Evidence map›Paper›PMID 27251668›Full record

ArticleEuropean journal of pediatrics2016

Pressurised metered dose inhaler-spacer technique in young children improves with video instruction.

Nicole Shaw, Peter Le Souëf, Lidija Turkovic, Lucy McCahon, Anthony Kicic, Peter D Sly, Sunalene Devadason, André Schultz

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In one paragraph

Article in European journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Nicole ShawClinical Sciences, Telethon Kids Institute, Subiaco, Western Australia, Australia, 6008.
Peter Le SouëfDepartment of Respiratory Medicine, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia, 6008.
Lidija TurkovicClinical Sciences, Telethon Kids Institute, Subiaco, Western Australia, Australia, 6008.
Lucy McCahonClinical Sciences, Telethon Kids Institute, Subiaco, Western Australia, Australia, 6008.
Anthony KicicClinical Sciences, Telethon Kids Institute, Subiaco, Western Australia, Australia, 6008.
Peter D SlyChild Health Research Centre, University of Queensland, Brisbane, Queensland, Australia, 4029.
Sunalene DevadasonSchool of Paediatrics and Child Health, University of Western Australia, Nedlands, Western Australia, Australia, 6009.
André SchultzClinical Sciences, Telethon Kids Institute, Subiaco, Western Australia, Australia, 6008. andre.schultz@health.wa.gov.au.
The Kids Research Institute Australia · AUUniversity of Western Australia · AUHarry Perkins Institute of Medical Research · AUPrincess Margaret Hospital for Children · AUUniversity of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledThe importance of good device technique to maximise delivery of aerosolised medications is widely recognised. Pressurised metered dose inhaler (pMDI)-spacer technique was investigated in 122 children, aged 2-7 years, with asthma. Eight individual steps of device technique were evaluated before and after viewing an instructional video for correct device technique. Video measurements were repeated every three months for nine months. Device technique improved directly after video instruction at the baseline study visit (p < 0.001) but had no immediate effect at subsequent visits. Additionally, pMDI-spacer technique improved with successive visits over one year for the group overall as evidenced by increases in the proportion of children scoring maximal (p = 0.02) and near-maximal (p = 0.04) scores.

conclusionRepeated video instruction over time improves inhaler technique in young children. WHAT IS KNOWN: • Correct device technique is considered essential for sufficient delivery of inhaled medication. • Poor inhaler use is common in young asthmatic children using pressurised metered dose inhalers and spacers. What is New: • Video instruction could be used as a strategy to improve device technique in young children.

Indexed as

Administration, InhalationPatient Education as TopicAge FactorsAlbuterolAsthmaBronchodilator AgentsChildChild, PreschoolFemaleHumansMaleMetered Dose InhalersRandomized Controlled Trials as TopicSelf AdministrationAlbuterolBronchodilator AgentsAerosolAsthmaChildrenDrug deliverySalbutamol

Identifiers

PMID27251668
OpenAlexW2432406207

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.