ArticleRespiratory medicine
Association between inhaler technique and confidence among hospitalized children with asthma.
Article in Respiratory medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Real-World Use of Inhaled COPD Medications: the Good, the Bad, the Ugly.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024Article
- Evaluating inhaler technique, patient preferences and opportunities for improvement in hospitals in the UK.Future healthcare journal · 2024Article
- Inhaler Technique Questionnaire (InTeQ) in pediatric patients with asthma.World journal of pediatrics : WJP · 2023Article
- Co-design of an Augmented Reality Asthma Inhaler Educational Intervention for Children: Development and Usability Study.JMIR pediatrics and parenting · 2023Article
- The Acceptability of Using Augmented Reality as a Mechanism to Engage Children in Asthma Inhaler Technique Training: Qualitative Interview Study With Deductive Thematic Analysis.JMIR pediatrics and parenting · 2023Article
- The Inhaler Technique Questionnaire (InTeQ): Development and Validation of a Brief Patient-Reported Measure.International journal of environmental research and public health · 2022Article
- Parent-administered Metered-dose Inhalers Improves Medication Administration Time in the Children's Emergency.Pediatric quality & safetyArticle
- Assessment of the Inhaler Handling Technique In Patients With Chronic Obstructive Pulmonary Disease In A Chest Clinic.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveProper use of respiratory inhalers is crucial to asthma self-management and associated with improved outcomes. Previous studies conducted in outpatient and community settings show parents and children are overconfident in children's ability to use inhalers properly, which may lead healthcare providers to not teach or review inhaler technique. This study examined whether children and parents' confidence were associated with proper inhaler technique among children hospitalized with asthma.
methodsChildren between 5 and 10 years old hospitalized with asthma at an urban academic medical center demonstrated inhaler technique using metered dose inhalers and spacers. Technique was scored based on a validated 12-step scale. Confidence was measured using three items assessing 1. Knowledge to use inhaler, 2. Skills to use inhaler, and 3. Ability to independently use inhaler. These items were five-point scales and analyzed as binary variables. Independent t-tests were used to measure associations between confidence and number of steps performed correctly.
resultsNone of the confidence items, when asked to parents or children (n = 70), were associated with the number of steps performed correctly. Further, while the majority of children and parents (59-70%) were confident based on each item, the mean number of steps correctly completed was 6.4 out of 12.
conclusionsChildren and parents' confidence in children's knowledge, skills, and ability to independently use an inhaler were all poor proxies for proper inhaler technique. Inpatient healthcare professionals should objectively evaluate technique and teach proper inhaler use to all children with asthma to optimize outcomes.
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