Mixed methods process evaluation of My Breathing Matters, a digital intervention to support self-management of asthma

This study aimed to explore user engagement with ‘My Breathing Matters’, a digital selfmanagement intervention for asthma, and identify factors that may influence engagement. In a mixed methods design, adults with asthma allocated to the intervention arm of a feasibility trial (n=44) participated in semi-structured interviews (n=18) and a satisfaction questionnaire (n=36) to explore their views and experiences of the intervention. Usage data highlighted that key intervention content was delivered to most users. The majority of questionnaire respondents (78%; n=28) reported they would recommend the intervention to friends and family. Interviewees expressed positive views of the intervention and experienced several benefits, mainly improved asthma control, medication use, and breathing technique. Factors that may influence user engagement were identified, including perceptions of asthma control, current self-management practices, and appeal of the target behaviours and behaviour change techniques. Findings suggested My Breathing Matters was acceptable and engaging to participants, and it was used as intended

10.1038/s41533-021-00248-6

2055-1010

Greenwell, Kate

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Ainsworth, Benjamin

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Bruton, Anne

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Murray, Elizabeth

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Russel, Daniel

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Thomas, Mike

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Yardley, Lucy

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4 June 2021

Greenwell, Kate

4bac64bd-059f-4d7d-90d3-5c0bccb7ffb2

Ainsworth, Benjamin

b02d78c3-aa8b-462d-a534-31f1bf164f81

Bruton, Anne

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Murray, Elizabeth

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Russel, Daniel

d82df14c-6622-419f-baad-fc9bb62eae0d

Thomas, Mike

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Yardley, Lucy

64be42c4-511d-484d-abaa-f8813452a22e

Greenwell, Kate, Ainsworth, Benjamin, Bruton, Anne, Murray, Elizabeth, Russel, Daniel, Thomas, Mike and Yardley, Lucy (2021) Mixed methods process evaluation of My Breathing Matters, a digital intervention to support self-management of asthma. NPJ primary care respiratory medicine, 31 (1), [35]. (doi:10.1038/s41533-021-00248-6).

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Greenwelletal_npj PCRM_DIPSS Process Eval_R2v2(clean)_full - Accepted Manuscript

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Accepted/In Press date: 29 April 2021

Published date: 4 June 2021

Additional Information: Funding Information: We would like to thank our PPI representatives Samantha Richards-Hall, Daniel Russell, and Mark Stafford-Watson for their help with the design of this study and the intervention, reviewing the participant materials, and for their feedback on the key findings and this manuscript. The University of Southampton acknowledges the support of the National Institute of Health Research Clinical Research Network (NIHR CRN). My Breathing Matters was developed using the LifeGuide software, which was partly funded by the NIHR Biomedical Research Centre (BRC), Southampton. This article presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research (PGfAR) Programme (Grant Reference Number RP-PG-1211-20001). My Breathing Matters was developed using LifeGuide software, which was partly funded by the NIHR Southampton Biomedical Research Centre (BRC). L.Y. is an NIHR Senior Investigator. During the study, B.A. was supported by an NIHR School of Primary Care (SPCR) Fellowship. A.B. was funded by the National Institute for Health Research (NIHR) Senior Research Fellowship (SRF-2012-05-120). The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: © 2021, The Author(s).

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