Cochrane · systematic review · CD012286
Interventions to improve inhaler technique for people with asthma
Fortescue, R, Kew, KM, Mathioudakis, AG · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
AirwaysAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
17
current version
GRADE rated
13
No studies
3
Included studies
NR
No studies 3 · 17.6%Ungraded 1 · 5.9%Very low 1 · 5.9%Low 9 · 52.9%Moderate 3 · 17.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Enhanced education compared with control versus usual care for people with asthma
Population: adults and children with asthma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Correct inhaler technique Enhanced education vs control versus usual care | OR 5 [1.83, 13.65] | 3 studies · 258 participants | Moderate Downgraded: risk of bias |
Asthma control score 4 to 26 weeks Enhanced education vs control versus usual care | no estimate extracted | 2 studies · 247 participants | Very low Downgraded: risk of bias |
Asthma control responders 8 to 12 weeks Enhanced education vs control versus usual care | OR 3.18 [1.47, 6.88] | 2 studies · 134 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Exacerbations requiring at least OCS 26 weeks Enhanced education vs control versus usual care | OR 1.32 [0.49, 3.55] | 1 study · 158 participants | Low Downgraded: risk of bias |
Quality of life 26 weeks Enhanced education vs control versus usual care | no estimate extracted | 2 studies · 247 participants | Low Downgraded: risk of bias |
Other outcomes Enhanced education vs control versus usual care | no estimate extracted | NR | No studies |
Multimedia training compared with control versus usual care for people with asthma
Population: adults and children with asthma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Correct inhaler technique Immediately after intervention Multimedia training vs control versus usual care | OR 2.15 [0.84, 5.5] | 2 studies · 164 participants | Moderate |
Correct inhaler technique 2‐Week Multimedia training vs control versus usual care | OR 1.78 [0.4, 7.94] | 1 study · 28 participants | Low |
Inhaler technique score Multimedia training vs control versus usual care | no estimate extracted | 2 studies · 136 participants | Ungraded |
Asthma control (ACT) Multimedia training vs control versus usual care | no estimate extracted | 1 study · 91 participants | Low |
Other outcomes Multimedia training vs control versus usual care | no estimate extracted | NR | No studies |
Feedback device compared with control versus usual care for people with asthma
Population: adults and children with asthma
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Correct inhaler technique 4‐Week Feedback device vs control versus usual care | OR 4.8 [1.87, 12.33] | 1 study · 97 participants | Low Downgraded: risk of bias |
Inhaler technique (PIF) Feedback device vs control versus usual care | OR 18.26 [2.22, 150.13] | 1 study · 71 participants | Low Downgraded: risk of bias |
Asthma control (ACQ) Feedback device vs control versus usual care | no estimate extracted | 1 study · 97 participants | Low Downgraded: risk of bias |
Quality of life Feedback device vs control versus usual care | no estimate extracted | 2 studies · 100 participants | Low Downgraded: risk of bias |
Quality of life (responders) Feedback device vs control versus usual care | OR 5.29 [1.76, 15.89] | 1 study · 71 participants | Moderate Downgraded: risk of bias |
Other outcomes Feedback device vs control versus usual care | no estimate extracted | NR | No studies |