# Using Puzzle or Brochure to Teach Children Inhaler Technique: Evaluation of Alternative Methods Against Face to Face Education

## Authors

- Ahmet Kan ([ORCID](https://orcid.org/0000-0002-0297-9772)) — Department of Pediatric Allergy and Asthma, Hatay State Hospital, Hatay, Turkey
- Tugce Tural Kara ([ORCID](https://orcid.org/0000-0003-0716-7607)) — Department of Pediatric İnfection Diseases, Hatay State Hospital, Hatay, Turkey
- Cigdem El ([ORCID](https://orcid.org/0000-0002-7110-3504)) — Depatment of Child Health and Disease, Faculty of medicine, Mustafa Kemal University, Hatay, Turkey
- Aymen Hismiogullari ([ORCID](https://orcid.org/0000-0001-5927-7774)) — Depatment of Child Health and Disease, Faculty of medicine, Mustafa Kemal University, Hatay, Turkey

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 7, Issue 1 (2021), pages 46–53
- **Article type:** Original Article
- **Published online:** 2021-03-23
- **DOI:** [10.5455/umj.20200826053317](https://doi.org/10.5455/umj.20200826053317)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=128774
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/128774.pdf

## Abstract

Introduction: Inhaler drugs are the basis of the treatment in asthma due to their local effects. Errors in inhaler techniques in asthma increase health care costs, hospitalization, and result in a lack of disease control. A brochure and a puzzle material were prepared as alternatives to face-to-face training in this study. It is aimed to evaluate the adequacy of these training materials in the diagnosis and the first month of treatment. Materials and Methods: Patients aged between 4-12 years diagnosed with asthma and their family members aged between 20-49 years who had not received inhaler drug training before were included in the study. A prospective, cross-sectional, quasi-experimental study was planned. Results: A total of 109 family members and patients were included. There was no difference between the groups in inhaler technique total scores in diagnosis. There was no difference in inhaler technique full score rates between the groups in the diagnosis and the first month. Conclusion: It was determined that puzzle games and brochures can be used as an alternative for treatment applications such as inhaler drugs with spacers. Further studies are needed to evaluate the effect of puzzle games and brochures with face-to-face training on long-term memory retention.

## Keywords

Puzzle; brochure; inhaler technique; inhaler training

## How to cite

Kan A, Kara TT, El C, Hismiogullari A. Using Puzzle or Brochure to Teach Children Inhaler Technique: Evaluation of Alternative Methods Against Face to Face Education. Ulutas Med J. 2021;7(1):46-53. doi:10.5455/umj.20200826053317

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