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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
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
2044-6055
Ainsworth, Ben
98a141d2-0e3b-42b9-802c-15fbaeb5bc07
Greenwell, Kate
4bac64bd-059f-4d7d-90d3-5c0bccb7ffb2
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Raftery, James
27c2661d-6c4f-448a-bf36-9a89ec72bd6b
Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca
Bruton, Anne
9f8b6076-6558-4d99-b7c8-72b03796ed95
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Ainsworth, Ben
98a141d2-0e3b-42b9-802c-15fbaeb5bc07
Greenwell, Kate
4bac64bd-059f-4d7d-90d3-5c0bccb7ffb2
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Raftery, James
27c2661d-6c4f-448a-bf36-9a89ec72bd6b
Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca
Bruton, Anne
9f8b6076-6558-4d99-b7c8-72b03796ed95
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953

Ainsworth, Ben, 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)

Record type: Article

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.

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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
ORCID for Kate Greenwell: ORCID iD orcid.org/0000-0002-3662-1488
ORCID for Anne Bruton: ORCID iD orcid.org/0000-0002-4550-2536
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 30 Sep 2019 16:30
Last modified: 07 Oct 2020 02:14

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Contributors

Author: Ben Ainsworth
Author: Kate Greenwell ORCID iD
Author: Beth Stuart
Author: James Raftery
Author: Frances Mair
Author: Anne Bruton ORCID iD
Author: Lucy Yardley ORCID iD
Author: Mike Thomas

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