Abstract: Systems and methods to determine and ensure proper usage technique of a respiratory medicament device for a respiratory ailment. Medication data relating to a medication plan for a patient is collected and used to determine the respiratory medicament device type in use. For respiratory medicament device types requiring multiple consecutive uses, use data is collected and used to determine proper or improper use technique based on the timing between consecutive uses of the respiratory medicament device. Notification of proper or improper usage technique are provided based on the determined usage technique. Real-time monitoring of the use data is used to provide directions on the required timing of consecutive uses of the respiratory medicament device and thus ensure proper usage technique.