A spirometry coaching system and method is described. The system includes a spirometer comprising at least one detection element, a patient interactive display, and a control unit communicatively connected to the detection element and the patient interactive display, wherein the control unit directs an audio and visual presentation of at least one test instruction on the patient interactive display, and wherein the control unit directs an audio and visual presentation of at least one test result on the patient interactive display based on a measurement received from the at least one detection element.