of a phone-based TTG inhaler technique education program on Medicare Advantage beneficiaries with COPD.
To assess the effectiveness of remote inhaler education in improving patient technique.

Main Methods:

A cohort of Medicare Advantage beneficiaries with COPD was assessed.
Participants received phone-based TTG inhaler education.
Inhaler technique was measured using validated checklists and self-reporting.

Main Results:

Initially, 39.4% of participants demonstrated incorrect inhaler technique.
Following the first education session, incorrect technique dropped to 6.9%.
Improvements were observed across diverse inhaler devices and patient subgroups.

Conclusions:

Phone-based TTG inhaler education effectively improves inhaler technique in COPD patients.
Multiple education sessions may be crucial for sustained correct technique.
Certain patient subgroups require tailored education to address higher risks of inhaler misuse.