What do systematic reviews say?

Adherence education vs controls

• Interventions to improve adherence to inhaled steroids for asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  4 studies · 455 participants
  Moderate
• Interventions to improve adherence to inhaled steroids for asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 333 participants
  Moderate

Adherence education vs controls

It is very uncertain whether adherence education changes unsheduled visits to a healthcare provider (people with 1 or more)… compared with controls (very low certainty).

• Interventions to improve adherence to inhaled steroids for asthma 2017 · Cochrane Headline outcomes only
  OR 0.48 [0.19, 1.19]
  4 studies · 688 participants
  Very low

Adherence education vs controls

• Interventions to improve adherence to inhaled steroids for asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 109 participants
  GRADE not reported

Adherence education vs controls

• Interventions to improve adherence to inhaled steroids for asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  6 studies · 734 participants
  Moderate

Electronic trackers or reminders (± feedback) vs controls

• Interventions to improve adherence to inhaled steroids for asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  6 studies · 555 participants
  Moderate

Electronic trackers or reminders (± feedback) vs controls

It is very uncertain whether electronic trackers or reminders (± feedback) changes exacerbations requiring OCS (people with at least 1) WMD of compared with controls (very low certainty).

• Interventions to improve adherence to inhaled steroids for asthma 2017 · Cochrane Headline outcomes only
  OR 0.72 [0.37, 1.39]
  4 studies · 3063 participants
  Very low

Enhanced education vs control versus usual care

Enhanced education probably leads to higher correct inhaler technique compared with control versus usual care (moderate certainty).

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  OR 5 [1.83, 13.65]
  3 studies · 258 participants
  Moderate

Multimedia training vs control versus usual care

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 91 participants
  Low

Multimedia training vs control versus usual care

The review found no eligible studies for this question.

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Feedback device vs control versus usual care

Feedback device may leads to higher correct inhaler technique 4‐Week compared with control versus usual care (low certainty).

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  OR 4.8 [1.87, 12.33]
  1 study · 97 participants
  Low
• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  OR 18.26 [2.22, 150.13]
  1 study · 71 participants
  Low

Feedback device vs control versus usual care

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 97 participants
  Low

Feedback device vs control versus usual care

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 100 participants
  Low

Feedback device vs control versus usual care

Feedback device probably leads to higher quality of life (responders) compared with control versus usual care (moderate certainty).

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  OR 5.29 [1.76, 15.89]
  1 study · 71 participants
  Moderate

Feedback device vs control versus usual care

The review found no eligible studies for this question.

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Enhanced education vs control versus usual care

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 247 participants
  Very low
• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  OR 3.18 [1.47, 6.88]
  2 studies · 134 participants
  Low

Enhanced education vs control versus usual care

Enhanced education showed no clear difference in exacerbations requiring at least OCS 26 weeks compared with control versus usual care (low certainty).

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  OR 1.32 [0.49, 3.55]
  1 study · 158 participants
  Low

Enhanced education vs control versus usual care

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 247 participants
  Low

Enhanced education vs control versus usual care

The review found no eligible studies for this question.

• Interventions to improve inhaler technique for people with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found

Intervention not reported

• Lay‐led and peer support interventions for adolescents with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 578 participants
  Low

Intervention not reported

• Lay‐led and peer support interventions for adolescents with asthma 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 251 participants
  Low