Pressurised metered dose inhaler-spacer technique in young children improves with video instruction

Shaw, Nicole, Le Souef, Peter, Turkovic, Lidija, McCahon, Lucy, Kicic, Anthony, Sly, Peter D., Devadason, Sunalene and Schultz, Andre (2016) Pressurised metered dose inhaler-spacer technique in young children improves with video instruction. European Journal of Pediatrics, 175 7: 1007-1012. doi:10.1007/s00431-016-2738-2


Author Shaw, Nicole
Le Souef, Peter
Turkovic, Lidija
McCahon, Lucy
Kicic, Anthony
Sly, Peter D.
Devadason, Sunalene
Schultz, Andre
Title Pressurised metered dose inhaler-spacer technique in young children improves with video instruction
Journal name European Journal of Pediatrics   Check publisher's open access policy
ISSN 1432-1076
0340-6199
Publication date 2016-07-01
Year available 2016
Sub-type Article (original research)
DOI 10.1007/s00431-016-2738-2
Open Access Status Not yet assessed
Volume 175
Issue 7
Start page 1007
End page 1012
Total pages 6
Place of publication Heidelberg, Germany
Publisher Springer
Collection year 2017
Language eng
Formatted abstract
The importance of good device technique to maximise delivery of aerosolised medications is widely recognised. Pressurised metered dose inhaler (pMDI)-spacer technique was investigated in 122 children, aged 2–7 years, with asthma. Eight individual steps of device technique were evaluated before and after viewing an instructional video for correct device technique. Video measurements were repeated every three months for nine months. Device technique improved directly after video instruction at the baseline study visit (p < 0.001) but had no immediate effect at subsequent visits. Additionally, pMDI-spacer technique improved with successive visits over one year for the group overall as evidenced by increases in the proportion of children scoring maximal (p = 0.02) and near-maximal (p = 0.04) scores.

Conclusion: Repeated video instruction over time improves inhaler technique in young children.

What is Known: Correct device technique is considered essential for sufficient delivery of inhaled medication.Poor inhaler use is common in young asthmatic children using pressurised metered dose inhalers and spacers.

What is New: Video instruction could be used as a strategy to improve device technique in young children.
Keyword Aerosol
Asthma
Children
Drug delivery
Salbutamol
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
Child Health Research Centre Publications
 
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