Table 4.

Comparison of Phone and Video Inhaler Technique Scores (by Step)

INHALER	STEP	VIDEOa	PHONEa	%	PHI
MDI	1. Remove cap	97%	100%	97	b
	2. Hold inhaler upright	93%	100%	93	b
	3. Shake inhaler	70%	77%	93	0.84
	4. Exhale	40%	87%	47	0.12
	5. Put mouthpiece in mouth	87%	90%	97	0.85
	6. Inhale through mouth	100%	97%	97	b
	7. Inhale slow and deep	17%	37%	53	0.15
	8. Actuate after start inhaling	17%	40%	63	0.18
	9. Hold breath	50%	93%	57	0.27
Diskus	1. Open inhaler	100%	100%	100	b
	2. Push lever	97%	87%	83	0.07
	3. Keep inhaler level and flat	27%	67%	60	0.45
	4. Exhale (away from mouthpiece)	37%	67%	57	0.24
	5. Put mouthpiece in mouth	100%	100%	100	b
	6. Inhaler level and flat (when inhaling)	63%	90%	67	0.21
	7. Inhale through mouth	100%	100%	100	b
	8. Inhale fast and deep	93%	30%	30	0.12
	9. Hold breath	57%	70%	80	0.60
	10. Exhale (away from mouthpiece)	93%	90%	83	0.09
	11. Close inhaler	80%	80%	87	0.58

^aReflects percentage of participants with correct inhaler technique.

^bUnable to be determined due to lack of variation.

%, percent agreement.