SynthesisThe Journal of asthma : official journal of the Association for the Care of Asthma2017
A systematic review of instruments aimed at evaluating metered-dose inhaler administration technique in children.
Synthesis in The Journal of asthma : official journal of the Association for the Care of Asthma, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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
5 citing papers in PubMed.
- Assessment of pMDI inhaler technique in children and adolescents with cystic fibrosis.Jornal de pediatria · 2026Article
- Regional Extrathoracic Deposition of Inhaled Epinephrine in an Idealized Child Airway: Influence of Pressurized Metered Dose Inhaler Actuator Orifice Diameter.Pharmaceutical research · 2026Article
- Inhaler Technique Questionnaire (InTeQ) in pediatric patients with asthma.World journal of pediatrics : WJP · 2023Article
- The Inhaler Technique Questionnaire (InTeQ): Development and Validation of a Brief Patient-Reported Measure.International journal of environmental research and public health · 2022Article
- Strategies for Improving Inhalation Technique in Children: A Narrative Review.Patient preference and adherence · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveThe objective of the present study was to perform a systematic review of instruments aimed at evaluating pressurized metered-dose inhaler (pMDI) administration technique in children and evaluating the measurement properties of these instruments.
methodsA systematic search of the literature was performed in order to identify studies in which an instrument (scale, checklist, or questionnaire) for evaluating pMDI administration technique in children was described. Instruments were evaluated based on their reliability, validity, utility, endorsement frequency, restrictions in range, comprehension, lack of ambiguity, and lack of value-laden or offensive content.
resultsA total of 24 instruments were identified. The age of the children ranged from 1 month to 18 years, the number of steps or items included in the instruments ranged from 3 to 21, and nearly half of the instruments distinguished between essential and non-essential steps or items. In only 7 of the 24 instruments was there a report of their measurement properties, mainly reliability and utility. Taking into consideration the information contained in the instruments, as well as their measurement properties, we determined four instruments to be the best of the available ones.
conclusionsAmong the 24 instruments for the assessment of pMDI administration technique in children that were identified and systematically examined, four were considered to be the best ones available. However, additional evaluation of their measurement properties should be done before using them in clinical practice and for research purposes.
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Registered trials
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