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. 2021 Feb 17;23(2):e25060. doi: 10.2196/25060

Table 3.

Inhalation technique assessments by health care professionals.

Assessment question Yes, n (%) No, n (%) Not visible on the video, n (%)
Questions for all assessments (N=42)



Has _a the correct posture (ie, an upright upper body) during inhalation? 42 (100) 0 (0) 0 (0)

Did _ load/prepare the device correctly? 30 (71) 4 (10) 8 (19)

Did _ exhale enough before inhalation? 30 (71) 8 (19) 4 (10)

Did _ inhale deeply and long enough through the mouth during inhalation? 34 (81) 7 (17) 1 (2)

Did _ hold his breath for 5-10 seconds? OR an alternative for the metered-dose inhaler: Were 10 calm breaths taken via the upstream chamber? 38 (90) 4 (9.52%) 0 (0)

Did _ exhale slowly afterward? 33 (79) 5 (11.90%) 4 (10)
Additional metered-dose inhaler questions (N=16)



Has the cap of the dosing aerosol been removed? 13 (81) 0 (0) 3 (19)

Was the metered dose aerosol shaken before inhalation? 10 (63) 2 (13) 4 (25)

Was the upstream chamber used? 15 (94) 1 (6) 0 (0)

Was the upstream chamber clean? (N=15b) 14 (93) 0 (0) 1 (7)

Was the age-appropriate upstream chamber used? (mouthpiece, mask) (N=15b) 15 (100) 0 (0) 0 (0)

Was there a whistling sound of the upstream chamber during inhalation? (inhaled too strongly and quickly)c (N=15b) 11 (73) 3 (20) 1 (7)

Did _ trigger the device at the right time during inhalation? 15 (100) 0 (0) 0 (0)
Was exhaled incorrectly into the powder inhaler so that there is a risk of clumping?c ,d 22 (85) 3 (12) 1 (4)
Has _ rinsed their mouth with water after inhalation or eaten anything?e 7 (22) 2 (6) 23 (72)

a_indicates the patient’s name.

bIncludes only those who answered “yes” to using the upstream chamber.

cReverse coded.

dAdditional question for those using the dry powder inhaler only (N=26).

eAdditional question if the inhalant contained cortisol (N=32).