- •Result of tools evaluation in the holding breath step of inhalers was consistent.
- •Poor agreement in actuation and inhalation time for MDI was found in both tools.
- •Fair agreement in inspiratory flow for DPI was observed between AIM and checklist.
- •Low specificity of the checklist overestimated the accuracy of critical techniques.
- •AIM can be used as an objective auxiliary tool to assess the inhalation technique.
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
- Asthma control: importance of compliance and inhaler technique assessments.J. Asthma. 2014; 51: 429-434https://doi.org/10.3109/02770903.2013.871558
- Suboptimal inhaler medication adherence and incorrect technique are common among chronic obstructive pulmonary disease patients.Chron. Respir. Dis. 2016; 13: 13-22https://doi.org/10.1177/1479972315606313
- Diverse inhaler devices: a big challenge for health-care professionals.Respir. Care. 2016; 61: 593-599https://doi.org/10.4187/respcare.04293
- Assessment of skills using a spacer device for a metered-dose inhaler and related independent predictive factors in caregivers of asthmatic preschool children.Int Forum Allergy Rhinol. 2016; 6: 130-134https://doi.org/10.1002/alr.21648
- Asthma and chronic obstructive pulmonary disease inhalers: techniques for proper use.Allergy Asthma Proc. 2016; 37: 279-290https://doi.org/10.2500/aap.2016.37.3954
- Breathing out completely before inhalation: the most problematic step in application technique in patients with non-mild chronic obstructive pulmonary disease.Front. Pharmacol. 2019; 10: 241https://doi.org/10.3389/fphar.2019.00241
- Assessment of the factors affecting the failure to use inhaler devices before and after training.Respir. Med. 2015; 109: 451-458https://doi.org/10.1016/j.rmed.2015.02.011
- Inhaler errors in the CRITIKAL study: type, frequency, and association with asthma outcomes.J. Allergy Clin. Immunol. Pract. 2017; 5 (e9): 1071-1081https://doi.org/10.1016/j.jaip.2017.01.004
- What the pulmonary specialist should know about the new inhalation therapies.Eur. Respir. J. 2011; 37: 1308-1331https://doi.org/10.1183/09031936.00166410
- Checklists for powder inhaler technique: a review and recommendations.Respir. Care. 2014; 59: 1140-1154https://doi.org/10.4187/respcare.02342
- Competence in metered dose inhaler technique among dispensers in Mekelle.Allergy Asthma Clin. Immunol. 2014; 10: 18https://doi.org/10.1186/1710-1492-10-18
- A systematic review of instruments aimed at evaluating metered-dose inhaler administration technique in children.J. Asthma. 2017; 54: 173-185https://doi.org/10.1080/02770903.2016.1198373
- Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes.Respir. Res. 2018; 19: 10https://doi.org/10.1186/s12931-017-0710-y
- Inhalation device requirements for patients' inhalation maneuvers.Respir. Med. 2016; 118: 65-75https://doi.org/10.1016/j.rmed.2016.07.013
- Estimation of inhalation flow profile using audio-based methods to assess inhaler medication adherence.PLoS One. 2018; 13e0191330https://doi.org/10.1371/journal.pone.0191330
- Evaluation of the prevalence and effectiveness of education on metered-dose inhaler technique.Respir. Care. 2017; 62: 882-887https://doi.org/10.4187/respcare.05246
- Controller inhalers: overview of devices, instructions for use, errors, and interventions to improve technique.J. Allergy Clin. Immunol. Pract. 2020; 8: 2234-2242https://doi.org/10.1016/j.jaip.2020.03.003
- A review of electronic devices to assess inhaler technique.Curr. Allergy Asthma Rep. 2017; 17: 17https://doi.org/10.1007/s11882-017-0684-3
- Optimization of patient-specific inhaler regimens with the use of the aerosol inhalation monitor.J. Am. Pharmaceut. Assoc. 2003; 2019: 252-257https://doi.org/10.1016/j.japh.2018.10.012
- Technique training does not improve the ability of most patients to use pressurised metered-dose inhalers (pMDIs).Prim. Care Respir. J. 2011; 20: 92-96https://doi.org/10.4104/pcrj.2010.00088
- The Aerosol Drug Management Improvement Team.ADMIT, 2022https://www.inhalers4u.org/index.php/instructions/Date accessed: March 24, 2022
- Competence in metered dose inhaler technique among community pharmacy professionals in Gondar town, Northwest Ethiopia: knowledge and skill gap analysis.PLoS One. 2017; 12e0188360https://doi.org/10.1371/journal.pone.0188360
- How many instructions are required to correct inhalation errors in patients with asthma and chronic obstructive pulmonary disease?.Respir. Med. 2017; 123: 110-115https://doi.org/10.1016/j.rmed.2016.12.012
- Reliability in the assessment of videotaped inhalation technique.J. Aerosol Med. 2007; 20: 429-433https://doi.org/10.1089/jam.2007.0623
- Evaluation of the use of inhaled medications by hospital inpatients with chronic obstructive pulmonary disease.Can. J. Hosp. Pharm. 2012; 65: 111-118https://doi.org/10.4212/cjhp.v65i2.1118
- Objective assessment of adherence to inhalers by patients with chronic obstructive pulmonary disease.Am. J. Respir. Crit. Care Med. 2017; 195: 1333-1343https://doi.org/10.1164/rccm.201604-0733oc
- A randomised clinical trial of feedback on inhaler adherence and technique in patients with severe uncontrolled asthma.Eur. Respir. J. 2018; 511701126https://doi.org/10.1183/13993003.01126-2017
- Assessing metered-dose inhaler technique: comparison of observation vs. patient self-report.J. Asthma. 1998; 35: 575-583https://doi.org/10.3109/02770909809048960
- Objective assessment of patient inhaler user technique using an audio-based classification approach.Sci. Rep. 2018; 8: 2164https://doi.org/10.1038/s41598-018-20523-w