Many parents report problems getting their children to take their asthma medication, especially when using a spacer and mask which goes over the child’s nose and mouth. In order to properly inhale the medication, there must be a firm seal between the mask and the child’s face, and the child must breathe in steadily . Regular medication is necessary to reduce the incidence of symptomatic episodes of respiratory distress.
Problems using a spacer can not only lead to poor adherence and ineffective drug delivery, but also cause significant distress for both parents and children. Many parents report missing doses as a result of their child’s distress.

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The Rafi-Tone app was developed using gamification principles to make the process as fun and engaging as possible. In large studies, 51% of children reported becoming upset when using their standard spacer, but this reduced to only 22% by switching to the Rafi-tone system. Similarly, the number of parents confident that the spacer had delivered the right dose more than doubled from 42% to 89%. The study also saw improvements in children’s own perceptions, and strong endorsement from independent specialist nurses who took part in the study.
The Rafi-Tone app is a registered medical device and can be downloaded for free from the Apple App Store (iOS) or Google Play Store (Android) for patients using the Able spacer.
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