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 seven general practice...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2019-11-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/11/e032465.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846150248228978688 |
|---|---|
| author | Beth Stuart Mike Thomas Lucy Yardley Frances Mair Ben Ainsworth Kate Greenwell James Raftery Anne Bruton |
| author_facet | Beth Stuart Mike Thomas Lucy Yardley Frances Mair Ben Ainsworth Kate Greenwell James Raftery Anne Bruton |
| author_sort | Beth Stuart |
| collection | DOAJ |
| description | 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 seven 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 months). 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, two patients withdrew and six did not complete outcome measures. At 12 months, two withdrew and four 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 RCT that is required to determine the clinical and cost-effectiveness of a digital asthma self-management intervention.Trial registration number ISRCTN15698435. |
| format | Article |
| id | doaj-art-736b1542b1ca4efe9792dae8bbb49a9f |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-736b1542b1ca4efe9792dae8bbb49a9f2024-11-29T05:55:08ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2019-032465Feasibility trial of a digital self-management intervention ‘My Breathing Matters’ to improve asthma-related quality of life for UK primary care patients with asthmaBeth Stuart0Mike Thomas1Lucy Yardley2Frances Mair3Ben Ainsworth4Kate Greenwell5James Raftery6Anne Bruton7Southampton Clinical Trials Unit, University of Southampton, Southampton, UKPCPS, University of Southampton, Southampton, UK3 Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UKCollege of Medical and Veterinary Life Sciences, University of Glasgow, Glasgow, UKNIHR Biomedical Research Centre, Faculty of Medicine, University of Southampton, Southampton, UKUniversity Of Southampton, Southampton, UK5 WIHRD, School of Medicine, Southampton University, Southampton, UK6 School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UKObjective 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 seven 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 months). 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, two patients withdrew and six did not complete outcome measures. At 12 months, two withdrew and four 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 RCT that is required to determine the clinical and cost-effectiveness of a digital asthma self-management intervention.Trial registration number ISRCTN15698435.https://bmjopen.bmj.com/content/9/11/e032465.full |
| spellingShingle | Beth Stuart Mike Thomas Lucy Yardley Frances Mair Ben Ainsworth Kate Greenwell James Raftery Anne Bruton 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 |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/9/11/e032465.full |
| work_keys_str_mv | AT bethstuart feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma AT mikethomas feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma AT lucyyardley feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma AT francesmair feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma AT benainsworth feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma AT kategreenwell feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma AT jamesraftery feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma AT annebruton feasibilitytrialofadigitalselfmanagementinterventionmybreathingmatterstoimproveasthmarelatedqualityoflifeforukprimarycarepatientswithasthma |