Zephyr Guide

Version: 1.0.2 | Cost: Entirely Free

Level 3 - Condition Management
Country: GB
Category: COPD, Asthma
Released: 22/05/2017
Updated: 25/09/2017
Version: 1.0.2
Size: 20mb
Developer: Cambridge Medtech Solutions
Reviewed On: 07/02/2018
This App achieved an ORCHA score of 83%.

It was assessed as a Level 3 App. These apps can be focused on general health or supporting specific health conditions. They may collect data and they may have a number of more advanced features. Where they collect data we assess their data use policies and compliance with relevant standards. Because they are health focused we also assess their compliance in the Clinical Effectiveness as well as the User Experience domains.

This App doesn’t collect any data and it is therefore only assessed and scored based on its performance in the User Experience and Clinical Assurance sections of our review.

Data Privacy
Not Applicable
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Clinical Assurance
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User Experience
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Developer description
Free Animated Guide for 'Press and Breathe' Metered Dose Inhalers (MDI's) Inhaler technique guide suitable for patients using inhalers such as Atrovent inhaler, Salamol inhaler, Clenil Modulite inhaler, Flixotide Evohaler, Fostair inhaler, Flutiform inhaler, Qvar inhaler, Seretide Evohaler, Ventolin Evohaler, Sirdupla inhaler and Symbicort inhaler ------------------ For patients with Asthma or COPD, inhaling medicine can be a very effective delivery pathway – but often it is not! 8 in 10 patients have difficulty using their life-saving inhalers • Inhalers can be difficult to use, and this can mean poorer health, risk of flare-ups and visits to hospital. • A good technique can help easier breathing, improved health and better quality of life. Good training means good technique • This guide will remind you what your doctor, nurse or pharmacist told you. • Speak to them if you have any questions about using your inhalers. • This guide is consistent with published guidance. • This guide has been independently reviewed with patients, carers, practice nurses, pharmacists, GPs, respiratory consultants, a psychotherapist, health education organisations / charities and inhaler experts. Check Regularly • Most people struggle to maintain good technique 6 weeks after training. • Check this guide every month to continually improve your technique. • "If at first you don't succeed; try, try and try again" ------------------ App reviews from patients: • "Very clear" • "Simple to follow" • "I cannot go wrong following this guide" • "When newly diagnosed, this guide is a good place to start" App reviews from healthcare professionals: • "Inhaler technique is a massive challenge for our patients” • “The first thing you do when you see someone with uncontrolled asthma is check their inhaler technique, that’s number one” • “This is a good description of how to do it” • "This guide is very simple and clear" • "Spot on!" • "If patients follow this guide, most will live their life symptom free" ------------------ Some of the most common inhaler technique mistakes observed and reported by the NHS, Asthma UK and other groups / charities are: • Pressing the canister before inhalation • Pressing the canister too late • Inhaling too fast • Pressing the canister twice during single inhalation • Not continuing to breathe in after pressing the canister • Not holding breath after inhalation ------------------ Zephyr Guide based on guidance published by or available from: • Association of Respiratory Nurse Specialists (www.arns.co.uk) • Asthma UK (www.asthma.org.uk/advice/inhalers-medicines-treatments/using-inhalers) • Education for Health (www.educationforhealth.org) • European Respiratory Society (www.ers-education.org/lrmedia/2016/pdf/298394.pdf) • Greater Manchester Inhaler Technique Improvement Innovation Project and Wessex AHSN (www.wessexahsn.org.uk/videos/show/140) • NHS (www.beta.nhs.uk/medicines/salbutamol-inhaler/) • PrescQIPP (www.prescqipp.info/respiratory#inhaler-technique-assessment-videos-and-leaflets) • Primary Care Respiratory Society UK (www.pcrs-uk.org/inhaler-technique-tips) • UK Inhaler Group (www.respiratoryfutures.org.uk/programmes/uk-inhaler-group/educational-videos-and-reviews) • all web sites accessed and viewed in March / April 2017
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We have identified that this App provides the following key features

General Information
The App provides general information or guidance
Carer Support
The App provides features that help those caring for others
Alerts And Notifications
The App provides alerts and notifications relevant to its area of focus

This review area looks at what information an App collects from you, what it does with that information and how secure is its handling of that data. For some Apps this is only a minor issue as they don’t gather much information. Other Apps can gather lots of very personal and sensitive information and for these it is important to know how they go about handling this.


This review area looks at what evidence there is that there is a suitably qualified professional or organisation behind the App or that it has been endorsed, accredited or underwritten by such an individual or organisation. It also assesses what evidence there is around user testing and what evidence there is that supports the effectiveness of the App in terms of claimed health benefits. The higher the Level of the App and the more sophisticated its functions, the more crucial this becomes.

Professional Assurance

It was clear from our review that a suitably qualified professional or organisation was involved in the Apps development.

It was clear from our review how regularly the advice and guidance given by the App was reviewed and updated by relevant professionals.


This Review Area looks at how an App has been designed to support the overall user experience. This includes its availability on both primary platforms, how customisable the App is, how well it caters for end users with different capabilities and needs – such as visual or other impairments – how content is managed, how well supported the App is and what it costs. This area also looks at overall User Review scores from both platforms.


It wasclear from our review that the App had been through end user testing as part of its design and development.


The App does provide customisable features.

End user capacity

The App does provide support for users with poor sight.

The App does provide support for users with hearing difficulties.


The App does appear to have a clear approach to dealing with user issues.


The App is entirely free to use.

We evaluate more apps than anyone, so that you can be aware of the good and bad.

Any score below 65% would indicate that an App has some issues that users should investigate further prior to using this App.

Scores below 45% indicate that an App has considerable issues or challenges and in its current form is potentially unhelpful or unsafe.

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