Background and

Objectives: Otitis media with effusion (OME) is a common condition in Aboriginal and Torres Strait Islander children. Nasal balloon auto-inflation is a potential low-cost alternative to surgery to manage OME; however, the experiences of healthcare practitioners and parents in using this treatment strategy are not well understood. This study aimed to understand the experiences of using nasal balloon auto-inflation as a treatment for childhood OME. Method: Caregivers of 69 Aboriginal and Torres Strait Islander children using auto-inflation in the AutoINFLation for Aboriginal and Torres Strait Islander Children with Bilateral OME (INFLATE) randomised clinical trial answered the questionnaires. Interviews were undertaken with caregivers and Aboriginal community research officers.

Results: The novelty of the experience excited children initially, but caregivers needed to ensure the treatment remained enjoyable and incorporated into the daily routine. The device was easy to use for most, with twice daily inflations the most manageable. The family dynamic (number of children, split-care arrangements) affected success. Discussion: Gamification of treatment, as well as regular check-ins by healthcare practitioners, can increase adherence and achievability of the treatment plan for Aboriginal and Torres Strait Islander children.