PURPOSE: Delivery of medications through nebulization is effective for select patients with COPD; however, there are often negative perceptions towards its use. In this survey, we evaluated patients’ attitudes and perceptions related to the use of nebulization for the management of their COPD.
METHODS: 400 patients with COPD receiving nebulized therapy were randomly selected and interviewed via telephone. Patients were asked questions about their attitudes and perceptions towards nebulization and responses were assessed on the basis of 3 domains: severity of symptoms, satisfaction with nebulization therapy, and benefits and challenges. The survey was commissioned by the COPD Foundation and Dey Pharma, L.P., and executed by KRC Research.
RESULTS: The majority of patients were female (65%) and half were older than 65 years of age. Most patients (58%) self-classified their COPD as "mild to moderate," with shortness of breath upon minimal to moderate exertion, including "breathlessness when walking up a slight hill" (66%); "having to stop for a breath when walking on a flat surface" (62%); and "breathlessness while dressing" (42%). Overall, 89% of patients were "highly satisfied with their current nebulized treatment." The most positive aspect of nebulization (unprompted) was "easier breathing" (68%); other responses included "quick relief" (10%) and "able to do more activities" (4%). When asked to agree or disagree, patients agreed that nebulization gave them "better control of symptoms" (85%) and "greater confidence that the right amount of medication was being delivered" (84%). The majority of patients (79%) agreed that the "benefits of nebulization outweighed any difficulties.".
CONCLUSION: Patients with COPD using nebulization are generally satisfied with this mode of delivery, reporting benefits in symptom relief and ease of use. Overall, these data do not support the current negative perception that nebulization may be too cumbersome for the patient.
CLINICAL IMPLICATIONS: Clinicians should consider patient-reported benefits and preferences when choosing a system to deliver inhaled medications for their patients with COPD. Delivery of medications using nebulization may be beneficial in selected patients.
DISCLOSURE: Amir Sharafkhaneh, No Financial Disclosure Information; No Product/Research Disclosure Information