COPD patient on Tiotropium Respimart divided into two group, Group A given aerochamber and Group B without aerochamber enroll in the study for total 18 week .
1. COPD patient who is on Tiotropium Respimart and other inhalers continued. 2. Those fullfill inclusion criteria will be randomized into two group. 3. To do Baseline CAT score and SGRQ questionnaires with Lung function test. 4. Assess inhaler technique with and without aerochamber. 5. Teach proper inhaler technique by templates and demonstrate to patients. 6. Group A given aerochamber and Group B without aerochamber enroll in the study for total 18 week . 7. First phase for 8 week after that 2 week of washout periode (without aerochamber both arm). 8. Then Group A without aerochamber and Group B with aerochamber continue with all inhalers for 8 week. 9. Followed up at 8th , 11th and 18th week to assess inhaler techniques ,Lung function test and do CAT score, and SGRQ questionnaire. 10. Analysis data
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
efficacy and patients satisfaction
National University of Malaysia
Cheras, Kuala Lumpur, Malaysia
To compare the frequency of exacerbation (number of events ) and hospital admission (number of admissions) using tiotropium with and without aerochamber
Comparing frequency of exacerbation (number of events ) and hospital admission (number of admissions) in both groups
Time frame: 18 weeks
Change of FEV1 (%) between the treatment group
Comparing differences of lung function (FEV1 %) in both groups after cross-over
Time frame: 18 weeks
Types of inhaler technique error between the group
Comparing inhaler errors in both groups based on the checklist
Time frame: 18 weeks
To assess quality of life (SGRQ questionaire)
Scores range from 0 to 100, with higher scores indicating more limitations.
Time frame: 18 weeks
To assess patients satisfaction and preference, attitudes, and perceptions about their inhalers using questionnaire
Scale of 0-5, (0-very easy, 5-hard)
Time frame: 18 weeks
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