Ainsworth, B., Greenwell, K., Stuart, B., Raftery, J., Mair, F. , Bruton, A., Yardley, L. and Thomas, M. (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), e032465. (doi: 10.1136/bmjopen-2019-032465) (PMID:31722952) (PMCID:PMC6858238)
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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 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.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Mair, Professor Frances |
| Authors: | Ainsworth, B., Greenwell, K., Stuart, B., Raftery, J., Mair, F., Bruton, A., Yardley, L., and Thomas, M. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care |
| Journal Name: | BMJ Open |
| Publisher: | BMJ Publishing Group |
| ISSN: | 2044-6055 |
| ISSN (Online): | 2044-6055 |
| Published Online: | 12 November 2019 |
| Copyright Holders: | Copyright © Authors (or their employers) 2019 |
| First Published: | First published in BMJ Open 9(11):e032465 |
| Publisher Policy: | Reproduced under a Creative Commons license |
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