“…Comparatively, the study by Thakkar et al reported high pre-counseling adherence to these crucial steps, with subsequent post-counseling enhancements demonstrating the consistent efficacy of educational interventions [14]. Yet, it was Steps 3, 5, and 6 (breathing out gently, initiating slow inhalation while pressing the canister, and holding the breath post-inhalation) where our study observed the most dramatic improvements, from 52%, 42%, and 38% pre-counseling to 92%, 86%, and 76% post-counseling, respectively.…”