Comparison of small-group training with self-directed internet-based training in inhaler techniques

Mariam Toumas, Iman A. Basheti, Sinthia Z. Bosnic-Anticevich

Research output: Contribution to journalArticlepeer-review

31 Citations (Scopus)


Objectives: To compare the effectiveness of small-group training in correct inhaler technique with self-directed Internet-based training.

Design: Pharmacy students were randomly allocated to 1 of 2 groups: small-group training (n = 123) or self-directed Internet-based training (n = 113). Prior to intervention delivery, all participants were given a placebo Turbuhaler and product information leaflet and received inhaler technique training based on their group. Technique was assessed following training and predictors of correct inhaler technique were examined.

Assessment: There was a significant improvement in the number of participants demonstrating correct technique in both groups (small group training, 12% to 63%; p< 0.05; and Internet-based training, 9% to 59%; p< 0.05) post intervention, with no significant difference between the groups in the percent change (n = 234, p> 0.05). Increased student confidence following the intervention was a predictor for correct inhaler technique.

Conclusions: Self-directed Internet-based training is as effective as small-group training in improving students' inhaler technique.
Original languageEnglish
Article number85
Pages (from-to)1-7
Number of pages7
JournalAmerican Journal of Pharmaceutical Education
Issue number5
Publication statusPublished - 2009
Externally publishedYes


  • dry powder inhaler
  • Turbuhaler
  • asthma
  • Internet-based training


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