Evidence map›Paper›PMID 42350008›Full record

ArticleBMJ open2026

Understanding Australian healthcare provider attitudes towards smart inhalers for paediatric asthma management: a qualitative study.

Natasha E Noble, Lindsey Cooke, Jamie Bryant, Dane Falcioni, Bernadette Goddard, Janine Curtis, Ellen Newman, Donna Vaughan, Nicholas Zwar, Simon Deeming and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Natasha E NobleHealth Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia Natasha.Noble@newcastle.edu.au.ORCID http://orcid.org/0000-0003-4751-1644
Lindsey CookeHealth Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia.
Jamie BryantHealth Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia.ORCID http://orcid.org/0000-0001-9378-5852
Dane FalcioniHealth Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia.
Bernadette GoddardJohn Hunter Children's Hospital, Lambton Heights, New South Wales, Australia.
Janine CurtisMember, Smart Inhalers to Reduce Asthma Exacerbations in Children Consumer Advisory Group, The University of Newcastle, Callaghan, New South Wales, Australia.
Ellen NewmanMember, Smart Inhalers to Reduce Asthma Exacerbations in Children Consumer Advisory Group, The University of Newcastle, Callaghan, New South Wales, Australia.
Donna VaughanMember, Smart Inhalers to Reduce Asthma Exacerbations in Children Consumer Advisory Group, The University of Newcastle, Callaghan, New South Wales, Australia.
Nicholas ZwarFaculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.ORCID http://orcid.org/0000-0001-6462-9121
Simon DeemingHunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
Christopher OldmeadowHunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.
Joerg MattesHunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.ORCID http://orcid.org/0000-0003-3729-5722
Megan FreundHealth Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing, The University of Newcastle, Newcastle, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to explore the perceptions of Australian healthcare providers (HCPs) of the usefulness of smart inhalers for children with asthma and considerations for their effective integration into routine care.

designQualitative descriptive study using semi-structured interviews. A hybrid thematic analysis approach was used to analyse the data.

settingHealthcare services in Australia including general practice, hospitals and Local Health Districts.

participantsEight general practitioners, six paediatric specialists and nine respiratory nurses were recruited using a unique purposive sampling strategy for each HCP group. PRIMARY AND SECONDARY OUTCOME MEASURES: Perceptions of the facilitators and challenges to the adoption of smart inhalers for childhood asthma management.

resultsMost HCPs had not previously used smart inhalers. Perceived benefits of smart inhalers included access to objective medication use data to inform asthma treatment decisions and enable opportunities to discuss asthma management with parents and carers. Key facilitators for implementation included evidence of clinical effectiveness, financial incentives (both in terms of subsidised smart inhaler costs for users and reimbursement for HCPs) and integration of smart inhaler data into existing medical record systems. The primary barrier to implementation identified was related to workflow issues, including available resourcing, support and time.

conclusionsHCPs expressed generally positive views about the potential of smart inhalers to improve asthma management among children. However, they also identified several practical, logistical and clinical barriers that must be addressed prior to widespread implementation of smart inhalers. Targeted strategies that address these barriers will be essential for successful implementation into routine care.

Indexed as

Anti-Asthmatic AgentsAsthmaAttitude of Health PersonnelNebulizers and VaporizersAdministration, InhalationAustraliaChildFemaleHumansInterviews as TopicMaleQualitative ResearchAnti-Asthmatic AgentsAsthmaPAEDIATRICSSelf-Help Devices

Identifiers

PMID42350008
PMCPMC13311570

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.