ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2016
Are children with asthma overconfident that they are using their inhalers correctly?
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- The Nurse's Role in Educating Pediatric Patients on Correct Inhaler Technique: An Interventional Study.International journal of environmental research and public health · 2022Article
- An approach to the management of children with problematic severe asthma.Acta bio-medica : Atenei Parmensis · 2020Review
- Aerosol Therapy in Asthma-Why We Are Failing Our Patients and How We Can Do Better.Frontiers in pediatrics · 2020Review
- Do Urban Minority Parents and Children Agree on Asthma Symptoms with Exercise, Worries, and Confidence in Disease Management?Academic pediatrics · 2019Article
- Does inhaler technique align with confidence among African-American children and their parents?Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2019Observational
- Smartphones for Real-time Assessment of Adherence Behavior and Symptom Exacerbation for High-Risk Youth with Asthma: Pilot Study.JMIR pediatrics and parenting · 2018Article
- Cognitive factors predict medication adherence and asthma control in urban adolescents with asthma.Patient preference and adherence · 2018Article
- Managing the pediatric patient with refractory asthma: a multidisciplinary approach.Journal of asthma and allergy · 2017Review
- Communication Predicts Medication Self-Efficacy in Glaucoma Patients.Optometry and vision science : official publication of the American Academy of Optometry · 2016Article
- Urban-Rural Differences in School Nurses' Asthma Training Needs and Access to Asthma Resources.Journal of pediatric nursingArticle
- Association between inhaler technique and confidence among hospitalized children with asthma.Respiratory medicineArticle
- Assessing children's readiness to carry and use quick-relief inhalers.The journal of allergy and clinical immunology. In practiceArticle
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe objectives of this study were to quantify the extent to which children with asthma are overconfident that they are using their inhalers correctly and determine whether demographic and clinical characteristics are associated with children being overconfident.
methodsChildren (n = 91) ages 7-17 with persistent asthma were recruited at two pediatric practices in North Carolina and demonstrated their inhaler technique for metered dose inhalers during an office visit. Children were dichotomized into two groups based on how confident they were that they were using their inhalers correctly: "completely confident" or "not completely confident". The mean number of inhaler steps (out of 8) children performed incorrectly was examined. We applied linear regression models for children in the "completely confident" group to determine whether demographic and clinical factors predicted their overconfidence, defined as the number of inhaler steps performed incorrectly.
resultsChildren were primarily male (56%) and non-Hispanic White (60%). Sixty-eight (75%) children were "completely confident" that they were using their inhalers correctly. The "completely confident" group missed an average of 1.5 steps. In the "completely confident" group, males (p < 0.04) missed significantly more steps than females. The two most common errors were forgetting to shake the inhaler and holding their breath for 10 s.
conclusionRegardless of their confidence level, children in our sample missed an average of 1-2 steps on an inhaler technique assessment. Findings from this study provide new evidence that it is insufficient to ask children if they are using their inhalers correctly. Therefore, it is vital that providers ask children to demonstrate their inhaler technique during health encounters.
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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.