User data from a validated online inhaler technique competency test: A novel approach to standardised assessment

Abstract

Background Correct inhaler technique is essential for effective management of airways diseases. Errors in technique remain common amongst patients and healthcare professionals (HCP). UK Inhaler Group (UKIG) has developed an inhaler technique framework and standards document to support competency training of HCPs.1 We developed and validated an online Inhaler Technique Competency Test to offer a standardised and objective method of assessing whether HCP can identify correct/incorrect inhaler technique. The test features device-specific video scenarios aligned with UKIG standards. We aimed to assess the feasibility of this online assessment as an ongoing training and assessment tool. Methods We engaged local HCPs to complete the assessment. The test required users to view ten short videos of people using inhalers and identify the embedded errors within. Video device scenarios included pressurised metered-dose inhalers (pMDIs), four different dry powder inhalers (DPIs), and soft mist inhalers (SMIs). Data was analysed over a 6-month pilot, including completion rates, user demographics and scoring. Results Forty-three users completed the assessment with 88% passing (score >=69%) on first attempt. Most users worked in hospital settings (65%), followed by community care (23%), general practice (7%), and community pharmacy (2%). Roles included pharmacists (30%), doctors (21%), allied health professionals (21%), nurses (16%), and others (12%). Highest number of errors was found in assessing SMIs, followed by MDIs and then DPIs. Users made half the errors in assessing DPIs compared to SMIs. Users made the most errors in assessing device and dose preparation step, person's posture, head tilt, mouth seal and the correct inspiratory manoeuvre for the device. Notably, only 26% had attended training in the past year but thirty (70%) of users support patients with inhaler education at least monthly with a third doing it daily. See table 1 for errors made per device assessment. Conclusions The e-inhaler technique competency assessment provides a scalable, standardised, and validated tool for assessing inhaler technique competency online. This tool has potential utility in education, clinical practice, and quality assurance, and may support improved outcomes through better targeted technique training.