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01-07-2016 | Original Article

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

Authors: Nicole Shaw, Peter Le Souëf, Lidija Turkovic, Lucy McCahon, Anthony Kicic, Peter D. Sly, Sunalene Devadason, André Schultz

Published in: European Journal of Pediatrics | Issue 7/2016

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.

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Title: Pressurised metered dose inhaler-spacer technique in young children improves with video instruction
Authors: Nicole Shaw
Peter Le Souëf
Lidija Turkovic
Lucy McCahon
Anthony Kicic
Peter D. Sly
Sunalene Devadason
André Schultz
Publication date: 01-07-2016
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Pediatrics / Issue 7/2016
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-016-2738-2

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

Abstract

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