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.

Cureus
|April 5, 2021
PubMed

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.

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