Mode
Text Size
Log in / Sign up

Educational video improves spirometry success in preschool childrenShort Video Boosts Spirometry Success in Preschoolers

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Consider using a brief educational video to improve spirometry success rates and reduce test time in preschool children.

This randomized controlled trial conducted in Greece included 132 preschool children aged 3-6 years who had not previously undergone spirometry. Children were randomized to receive either an educational intervention (watching a short educational video) or standard verbal instructions before spirometry.

The primary outcome was success rate of spirometry. The intervention group achieved a significantly higher success rate of 84.6% compared to 65.7% in the control group (OR 3.85, 95% CI 1.5-107, p=0.015). Additionally, the total time required to complete the test was significantly reduced in the intervention group (11.7 ± 6.5 min vs 16.2 ± 8.6 min, p=0.002). The median number of attempts did not differ significantly between groups.

Safety outcomes were not reported. Limitations include that the study was conducted during two separate time periods due to the COVID-19 pandemic, which may have introduced bias. Generalizability to other settings and long-term effects were not assessed.

For clinicians, this study suggests that a brief educational video can substantially improve the likelihood of successful spirometry and reduce test time in preschool children, making pulmonary function testing more feasible in this age group.

A new study shows that a brief educational video can help young children successfully complete a breathing test called spirometry. The test measures lung function and is often used to diagnose asthma and other conditions. But it can be hard for preschoolers to follow the instructions.

Researchers in Greece studied 132 children aged 3 to 6 who had never done spirometry before. Half of the children watched a short video that explained and demonstrated the test. The other half received standard verbal instructions from a technician.

The results were clear: 84.6% of children who watched the video completed the test successfully, compared to 65.7% of those who got verbal instructions. The video group also finished the test faster, taking about 12 minutes on average versus 16 minutes. The number of attempts needed was similar between groups.

This was a randomized controlled trial, which is a strong study design. However, it was a single study with 132 children, and it took place in Greece during the COVID-19 pandemic, which may affect how well the results apply to other settings. No safety concerns were reported.

For parents and doctors, this suggests that a simple video could make lung testing easier for young children. More research is needed to see if this works in other places and with different groups of children.

What this means for you:
A short video can help more preschoolers complete a lung function test successfully and faster.

Study Details

Study typeRct
EvidenceLevel 2
PublishedMay 2026
View Original Abstract ↓
BACKGROUND: This study investigated the feasibility of performing spirometry without technical errors in preschool children. It also evaluated the effect of an educational intervention on the success rates and duration of spirometry in this age group. METHODS: This randomized controlled study was conducted in Greece during two separate time periods due to the COVID-19 pandemic. The study included 132 children aged 3-6 years who had not previously undergone spirometry. Children who were born prematurely, had neurological disorders and/or developmental delays, or refused to attempt an FVC maneuver were excluded from the study. Participants were randomly allocated to the intervention ( = 65) and control ( = 67) groups. The mean (SD) ages were 4.5 ± 0.88 and 4.6 ± 0.92 years, respectively. The control group received standard verbal instructions, whereas the intervention group watched a short educational video. All spirometry tests were performed by the same operator. RESULTS: The overall success rate of spirometry was 74.2%. Success rates were significantly higher in the intervention group compared with the control group (84.6% vs. 65.7%,  = 0.015). The educational intervention increased the likelihood of achieving successful spirometry by 3.85-fold (OR 3.85, 95% CI 1.5-107,  = 0.05). It also increased the number of acceptable FVC maneuvers and reduced the total time required to complete the test (11.7 ± 6.5 min in the intervention group vs. 16.2 ± 8.6 min in the control group;  = 0.002). The median number of attempts did not differ significantly between the groups. CONCLUSIONS: Spirometry is generally feasible in preschool children; however, a brief educational video can substantially improve the likelihood of successful performance and reduce the time needed to complete the test.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.