Trial reportNPJ primary care respiratory medicine2014
Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial.
Trial report in NPJ primary care respiratory medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness and success factors of educational inhaler technique interventions in asthma & COPD patients: a systematic review.NPJ primary care respiratory medicine · 2017Pooled it
- Interventions to improve inhaler technique for people with asthma.The Cochrane database of systematic reviews · 2017Pooled it
- Mobile device: a useful tool to teach inhaler devices to healthcare professionals.BMC medical education · 2022Trial
- The effects of repeated inhaler device handling education in COPD patients: a prospective cohort study.Scientific reports · 2020Trial
- Evaluation of inhaler technique and achievement and maintenance of mastery of budesonide/formoterol Spiromax® compared with budesonide/formoterol Turbuhaler® in adult patients with asthma: the Easy Low Instruction Over Time (ELIOT) study.BMC pulmonary medicine · 2018Trial
- Trial
- Comparison of serious inhaler technique errors made by device-naïve patients using three different dry powder inhalers: a randomised, crossover, open-label study.BMC pulmonary medicine · 2016Trial
- Pulmonologist Education of the Teach-to-Goal Inhaler Technique for Those With Asthma and COPD.Respiratory care · 2024Article
- An approach to reduce inhaler errors using Donabedian's triad.Frontiers in medical technology · 2024Article
- An Augmented Reality Technology to Provide Demonstrative Inhaler Technique Education for Patients With Asthma: Interview Study Among Patients, Health Professionals, and Key Community Stakeholders.JMIR formative research · 2023Article
- The importance of reminders and patient preferences to improve inhaler technique in older adults with COPD.Frontiers in pharmacology · 2022Article
- Inhaler Use Technique in Chronic Obstructive Pulmonary Disease Patients: Errors, Practices and Barriers.Cureus · 2020Article
- Assessment of Poor Inhaler Technique in Older Patients with Asthma or COPD: A Predictive Tool for Clinical Risk and Inhaler Performance.Drugs & aging · 2020Article
- What can be done to impact respiratory inhaler misuse: exploring the problem, reasons, and solutions.Expert review of respiratory medicine · 2020Review
- Efficacy and Safety of a Pressurized Metered-Dose Inhaler in Older Asthmatics: Comparison to a Dry Powder Inhaler in a 12-Week Randomized Trial.Allergy, asthma & immunology research · 2020Article
- Most frequent errors in inhalation technique of patients with asthma treated at a tertiary care hospital.Einstein (Sao Paulo, Brazil) · 2019Article
- Article
- Barriers to achieving asthma control in adults: evidence for the role of tiotropium in current management strategies.Therapeutics and clinical risk management · 2019Review
- Cost-utility analysis of an intervention designed to reduce the critical handling error of insufficient inspiratory effort.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo investigate the effects of inhaler device technique education on improving inhaler technique in older people with asthma.
methodsIn a randomised controlled trial, device technique education was provided to a sample of 123 adults aged >55 years who had a doctor diagnosis of asthma. The active education group received one-on-one technique coaching, including observation, verbal instruction and physical demonstration at baseline. The passive group received a device-specific instruction pamphlet only. Inhaler technique, including the critical steps for each device type, was assessed and scored according to Australian National Asthma Council (NAC) guidelines. Device technique was scored objectively at baseline and again at 3 and 12 months post education.
resultsThe majority of participants demonstrated poor technique at baseline. Only 11 (21%) of the active intervention group and 7 (16%) of the passive group demonstrated 100% correct technique. By 3 months 26 (48%) of the active group achieved adequate technique. Improvement in technique was observed in the active group at 3 months (P<0.001) and remained significant at 12 months (P<0.001). No statistically significant improvement was observed in the passive group.
conclusionThe provision of active device technique education improves device technique in older adults. Passive education alone fails to achieve any improvement in device technique.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.