The evidence
The first part of the project was an interactive interview featuring insight from Donald Mahler, a pulmonologist with extensive experience in COPD, based at Valley Regional Hospital in Claremont, New Hampshire, USA. The article guides readers through the key considerations in inhalation therapy, from device mechanics to patient-specific factors.
By presenting device differences and common challenges in an accessible, interactive format, the piece establishes a clear clinical rationale for device selection and highlights its impact on patient outcomes.
The application
Next an interactive case study was created to place readers in the centre of a realistic COPD scenario, reflecting the situations HCPs routinely manage in their day-to-day practice. Through step-by-step decision-making, readers explore symptom changes, technique issues and treatment choices, seeing in real time how different approaches influence clinical outcomes.
The format encourages active learning, reflection and quick application of the principles discussed in the article. It turns theory into practice, showing how device choice should match a patient’s abilities, physiology and preferences.
The tool
To support real-world consultations, EMJ also developed the ‘Device Selection Tool’, a streamlined interface designed to help clinicians identify suitable inhalation systems for individual patients. Using two parameters, PIF and cognitive or manual dexterity, the tool guides users to appropriate device options in three clicks.
Concise pop-ups provide clinically relevant context, outlining advantages, limitations and the rationale behind each recommendation. Accessible across desktop, tablet and mobile devices, the tool is designed to integrate into clinical workflows.
The solution has been well received by clinicians, with the client choosing to showcase it at the European Respiratory Society Congress. This reflects its usability and practical value in clinical settings.
The outcome
Each resource is effective on its own, but their combined impact is stronger. The interactive article builds understanding, the patient case study demonstrates real-world implications and the device selection tool supports confident, evidence-based decisions in everyday practice.
Together, they offer a connected, clinician-focused approach to improving COPD care.



