Table 1

The inhaler score. The score was made by observation by an experienced clinician instructed to utilise the whole scale and to treat the division between a score of 5 and 6 as the threshold for an adequate technique

Typical errors observedInhaler score
A perfect technique10
Breath hold <5 seconds9
No breath hold8
Actuate inhaler slightly late in inspiration7
Actuate late but well before full inspiration6
Actuate too late/too early5
Poor inspiratory effort with late/early actuation4
Very poor coordination of inspiration/actuation3
Failure to actuate or no inspiration2
Little idea how to use inhaler1
No idea what to do with the inhaler0