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Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues

Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues
Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues
Objectives
To describe a transparent approach to planning a digital intervention for adolescents to self-manage their asthma using breathing retraining (BRT), based on an existing, effective adult intervention (BREATHE).

Methods
A theory-, evidence and Person-Based Approach was used to maximise the effectiveness and persuasiveness of the intervention. A scoping review and semi-structured interviews with target intervention users (N=18, adolescents aged 12-17yrs with asthma and parents) were carried out to explore user perspectives, barriers and facilitators towards the intended behaviours and potential intervention features. The combined evidence was used alongside and to inform theory-based activities and enabled iterative planning of the intervention.

Results
The scoping review identified themes relating to user-specific self-management issues, content, education, training needs and features for a digital intervention. Interviews elicited potential barriers to intended behaviours such as the anticipated embarrassment of using BRT and concerns around remaining calm. Facilitators included BRT delivered by adolescents who share experiences of asthma and information for performing exercises discreetly. Relevant theoretical frameworks ensured that appropriate psychological constructs were targeted. A behavioural analysis identified six intervention functions and thirty behaviour change techniques. Logic modelling mapped the programme theory and mechanisms, which aims to improve adolescent asthma-related quality of life.

Conclusions
This research gives a transparent insight into the approach followed to plan a self-guided BRT intervention for adolescents and has led to identification of key behavioural issues, enabling relevant intervention content to be chosen. Insight has been given into adolescent perceptions of BRT, which facilitated development of the prototype intervention.
adolescence, asthma, breathing retraining, digital intervention, self-management
8755-6863
Easton, Stephanie
c14f766e-a8a3-4e80-9459-a74971510ebd
Ainsworth, Ben
b02d78c3-aa8b-462d-a534-31f1bf164f81
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Latter, Sue
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Knibb, Rebecca
ecf7d254-dfd6-4048-b274-6719b71ef410
Cook, Amber
ff05af98-59f0-43ca-b2ad-f3c19aaa51c7
Wilding, Sam
a026cae1-cc72-49b5-a52b-ec1d931d72e1
Bahrami-Hessari, Michael
d7de1627-160c-4145-b37b-e96cdc829ac5
Kennington, Erika J.
c4d714bd-09d5-46a5-91b0-2116660fa6da
Gibson, Denise
a777f689-579e-478e-a8cc-6b3b85451595
Wilkins, Hannah
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Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3
Easton, Stephanie
c14f766e-a8a3-4e80-9459-a74971510ebd
Ainsworth, Ben
b02d78c3-aa8b-462d-a534-31f1bf164f81
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Latter, Sue
9ab0f0b3-2eca-47a9-9318-bbf1be0d43be
Knibb, Rebecca
ecf7d254-dfd6-4048-b274-6719b71ef410
Cook, Amber
ff05af98-59f0-43ca-b2ad-f3c19aaa51c7
Wilding, Sam
a026cae1-cc72-49b5-a52b-ec1d931d72e1
Bahrami-Hessari, Michael
d7de1627-160c-4145-b37b-e96cdc829ac5
Kennington, Erika J.
c4d714bd-09d5-46a5-91b0-2116660fa6da
Gibson, Denise
a777f689-579e-478e-a8cc-6b3b85451595
Wilkins, Hannah
603d8795-6b0e-4fb5-b6e5-d208f3d5c66d
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Roberts, Graham
ea00db4e-84e7-4b39-8273-9b71dbd7e2f3

Easton, Stephanie, Ainsworth, Ben, Thomas, Mike, Latter, Sue, Knibb, Rebecca, Cook, Amber, Wilding, Sam, Bahrami-Hessari, Michael, Kennington, Erika J., Gibson, Denise, Wilkins, Hannah, Yardley, Lucy and Roberts, Graham (2022) Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues. Pediatric Pulmonology. (In Press)

Record type: Article

Abstract

Objectives
To describe a transparent approach to planning a digital intervention for adolescents to self-manage their asthma using breathing retraining (BRT), based on an existing, effective adult intervention (BREATHE).

Methods
A theory-, evidence and Person-Based Approach was used to maximise the effectiveness and persuasiveness of the intervention. A scoping review and semi-structured interviews with target intervention users (N=18, adolescents aged 12-17yrs with asthma and parents) were carried out to explore user perspectives, barriers and facilitators towards the intended behaviours and potential intervention features. The combined evidence was used alongside and to inform theory-based activities and enabled iterative planning of the intervention.

Results
The scoping review identified themes relating to user-specific self-management issues, content, education, training needs and features for a digital intervention. Interviews elicited potential barriers to intended behaviours such as the anticipated embarrassment of using BRT and concerns around remaining calm. Facilitators included BRT delivered by adolescents who share experiences of asthma and information for performing exercises discreetly. Relevant theoretical frameworks ensured that appropriate psychological constructs were targeted. A behavioural analysis identified six intervention functions and thirty behaviour change techniques. Logic modelling mapped the programme theory and mechanisms, which aims to improve adolescent asthma-related quality of life.

Conclusions
This research gives a transparent insight into the approach followed to plan a self-guided BRT intervention for adolescents and has led to identification of key behavioural issues, enabling relevant intervention content to be chosen. Insight has been given into adolescent perceptions of BRT, which facilitated development of the prototype intervention.

Text
Pediatric Pulmonology - 2022 - Easton - Planning a digital intervention for adolescents with asthma BREATHE4T a theory‐ - Accepted Manuscript
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EASTON - PEDIATRIC PUL - Breathe4T development_R1.1clean - Accepted Manuscript
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More information

Accepted/In Press date: 6 August 2022
Keywords: adolescence, asthma, breathing retraining, digital intervention, self-management

Identifiers

Local EPrints ID: 468872
URI: http://eprints.soton.ac.uk/id/eprint/468872
ISSN: 8755-6863
PURE UUID: 8bde2ef3-05fc-4c56-bf18-c877651f2e41
ORCID for Ben Ainsworth: ORCID iD orcid.org/0000-0002-5098-1092
ORCID for Sam Wilding: ORCID iD orcid.org/0000-0003-4184-2821
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X
ORCID for Graham Roberts: ORCID iD orcid.org/0000-0003-2252-1248

Catalogue record

Date deposited: 30 Aug 2022 17:03
Last modified: 12 Oct 2022 04:01

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Contributors

Author: Stephanie Easton
Author: Ben Ainsworth ORCID iD
Author: Mike Thomas
Author: Sue Latter
Author: Rebecca Knibb
Author: Amber Cook
Author: Sam Wilding ORCID iD
Author: Michael Bahrami-Hessari
Author: Erika J. Kennington
Author: Denise Gibson
Author: Hannah Wilkins
Author: Lucy Yardley ORCID iD
Author: Graham Roberts ORCID iD

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