Pressurized metered dose inhaler technique training remains a significant issue, impacting not only disease control but healthcare professional time and therapy costs.
We need a substantial shift in the current approach to pMDI training and goals to achieve beyond new training aids. Training should not be an intermittent review process but become a routine part of “taking medicine.” The capability to train should no longer be a poor relation but be properly recompensed. Training aid companies need to extend their collaborations to encourage uptake of training devices. We should also investigate the benefits of formal record keeping, promoting patient interest in self-support and exploring daily/regular versus intermittent use of training tools.