Feasibility trial of a digital self-management intervention ‘My Breathing Matters’ to improve asthma-related quality of life for UK primary care patients with asthma
Feasibility trial of a digital self-management intervention ‘My Breathing Matters’ to improve asthma-related quality of life for UK primary care patients with asthma
Objective: to assess the feasibility of a randomised controlled trial (RCT) and acceptability of an asthma self-management digital intervention to improve asthma-specific quality of life in comparison with usual care.
Design and setting: a two arm feasibility RCT conducted across 7 general practices in Wessex, UK.
Participants: primary care patients with asthma aged 18 years and over, with impaired asthma-specific quality of life and access to the internet.
Interventions: ‘My Breathing Matters’ (MBM) is a digital asthma self-management intervention designed using theory, evidence and person-based approaches to provide tailored support for both pharmacological and non-pharmacological management of asthma symptoms.
Outcomes: the primary outcome was the feasibility of the trial design, including recruitment, adherence and retention at follow-up (3 and 12 month). Secondary outcomes were the feasibility and effect sizes of specific trial measures including asthma-specific quality of life and asthma control.
Results: primary outcomes: 88 patients were recruited (target 80). At 3 month follow-up, 2 patients withdrew and 6 did not complete outcome measures. At 12 month, 2 withdrew and 4 did not complete outcome measures. 36/44 patients in the intervention group engaged with MBM (median of 4 logins, range 0-25, IQR 8). Consistent trends were observed to improvements in asthma-related patient reported outcome measures.
Conclusions: this study demonstrated the feasibility and acceptability of a definitive randomised controlled trial that is required to determine the clinical and cost-effectiveness of a digital asthma self-management intervention.
asthma, self-management, quality of life, primary care, breathing retraining, digital
Ainsworth, Benjamin
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Greenwell, Kate
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Stuart, Beth
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Raftery, James
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Mair, Frances
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Bruton, Anne
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Yardley, Lucy
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Thomas, Mike
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Ainsworth, Benjamin
b02d78c3-aa8b-462d-a534-31f1bf164f81
Greenwell, Kate
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Stuart, Beth
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Raftery, James
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Mair, Frances
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Bruton, Anne
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Yardley, Lucy
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Thomas, Mike
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Ainsworth, Benjamin, Greenwell, Kate, Stuart, Beth, Raftery, James, Mair, Frances, Bruton, Anne, Yardley, Lucy and Thomas, Mike
(2019)
Feasibility trial of a digital self-management intervention ‘My Breathing Matters’ to improve asthma-related quality of life for UK primary care patients with asthma.
BMJ Open, 9 (11).
(In Press)
Abstract
Objective: to assess the feasibility of a randomised controlled trial (RCT) and acceptability of an asthma self-management digital intervention to improve asthma-specific quality of life in comparison with usual care.
Design and setting: a two arm feasibility RCT conducted across 7 general practices in Wessex, UK.
Participants: primary care patients with asthma aged 18 years and over, with impaired asthma-specific quality of life and access to the internet.
Interventions: ‘My Breathing Matters’ (MBM) is a digital asthma self-management intervention designed using theory, evidence and person-based approaches to provide tailored support for both pharmacological and non-pharmacological management of asthma symptoms.
Outcomes: the primary outcome was the feasibility of the trial design, including recruitment, adherence and retention at follow-up (3 and 12 month). Secondary outcomes were the feasibility and effect sizes of specific trial measures including asthma-specific quality of life and asthma control.
Results: primary outcomes: 88 patients were recruited (target 80). At 3 month follow-up, 2 patients withdrew and 6 did not complete outcome measures. At 12 month, 2 withdrew and 4 did not complete outcome measures. 36/44 patients in the intervention group engaged with MBM (median of 4 logins, range 0-25, IQR 8). Consistent trends were observed to improvements in asthma-related patient reported outcome measures.
Conclusions: this study demonstrated the feasibility and acceptability of a definitive randomised controlled trial that is required to determine the clinical and cost-effectiveness of a digital asthma self-management intervention.
Text
bmjopen_accepted_proof_ my breathing matters
- Accepted Manuscript
More information
Accepted/In Press date: 23 September 2019
Keywords:
asthma, self-management, quality of life, primary care, breathing retraining, digital
Identifiers
Local EPrints ID: 434534
URI: http://eprints.soton.ac.uk/id/eprint/434534
ISSN: 2044-6055
PURE UUID: 196b73e2-202a-46a4-83c7-32943087cca1
Catalogue record
Date deposited: 30 Sep 2019 16:30
Last modified: 17 Mar 2024 03:18
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Contributors
Author:
Benjamin Ainsworth
Author:
Frances Mair
Author:
Anne Bruton
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