Evidence map›Paper›PMID 42722715›Full record

ArticleScientific reports2026

Enhancing nasal irrigation adherence through a multimodal health communication strategy: a phased improvement study.

Lok-Yee Joyce Li, Sheng-Yu Wu, Cheng-Yu Tsai, Arnab Majumdar, Jeffrey Yang, Chien-Ling Su, Cheng-Jung Wu

Abstract read
In one paragraph

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

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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

The trial behind it

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3 · Its place in the literature

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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

7 authors.

Lok-Yee Joyce LiDepartment of Environmental and Occupational Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan.ORCID 0000-0003-0491-2691
Sheng-Yu WuDepartment of Industrial Engineering and Industrial Management, National Tsing Hua University, Hsinchu, Taiwan.
Cheng-Yu TsaiDepartment of Civil and Environmental Engineering, Imperial College London, London, UK.
Arnab MajumdarDepartment of Civil and Environmental Engineering, Imperial College London, London, UK.
Jeffrey YangDepartment of Biology, University of California, Riverside, CA, USA.
Chien-Ling SuSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Cheng-Jung WuDepartment of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. b101090126@tmu.edu.tw.

Funding

Taipei Medical University Shuang Ho Hospital Featured Research 114FRP-1 3Taipei Medical University Shuang Ho Hospital Medical Education Research 115-ME15
6 · The paper itself

Abstract

The adherence of chronic rhinitis patients to self-administered treatments is generally very low, which often presents a significant challenge in healthcare. The adherence of chronic rhinitis patients to regular nasal irrigation hygiene care is even lower. Therefore, in this study, we designed, implemented, and evaluated a patient-centered Multimodal Health Communication Strategy intervention, that aimed to improve the adherence to nasal irrigation of adult patients with allergic rhinitis or chronic hypertrophic rhinitis. This was a healthcare quality improvement project conducted from January to July 2025 in the otolaryngology outpatient department of a medical center. The healthcare quality improvement intervention evolved in two stages. The first-stage intervention introduced a "Multimodal Educational Strategy," combining visual aids, instructional videos, and one-on-one consultation with standard brief verbal instructions. The second-stage intervention, based on patient feedback from the first stage, further optimized the user experience by providing an ergonomic irrigation device and optionally available Herbal Tea Rinse saline solution. The primary outcome measure was that nasal irrigation adherence significantly increased from a baseline of 11.2% to 45.2% after the first stage (p < 0.001), and further increased to 75.0% after the second stage (p = 0.013). This represents a 569% relative increase (p < 0.001) compared to patients who had not undergone the Multimodal Health Communication Strategy intervention. Finally, patients who received the Multimodal Health Communication Strategy educational intervention showed an improvement in knowledge mastery from 51% to 93.8%, and overall satisfaction also significantly increased. The study concluded that low adherence to nasal irrigation is a problem that can be overcome, rather than an insurmountable communication gap between patients and healthcare providers. Systematic patient-centered education through the Multimodal Health Communication Strategy was associated with an improvement in self-nasal irrigation care adherence.

Indexed as

Health CommunicationNasal LavagePatient ComplianceRhinitis, AllergicAdherence InterventionsAdultFemaleHumansMaleMiddle AgedPatient Education as TopicQuality ImprovementAdherenceAllergic rhinitisCounselingHealth communicationNasal irrigationPatient-centered carePatient educationQuality improvement

Identifiers

PMID42722715
PMCPMC13562646

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Registered trials

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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.