Alkem

SQ Spacer Usage

Physician perspectives on spacer device usage, prescription patterns, and clinical decision- making factors in the management of respiratory conditions: A nationwide, multicenter, cross- sectional observational study

The questions to be answered by the qualified medical practitioners. Following are questions:

HCP initials*

Age *

City *

State *

Gender *

Male Female

Speciality *

General practitioner Consulting physician Pulmonologist Chest physician Pediatrician Other

How often do you recommend spacer devices for patients (both adult and pediatric patients)? (Please estimate the percentage of patients for whom you recommend spacer devices) *

Frequently (Recommend for 76-100% of patients) Occasionally (Recommend for 51-75% of patients) Rarely (Recommend for 26-50% of patients) Never (Recommend for 0-25% of patients)

For which of the following conditions do you typically recommend spacers? (Select all that apply) *

Asthma - for maintenance treatment Asthma - for Acute treatment COPD Pneumonia Respiratory infections Other

What factors most influence your decision to prescribe a spacer device for your patients? (Select all that apply) *

Age of the patient Severity of the condition Type of medication (e.g., ICS, LABA, LAMA) Patient's ability to use inhaler devices correctly Cost considerations Parental/caregiver ability to assist in proper usage Other

What barriers do you face when prescribing spacer devices to your patients? (Select all that apply) *

Lack of patient or caregiver awareness/education High cost of the device Lack of compliance or poor technique Perceived ineffectiveness Availability of alternative devices (e.g., nebulizers) Other

How frequently do you observe proper usage of spacers by your patients? *

Frequently (Recommend for 76-100% of patients) Occasionally (Recommend for 51-75% of patients) Rarely (Recommend for 26-50% of patients) Never (Recommend for 0-25% of patients)

Do you believe spacers are more effective than nebulizers? *

Yes No

What is the most important factor you consider before prescribing a spacer device to your patients? (Select one option) *

Patient's ability to use inhalers correctly Age of the patient (Pediatric vs. Adult) Severity of the respiratory condition Patient compliance with inhalation therapy Cost of the spacer device Availability of the spacer device Clinical guidelines and recommendations Other

What are the common challenges you encounter in ensuring effective spacer usage among your patients? (Select all that apply) *

Difficulty in understanding how to use the device correctly Patient discomfort or reluctance (especially in children) Inadequate patient or caregiver education Device not suitable for the patient's age/condition Lack of follow-up or monitoring to ensure continued correct use Other

What is the most common shape of spacer device prescribed by you in your patients? *

Conical/Diamond shape Cylindrical Shape

Do you think spacer devices are adequately marketed and supported with educational materials for both healthcare professionals and patients? *

Yes No Not sure

Would you like to see additional training or educational materials to improve spacer usage among patients or caregivers? *

Yes No Not sure