JMIRx Medxmed34JMIRx MedJMIRx Med2563-6316JMIR PublicationsToronto, Canadav7i1e9144310.2196/91443Peer-Review ReportPeer Review for “Administration Technique of Intranasal Corticosteroid Sprays Among Nepali Pharmacists: Cross-Sectional Study”ShankarRavi PManipal College of Medical SciencesPokharaNepalSchwartzAmy202629120267e914431401202614012026© Ravi P Shankar. Originally published in JMIRx Med (https://med.jmirx.org), 29.1.2026. 2026

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http://preprints.jmir.org/preprint/83042https://med.jmirx.org/2026/1/e91445https://med.jmirx.org/2026/1/e83042intranasal corticosteroid sprayallergic rhinitisdevice use techniquepharmacistpatient counselling, continuing pharmacy education

This is a peer-review report for “Administration Technique of Intranasal Corticosteroid Sprays Among Nepali Pharmacists: Cross-Sectional Study.”

Round 1 ReviewGeneral Comments

This is an important and well-written study [1]. My suggestions are listed below.

Specific Comments

There are some problems with language and with unnecessary capitalization of words.

Page 3: INCS sprays should be defined in full on first mention in the text.

Page 8: Can details of the ethical committee that provided the approval be provided?

Was the informed consent obtained in writing?

Scoring system: Should the crucial steps not be provided with greater marks compared to the other steps?

Page 17: Please explain the classification tree (Chi-square automatic interaction detection method) for the benefit of the readers.

Page 17: “This research is one of a kind, conducted in Nepal.” Can this sentence be modified?

Page 19: Instead of continuing medical education (CME), continuing pharmacy education (CPE) may be a better term.

Page 20: What educational aids are you referring to?

Are the educational leaflets available in the Nepali language?

Page 20: “In our study, both the increasing age (>26 y old) were significantly associated with improved INCS [intranasal corticosteroid] counseling proficiency.” This sentence mentions both but then highlights only one factor.

Was this study conducted only in Kathmandu city and not in Lalitpur or Bhaktapur?

Page 21, Limitations section: Some of the findings may be extreme due to small subgroups or model overfitting. Can this be explained?

Different fonts are used in different locations, and this should be corrected.

None declared.

ReferencesChaudharyAP ThakurS SahSK Administration technique of intranasal corticosteroid sprays among Nepali pharmacists: cross-sectional studyJMIRx Med20267e8304210.2196/preprints.83042