Nicole Shaw1, Peter Le Souëf2,3, Lidija Turkovic1, Lucy McCahon1, Anthony Kicic1,2,3,4, Peter D Sly5, Sunalene Devadason3, André Schultz6,7,8. 1. Clinical Sciences, Telethon Kids Institute, Subiaco, Western Australia, Australia, 6008. 2. Department of Respiratory Medicine, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia, 6008. 3. School of Paediatrics and Child Health, University of Western Australia, Nedlands, Western Australia, Australia, 6009. 4. Centre for Cell Therapy and Regenerative Medicine, The University of Western Australia and Harry Perkins Institute, Nedlands, Western Australia, Australia, 6009. 5. Child Health Research Centre, University of Queensland, Brisbane, Queensland, Australia, 4029. 6. Clinical Sciences, Telethon Kids Institute, Subiaco, Western Australia, Australia, 6008. andre.schultz@health.wa.gov.au. 7. Department of Respiratory Medicine, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia, 6008. andre.schultz@health.wa.gov.au. 8. School of Paediatrics and Child Health, University of Western Australia, Nedlands, Western Australia, Australia, 6009. andre.schultz@health.wa.gov.au.
Abstract
UNLABELLED: 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.
UNLABELLED: 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.
Entities:
Keywords:
Aerosol; Asthma; Children; Drug delivery; Salbutamol
Authors: André Schultz; Peter D Sly; Guicheng Zhang; André Venter; Peter N Le Souëf; Sunalene G Devadason Journal: J Paediatr Child Health Date: 2011-11-01 Impact factor: 1.954
Authors: P L P Brand; E Baraldi; H Bisgaard; A L Boner; J A Castro-Rodriguez; A Custovic; J de Blic; J C de Jongste; E Eber; M L Everard; U Frey; M Gappa; L Garcia-Marcos; J Grigg; W Lenney; P Le Souëf; S McKenzie; P J F M Merkus; F Midulla; J Y Paton; G Piacentini; P Pohunek; G A Rossi; P Seddon; M Silverman; P D Sly; S Stick; A Valiulis; W M C van Aalderen; J H Wildhaber; G Wennergren; N Wilson; Z Zivkovic; A Bush Journal: Eur Respir J Date: 2008-10 Impact factor: 16.671
Authors: Hettie M Janssens; Els C van der Wiel; Anton F M Verbraak; Johan C de Jongste; Peter J F M Merkus; Harm A W M Tiddens Journal: J Aerosol Med Date: 2003