Abstract: Systems and methods to encourage a patient to use an incentive spirometer (IS) device according to the schedule prescribed by a clinician are described. The systems and methods for a clinician-programmable IS device that can automatically monitor patient usage, and, in the event of non-compliance, effect an automatic shutdown of an entertainment device, such as a television in the patient's room. The programmable IS device can provide feedback to the patient when the device is used properly, warnings when the device is under-utilized, and can also save information regarding IS usage history to a storage medium for later review and analysis.