Assessment of inhalation technique and determinants of incorrect performance among children with asthma
Abstract
The objective of our study was to evaluate the pressurized metered dose inhaler (pMDI) with holding chamber technique of asthmatic children attending out patient pediatric chest clinic and determine factors associated with incorrect technique. All patients had previously received instructions regarding inhalation technique. The inhalation technique was assessed on a five‐point checklist, four of which were considered essential. Two hundred and thirteen children (mean ± SD age, 7.3 ± 3.8 years; 151 boys) completed the study. Children were using their inhaler for a median duration of 6 months (range 1–96 months). One hundred and eighty‐eight patients (88.3%) performed all essential steps correctly. The commonest mistake among the essential steps was not shaking the inhaler (n = 21, 9.9%) followed by inability to make a tight seal around the mouthpiece of the holding chamber (n = 12, 5.6%). Correct technique was not affected by gender, asthma severity and socio‐economic indices: education level of parents, percapita monthly income, rural or urban background. Our study indicates that a large majority of children from a developing country setting, irrespective of lower education and income levels can be successfully educated to appropriately use inhalation device. Inhalation performance is not affected by socio‐economic background of the patients. Comprehensive inhalation instructions and monitoring at each visit are however critical to ensure reliable and consistent performance of correct technique among asthmatic children. Pediatr Pulmonol. 2006, 41:1082–1087. © 2006 Wiley‐Liss, Inc.
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Young patients still face problems related to both cognitive and behavioral skills that hinder their ability to effectively administer asthma medications.
“However, young patients still face problems related to both cognitive and behavioral skills that hinder their ability to effectively administer asthma medications [30-35].”
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- Authors
- Walia, M., Paul, L., Satyavani, A., Lodha, R., Kalaivani, M., & Kabra, S. K.
- Affiliations
- All India Institute of Medical Sciences (IN)
- Corresponding author
- Kabra, S.K.
- Venue
- Pediatric Pulmonology
- Publisher
- Wiley
- Published
- 2006-09-20
- Volume
- 41
- Issue
- 11
- Pages
- 1082-1087
- ISSN
- 1099-0496 (ISSN-L)
- 8755-6863
- OpenAlex
- W2040407948
- Cited by
- 51
- References
- 15
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 7 · 2019: 2 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 1 · 2013: 2 · 2012: 2
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Pulmonology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Inhalation and Respiratory Drug Delivery
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- inhaler technique, asthma, children, pressurized metered-dose inhaler, holding chamber, inhaler technique errors, patient education, socioeconomic factors, inhaler use, developing countries
- MeSH terms
- Adolescent, Asthma, Child, Child, Preschool, Cross-Sectional Studies, Developing Countries, Female, Humans, India, Infant, Male, Patient Education as Topic, Self Administration, Anti-Asthmatic Agents, Metered Dose Inhalers
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