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Participants ( = 245; 93 = TH, 70 = ACC, 82 = pMDI) showed a significant difference between the groups at one-month for inhaler technique scores for TH (active 5.29 ± 1.86 vs. control = 24.4 ± 21.28), ACC (active = 3.99 ± 1.43 vs. control = 25.45 ± 22.57), and pMDI (active = 4.59 ± 0.10 vs. control = 120.55 ± 17.2), 0.001 for all. Asthma control for active group indicated significant improvements compared to control for TH and pMDI ( 0.001 for both), but not ACC group ( = 0.087). Retention of correct inhaler technique and improve