Bridging the Gap Between Prescription and Practice: Impact of Nurse-Led Inhaler Education

NCT07442617 | Completed

• 1 other identifier: R.26.02.3594
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Asthma and chronic obstructive pulmonary disease (COPD) are among the most prevalent chronic respiratory conditions worldwide, affecting hundreds of millions of individuals and contributing substantially to morbidity, mortality, and healthcare burden. Although clinicians routinely advise patients verbally on inhaler use, the lack of structured, hands-on education results in significant variation in technique and consistently poor retention of skills over time.

Conditions

Inhaled Steroid-Dependent Asthma

Keywords

Inhaler technique; nurse-led inhaler education; Bronchial Asthma

Outcome Measures

Primary Outcomes (1)

• impact of nurse-led education on inhaler technique

  Participants will be evaluated to assess the impact of nurse-led education on technique Score: 152 This score evaluates the patient's ability to correctly use their inhaler. It covers nine key 153 components: ensuring the prescribed device type is used (MDI, DPI, or nebulizer), shaking 154 the MDI before use, complete exhalation before inhalation, proper lip seal around the 155 mouthpiece or spacer, correct inhalation speed according to device type, holding breath after 156 inhalation, rinsing the mouth after corticosteroid sprays, correct use of spacer devices, and 157 overall error correction. The maximum possible score is 9 points. Scores are interpreted as 158 follows: ≥8 indicates excellent technique, 5-7 represents moderate performance, and ≤4 159 indicates poor technique. The checklist was adapted from guideline-recommended inhaler 160 technique steps according to GINA and GOLD reports

  1 month

Study Arms (2)

nurse-led inhaler education

ACTIVE COMPARATOR

Known Patients with asthma or COPD, using inhalers and education was Conducted by trained nurses using standardized checklist (Global Initiative for Asthma "GINA"/Global Initiative for Chronic Obstructive Lung Disease "GOLD")

Procedure: Inhaler technique

Control group on inhaler

NO INTERVENTION

Known Patients with asthma or COPD, using inhalers weren't trained

Interventions

Inhaler technique PROCEDURE

Patient Education: Conducted by trained nurses using standardized checklist (GINA/GOLD)

nurse-led inhaler education

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged ≥18 years diagnosed with Asthma or COPD according to GINA / GOLD guidelines
• Current use of inhaler therapy (MDI, DPI, or Nebulizer) for ≥3 months.
• Able to understand instructions and perform inhaler technique assessments.
• Willing to provide informed consent and participate in all study assessments.

You may not qualify if:

• Acute exacerbation requiring hospitalization at the time of enrollment.
• Cognitive impairment or neurological disorders preventing understanding or proper inhaler use.
• Severe comorbidities (e.g., advanced heart failure, end-stage renal disease) that limit participation.

Sponsors & Collaborators

• Mansoura University Hospital: lead

Study Sites (1)

Mohamed AbdElmoniem

Al Mansurah, 35516, Egypt

Location

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Study Officials

• Mohamed AbdElmoniem

  Lecturer of chest medicine faculty of medicine Mansoura university

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer faculty of medicine

Model Details: Assess the effect of nurse-led inhaler education on patients' inhaler technique

Study Record Dates

• First Submitted: February 24, 2026
• First Posted: March 2, 2026
• Study Start: December 1, 2025
• Primary Completion: January 1, 2026
• Study Completion: February 1, 2026
• Last Updated: March 2, 2026

Record last verified: 2026-02

Locations

EG (1)