www.researchgate.net/profile/Davi...

Take-home: LLMs can give parents useful, understandable general info on childhood asthma.
But: they’re a complement, not a replacement for healthcare professionals.
🤝 AI + clinicians = better support for families.

📊 Results:
• Most answers rated good to very good (median 4/5 accuracy)
• Parents found them clear & accessible
• Paid versions generally outperformed free ones

🔎 Methods:
• 117 real questions from parents → grouped into 10 key themes
• Asked to 10 LLMs (ChatGPT, Claude, Gemini, Copilot…)
• LLMs answers rated by 5 pediatric pulmonologist (accuracy, appropiateness) & 100 parents (appropriateness, comprehensibility)

🏆 Conclusion: WAAPs starting with 2-4 puffs of salbutamol, to be repeated if necessary, would be more in line with how families actually manage symptoms while remaining effective in most situations. #Asthma #PediatricPulmonology

📈 We found WAAPs prescribing 2-4 puffs were more likely to be followed than those recommending 5-10 puffs. This suggests lower-dose recommendations may better align with families' actual practices.

✅ Despite lower doses than prescribed, 74% of episodes resolved without further intervention, and parents reported symptom improvement in 96% of cases.

🧐 While all families had WAAPs, most didn't follow them precisely. 49% used LESS salbutamol than prescribed, only 9% used more, and 42% used similar amounts to recommendations.

📊 Key finding: Most parents use just 2-4 puffs in the first 2 hours after symptoms begin (median of 3 puffs), varying by symptom type. Much less than the 10+ puffs some guidelines (especially French ones) recommend! 😮

🤔 Our rationale: Guidelines for salbutamol dosing vary widely, but we lack real-world data on how families actually administer it. We used smart inhalers 📱 to track ACTUAL usage patterns rather than relying on recall.