{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:19:38Z","timestamp":1788239978594,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Optimal inhaler technique (IT) is essential for effective asthma management, yet skill retention among health care professionals (HCPs) remains inconsistent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the long\u2010term effectiveness of intensive versus brief educational interventions on IT retention among HCPs in pediatric emergency departments (PEDs) across Northern Greece.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a 12\u2010month prospective, multicenter intervention study in 20 PEDs. Pediatric consultants, residents, and nurses were allocated to either an intensive education group\u2014receiving IT training every 4 months\u2014or a brief education group\u2014receiving a single training session. Blinded assessments of IT skills were performed alongside structured questionnaires on asthma crisis management and IT with both a facemask and a mouthpiece. Final evaluations were conducted at 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 373 HCPs participated: 84 consultants, 178 residents, and 111 nurses. Post\u2010intervention scores improved significantly for consultants (asthma crisis management: 69.94 to 76.54,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006; IT with facemask: 37.5 to 50,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003; IT with mouthpiece: 50 to 75,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) and residents (61.15 to 70.89,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004; 25 to 50,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005; 50 to 75,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01, respectively). Intensive education was associated with significantly greater improvements compared with brief education, particularly among consultants (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003 for asthma crisis management). Nurses did not demonstrate statistically significant improvements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Intensive, repeated training produces superior long\u2010term retention of IT skills among HCPs in PEDs compared with a single educational session. Incorporating structured, ongoing educational strategies into routine practice may enhance asthma care delivery and reduce reliance on nebulizers in acute pediatric settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71803","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T08:24:42Z","timestamp":1787559882000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Structured Education Enhances Inhaler Technique and Asthma Management Skills of Health Care Providers in Pediatric Emergency Departments"],"prefix":"10.1002","volume":"61","author":[{"given":"Athina","family":"Karageorgiou","sequence":"first","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6666-8837","authenticated-orcid":false,"given":"Eleni","family":"Papastergiou","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Tsanakas","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fotios","family":"Kirvassilis","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelia","family":"Desli","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1926-8299","authenticated-orcid":false,"given":"Persefoni","family":"Talimtzi","sequence":"additional","affiliation":[{"name":"Department of Hygiene Social\u2010Preventive Medicine and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aikaterini","family":"Fydantsi","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni","family":"Laguia","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Demiri","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9505-2054","authenticated-orcid":false,"given":"Elpis","family":"Hatziagorou","sequence":"additional","affiliation":[{"name":"Pediatric Pulmonology Unit, 3rd Pediatric Department Hippokration Hospital of Thessaloniki, Aristotle University of Thessaloniki Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2021-001277"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1157\/13075924"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13052-018-0481-1"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41533-023-00330-1"},{"key":"e_1_2_13_6_1","article-title":"Holding Chambers (Spacers) Versus Nebulisers for Beta\u2010Agonist Treatment of Acute Asthma","volume":"2013","author":"Cates C. 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