Table 2.

Percent of patients demonstrating correct inhaler technique by step (n=83) pre-and post- Video Module Education (VME).

Inhaler Steps Correct		Pre-VME*	Post-VME	p-value
1	Removes cap of inhaler and spacer	100%	100%	>0.999
2	Shakes inhaler up and down	57%	87%	<0.001
3	Attaches inhaler to back of spacer	27%	98%	<0.001
4	Breathes OUT fully	24%	81%	<0.001
5	When breathing out fully (step #4), does so away from spacer/MDI†	22%	80%	<0.001
6	Puts spacer mouthpiece or MCI mouthpiece (if not using spacer) into mouth, closes lips around mouthpiece	94%	98%	0.5
7	Activates inhaler by pressing down on canister 1 time	74%	89%	0.02
8	Breathes IN SLOWLY, filling lungs with medicine. No whistle should be heard	28%	82%	<0.001
9	Holds breath for at least 5 seconds (with or without spacer in mouth)	39%	86%	<0.001
10	Removes spacer/MDI from mouth before breathing normally	90%	95%	0.2
11	Breathes normally for at least 30–60 seconds	43%	76%	<0.001
12	Repeats sequence for second puff	67%	87%	0.004

P-values significant (<0.05) for all specific steps except “1: removes cap,” “6: places mouth,” and “10: removes mouth.”

^*VME, Video Module Education

^†MDI, Metered-Dose Inhaler