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Impact of Improper Inhaler Technique on Pediatric Asthma Control in Vietnam: A Cross-Sectional Study
Ly Cong Tran1, My Hoang Le1, Nghia Quang Bui1
1Department of Pediatrics, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam.
Insights
Improper inhaler technique is common in Vietnamese children with asthma, leading to poor asthma control. Caregiver involvement in medication adherence and monitoring is crucial for improving technique and control.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Public Health
Background:
- Limited data exists on inhaler technique and asthma control in Vietnam.
- Improper inhaler technique is a known factor negatively impacting asthma management.
- This study addresses the prevalence and impact of incorrect inhaler use in pediatric asthma patients in Vietnam.
Purpose of the Study:
- To determine the prevalence of improper inhaler technique in children with asthma in Vietnam.
- To assess the association between improper inhaler technique and uncontrolled asthma.
- To examine the role of caregivers in pediatric asthma management concerning inhaler technique.
Main Methods:
- An analytical cross-sectional study design was employed.
- Data were collected from 186 children with asthma and their caregivers.
- Logistic regression analysis was used to identify associations between variables.
Main Results:
- 45.2% of children exhibited improper inhaler technique.
- Improper inhaler technique was significantly associated with uncontrolled asthma (AOR = 2.33).
- Caregiver factors, including medication adherence and MDI monitoring, were linked to improper technique.
Conclusions:
- Improper inhaler technique is prevalent and linked to poor asthma control in Vietnamese children.
- Caregiver engagement in medication adherence and monitoring is vital.
- Interventions targeting caregiver practices may improve pediatric asthma outcomes.
Background:
Improper inhaler technique negatively impacts asthma control, yet data on this issue in Vietnam remain limited. This study assessed the prevalence and impact of improper inhaler technique on pediatric asthma control and examined the role of caregivers in this context.
Methods:
An analytical cross-sectional study was conducted among children with asthma and their caregivers. Logistic regression analyzed associations between improper inhaler technique, uncontrolled asthma, and caregivers' attitudes and practices in asthma management.
Results:
Among 186 children, 45.2% had improper inhaler technique, which was independently associated with uncontrolled asthma (AOR = 2.33, 95% CI: 1.27-4.3, P = .006). Regarding caregivers, failure to ensure adherence to prescribed controller medications and inadequate monitoring of remaining MDI medication were significantly associated with improper technique (P < .05).
Conclusion:
Improper inhaler technique is common and associated with poor asthma control. Caregivers' involvement in medication adherence and monitoring plays a crucial role in addressing this issue.
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