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Parental Perception About Metered-Dose Inhalers and Nebulizers Differences Among Saudi Arabia
Abdullah A Alzayed1, Amani S Alotaibi1, Rahaf F Alfadhli1
1Pediatric, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.
Insights
Parental perception of asthma inhaler devices in Saudi Arabia shows a preference for nebulizers over metered-dose inhalers (MDIs) due to perceived effectiveness, despite MDIs being more common. Education significantly impacts satisfaction with MDI use.
Area of Science:
- Pediatric Pulmonology
- Public Health
- Health Services Research
Background:
- Asthma prevalence is rising in Saudi Arabian children, necessitating effective controller medication use.
- Parental perception of asthma treatment devices influences adherence and treatment outcomes.
- Understanding parental views on metered-dose inhalers (MDIs) and nebulizers is crucial for improving pediatric asthma management.
Purpose of the Study:
- To assess parental perceptions regarding metered-dose inhalers (MDIs) and nebulizers in Saudi Arabia.
- To explore differences in perceived effectiveness, side effects, and cost between MDIs and nebulizers.
- To identify factors influencing parental satisfaction with MDI use.
Main Methods:
- A cross-sectional study involving 1,021 Saudi parents of children with asthma.
- Data collected via an online questionnaire assessing demographics, knowledge, perception, and practice.
- Statistical analysis using SPSS, with P < 0.05 considered significant.
Main Results:
- Asthma predominantly affects males (64.4%) aged 8-14 years (56.3%).
- Metered-dose inhalers (MDIs) are the most common controller method (32.7%).
- A majority (70.2%) perceive a therapeutic difference between MDIs and nebulizers, favoring nebulizers for effectiveness and fewer side effects, while MDIs are seen as easier to use. Parental education and information received correlate with MDI satisfaction.
Conclusions:
- Parental perception in Saudi Arabia suggests a belief that nebulizers are more effective and have fewer side effects than MDIs, despite MDIs being more frequently used.
- Improved parental education on MDI use is associated with higher satisfaction levels.
- Addressing parental perceptions and enhancing education are key to optimizing pediatric asthma management strategies.
Abstract:
Background Asthma is a common public health issue in the pediatric population. The prevalence of asthma in children in Saudi Arabia is increasing. All asthmatic children with continuous symptoms should use controller medications. These medications if used correctly by the patients will diminish the symptoms and avoid exacerbations that lead to hospitalization. Perception of parents toward a particular device can affect the adherence rate. Aim Assessing the parental perception about metered-dose inhalers (MDIs) and nebulizers differences among the Saudi population. Methods A cross-sectional study was conducted to assess Parental perception about MDIs and nebulizers among Saudi parents with an asthmatic child. The data were collected from the parents and caregivers by using an online questionnaire and informed consent was obtained. The questionnaire was focused on demographic characteristics, knowledge, perception and practice of treating the asthmatic child. Data were analyzed through the Statistical Package for the Social Sciences (SPSS) version 25 (IBM Corp., Armonk, NY) and the results were considered statistically significant if P < 0.05. Results A total of 1,021 participants included in this study. This study found asthma is predominant in males (64.4%) and the most affected age is between 8 and 14 years (56.3%). More than half of the parents (58.7%) had a bachelor's degree and above. MDI is the most method used for controlling asthma (32.7%) and the majority of them (70.2%) thought there is a therapeutic difference between MDI and nebulizer. Providing instructions and information on usage MDI was received from 65.2%. Significant relationships were found between the level of satisfaction and receiving enough information about MDI and level of education. Conclusion This study found that asthma is more prevalent in males, where MDI is more common. Majority of the parents had thought that there is a difference in the therapeutic effects between MDI and nebulizer. They believed that nebulizer is more effective, less side effect and cheaper while MDI is easier to use.
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