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A new asthma spacer device to improve compliance in children: a pilot study
Gervase Chaney1, Barry Clements, Lou Landau
1Princess Margaret Hospital for Children, The University of Western Australia, Perth, Western Australia, Australia.
Insights
The Funhaler, a new incentive spacer device, significantly improved medication success and adherence in children with asthma compared to existing devices. This led to better child and parental attitudes toward treatment, warranting further trials.
Area of Science:
- Pediatric Respiratory Medicine
- Medical Device Innovation
- Adherence Research
Background:
- Asthma medication adherence in children is often poor due to challenges with existing inhaler devices.
- Spacer devices are crucial for effective delivery of inhaled medications in pediatric asthma management.
- Improving adherence is key to optimizing treatment outcomes and reducing exacerbations.
Purpose of the Study:
- To compare the acceptance, ease of use, and compliance effects of the Funhaler versus standard spacer devices in children.
- To evaluate the Funhaler's potential to enhance adherence to asthma medication in a pediatric population.
Main Methods:
- A pilot study involving 32 preschool children (1.5-6 years) with asthma using inhaled medication.
- Matched questionnaire surveys administered to caregivers before and after a 2-week trial of the Funhaler.
- Data collection focused on ease of use, child/parental compliance, and treatment attitudes.
Main Results:
- Parents reported significantly higher success rates medicating children with the Funhaler (22/30) compared to existing spacers (3/30).
- The Funhaler demonstrated improved parental adherence to prescribed frequency and delivery technique.
- Children showed increased satisfaction and willingness to use the Funhaler, with improved parental attitudes toward medication.
Conclusions:
- The novel Funhaler incentive spacer device shows promise in improving medication success, adherence, and treatment attitudes in children with asthma.
- Findings suggest the Funhaler may overcome common barriers to inhaled medication use in pediatric patients.
- Further long-term efficacy trials are recommended to confirm the benefits of the Funhaler.
Objective:
This pilot study was designed to compare the acceptance, ease of use, and effects on compliance between currently used spacer devices and the Funhaler--a new small volume spacer device designed to improve adherence to asthma medication in children.
Methodology:
A matched questionnaire-based survey was conducted by two interviews of each caregiver by the same person. A total of 32 children were randomly recruited from seven clinics spanning widely differing socioeconomic and geographical areas of Perth, Western Australia. Preschool children taking regular inhaled asthma medication using an existing low volume spacer device and aged between 1.5 and 6 years, took part in the pilot study. Parents completed two matched questionnaires. The first questionnaire was completed at the beginning of the study and the second after 2 weeks' use of the Funhaler spacer. Data collected related primarily to ease of use of the devices, child and parental compliance, and treatment attitudes. During the study, parents were also called at random on one occasion to ascertain whether they had attempted to medicate their child the previous day.
Results:
Using the Funhaler incentive spacer device, parents reported significantly more success at medicating their children (22/30 always successful) in comparison to using their existing spacer device (3/30). Parental adherence to prescribed frequency and the delivery technique of children were also improved. The children also showed improved satisfaction and willingness to use the device and parents' attitude towards medicating their children was improved with the Funhaler spacer device.
Conclusions:
Use of a novel, incentive spacer device (Funhaler) appeared to be associated with increased success and fewer problems in medicating children, improved child and parental adherence, and a more positive attitude towards treatment, suggesting that more extensive long-term efficacy trials with the device are warranted.
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