Evidence map›Paper›PMID 32411584›Full record

ArticleAsia Pacific allergy2020

Repetitive instructions at short intervals contribute to the improvement of inhalation technique.

Rie Baba, Ichiro Nakachi, Katsunori Masaki, Takuya Amagai, Rintaro Ohno, Hatsuyo Takaoka, Tetsuro Kamo, Daisuke Arai, Hidenori Takahashi, Hiromi Shinoda and 1 more

Abstract read
In one paragraph

Article in Asia Pacific allergy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Video directly observed therapy to improve inhaler technique among pediatric patients with persistent asthma.The Journal of asthma : official journal of the Association for the Care of Asthma · 2025
    Trial
  2. Medication Adherence in Children with Asthma.Patient preference and adherence · 2024
    Review
  3. Article
  4. Article
  5. Article
  6. The Role of the Pharmacist in Inhaler Selection and Education in Chronic Obstructive Pulmonary Disease.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2021
    Review
  7. 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

11 authors.

Rie BabaDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.ORCID https://orcid.org/0000-0002-8255-1978
Ichiro NakachiDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.ORCID https://orcid.org/0000-0002-3930-9318
Katsunori MasakiDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.ORCID https://orcid.org/0000-0003-0909-9409
Takuya AmagaiDepartment of Pharmacy, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Rintaro OhnoDepartment of Pharmacy, Saiseikai Utsunomiya Hospital, Tochigi, Japan.ORCID https://orcid.org/0000-0003-3397-8526
Hatsuyo TakaokaDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Tetsuro KamoDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Daisuke AraiDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.ORCID https://orcid.org/0000-0002-9046-6300
Hidenori TakahashiDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Hiromi ShinodaDepartment of Medicine, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Koichi FukunagaDivision of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-7460-1990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInhaled medicines are key drugs for the treatment of asthma or chronic obstructive pulmonary disease. However, the variety of inhaler devices and complicated inhalation procedures have created confusion among patients, affecting their correct understanding of inhalation. Recent studies reported that up to 80% of patients made technical errors in inhalation and emphasized the necessity for patient education.

objectiveWe aimed to assess the importance of inhalation-related instructions and to find clinical factors associated with improvements in the inhalation technique.

methodsWe conducted a retrospective, single-center study at a regional core hospital in Japan. Physicians and community pharmacists constructed an interactive instruction system and shared a common inhalation procedure manual. Patients who received instructions for the inhalation technique at least 3 times were recruited.

resultsA total of 125 patients were analyzed in this study. The median age was 73 years (interquartile range, 67-80 years). At the second visit, 67 patients (53.6%) failed to correctly perform the technique despite being guided at the first visit. At the third visit, 48.8% of patients made some errors. After excluding 40 patients who were not subjected to analysis, the remaining 85 were divided into "improvement" and "no-improvement" groups. The total improvement rate was 57.6%. The median time interval between consecutive instructions in the "improvement" groups was 84 days, whereas that in the "no-improvement" group was 128 days (

conclusionRepetitive instructions at shorter intervals may be helpful for patients to develop and maintain an improved inhalation technique.

Indexed as

AsthmaChronic obstructive pulmonary diseaseInhalation techniquePatient educationPharmacy practice

Identifiers

PMID32411584
PMCPMC7203431

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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.