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) |
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Has _a the correct posture (ie, an upright upper body) during inhalation? | 42 (100) | 0 (0) | 0 (0) | |||
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Did _ load/prepare the device correctly? | 30 (71) | 4 (10) | 8 (19) | |||
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Did _ exhale enough before inhalation? | 30 (71) | 8 (19) | 4 (10) | |||
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Did _ inhale deeply and long enough through the mouth during inhalation? | 34 (81) | 7 (17) | 1 (2) | |||
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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) | |||
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Did _ exhale slowly afterward? | 33 (79) | 5 (11.90%) | 4 (10) | |||
| Additional metered-dose inhaler questions (N=16) |
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Has the cap of the dosing aerosol been removed? | 13 (81) | 0 (0) | 3 (19) | |||
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Was the metered dose aerosol shaken before inhalation? | 10 (63) | 2 (13) | 4 (25) | |||
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Was the upstream chamber used? | 15 (94) | 1 (6) | 0 (0) | |||
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Was the upstream chamber clean? (N=15b) | 14 (93) | 0 (0) | 1 (7) | |||
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Was the age-appropriate upstream chamber used? (mouthpiece, mask) (N=15b) | 15 (100) | 0 (0) | 0 (0) | |||
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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) | |||
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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).