Current recommendations are for the health care professional to select an inhaler based on "access, cost, prescriber, and most importantly, patient’s ability and preference.” For various reasons, inhaler choice is typically a decision by the health care professional. Unfortunately, studies show that individuals with COPD have frequent errors using whatever inhaler device has been prescribed. Another approach to inhaler device selection is "shared decision-making" which enables patients to participate in the process of deciding on which inhaler device "is best for me."