%0 Journal Article %T ATTACHED, DETACHED and WITHOUT inhaler technique coaching tools to optimize pMDI use competence, asthma control and quality-of-life in asthmatic adults %A Abed Rahman Anani %A Mark Sanders %A Nathir M. Obeidat %A Reem J. AlKalbani %A Wesam G. Ammari %J SCIE-indexed Journal %D 2020 %R 10.21037/jtd.2020.03.50 %X Asthma, an obstructive lung condition, is a burden on both healthcare systems and societies worldwide (1). The prevalence of asthma has increased by 4% in adults over a 20 year period (2). The patients¡¯ poor- or non-adherence to their inhaled therapeutic regimens can lead to catastrophic clinical and socioeconomic consequences (3,4). It has been reported that non-adherence in chronic obstructive pulmonary disease (COPD) and asthma patients is high (3,5). The root cause is complex and multifactorial in nature that can be broadly associated with patient, society and treatment aspects (4). This latter aspect covers the methods of administration (including multiple inhaler prescriptions, correct inhaler technique and training), dosing regimens and adverse effects (4) %U http://jtd.amegroups.com/article/view/37675/html