Evaluation of the Effectiveness of an Education Program Based on the Mastery Learning Theory for Parents of Children Receiving Inhaler Therapy: A Pediatric Emergency Department Example
Phase: NA
Conditions: Shortness of Breath
Sponsor: Emine ŞAHİN

Official Title : Evaluation of the Effectiveness of an Education Program Based on Mastery 
Learning Theory for Parents of Children Receiving Inhaler Treatment: A Pediatric Emergency 
Department Example 
 
Ethics Committee Approval: Zonguldak Bulent Ecevıt Unıversıty Non-Interventional Clinic 
Research Ethics Committee (November 5 ,2025). 
 
Document Date: 
05 November 2025 
 
CLINICAL RESEARCH APPLICATION FORM 
A. FULL TITLE OF THE RESEARCH: 
TURKISH: Evaluation of the Effectiveness of an Education Program Based on Mastery 
Learning 
Theory for Parents of Children Receiving Inhaler Treatment: A Pediatric Emergency 
Department 
Example 
ENGLISH: Evaluation of the Effectiveness of an Education Program Based on Mastery 
Learning 
Theory for Parents of Children Receiving Inhaler Treatment: A Pediatric Emergency 
Department 
Example 
B. NATURE OF THE RESEARCH:- Academic study- Doctoral thesis- Specialization thesis- 
Master's thesis- Other (Specify) 
C. RESEARCH FUNDING: 
 -YES 
-NO 

- University (BAP)- Training and Research Hospital- TUBITAK (The Scientific and 
Technological Research Council of Turkey)- International (please specify)- Other (please 
specify) 
D. TYPE OF RESEARCH: Observational studies (excluding drug and medical device 
observational studies)- In vitro studies using human-derived materials- Survey study- 
Retrospective file and imaging review- Research using blood, urine, tissue, radiologic imaging, 
or routine examination and treatment 
materials- Cell or tissue culture studies; research on genetic material excluding clinical gene 
therapy- Research within nursing activities- Diet studies under nutritional habits- Exercise-
related physiological studies 
- Anthropometric studies- Studies evaluating lifestyle habits- Other: Randomized controlled 
trial 
RESEARCH AIM: 
The study aims to evaluate the effect of an education program applied to parents of children 
receiving inhaler treatment. 
BACKGROUND: 
Respiratory system diseases account for approximately 10% of pediatric emergency visits. Due 
to anatomical differences, acute respiratory distress and failure are more frequent in children 
than adults (Beytut, 2016). Early recognition and treatment of respiratory failure are crucial. 
Patients may be treated with non-invasive ventilation, while severe cases may require intubation 
and mechanical ventilation. Knowing the underlying etiology is essential for treatment (Uysalol 
& Besli, 2021). 
Inhalation therapy is used for acute treatment in children and adults. It aims to deliver drug 
particles to the distal regions of the lungs quickly (Kas & Yildiz, 2021). Its non-invasive nature, 
ease of administration, rapid effect, and pain-free application make it preferable (Isik et al., 
2013). Proper parental knowledge and correct administration enhance treatment efficacy 
(Lizano-Barrantes et al.,2022; Basheti et al., 2014; Nelson et al., 2011). 
Incorrect inhaler technique can worsen clinical outcomes. Checklists and training improve the 
accuracy of inhaler administration. Studies show common mistakes include insufficient 

breath-holding (34%) and incorrect breathing technique (29%) in pediatric asthma patients 
(Mahmood et al., 2025). Improper inhaler use increases activity intolerance and reliance on 
bronchodilators (Yuruk & Hacisalihoglu, 2024). Guidelines recommend demonstrating inhaler 
technique at each patient visit (De Vries et al., 2023). 
This study evaluates the impact of an education program based on mastery learning theory for 
parents of children receiving inhaler treatment