Bibliographic Details
| 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 |
| Authors: |
Beth Stuart, Mike Thomas, Lucy Yardley, Frances Mair, Ben Ainsworth, Kate Greenwell, James Raftery, Anne Bruton |
| Source: |
BMJ Open, Vol 9, Iss 11 (2019) |
| Publisher Information: |
BMJ Publishing Group, 2019. |
| Publication Year: |
2019 |
| Collection: |
LCC:Medicine |
| Subject Terms: |
Medicine |
| More Details: |
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. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2044-6055 |
| Relation: |
https://bmjopen.bmj.com/content/9/11/e032465.full; https://doaj.org/toc/2044-6055 |
| DOI: |
10.1136/bmjopen-2019-032465 |
| Access URL: |
https://doaj.org/article/736b1542b1ca4efe9792dae8bbb49a9f |
| Accession Number: |
edsdoj.736b1542b1ca4efe9792dae8bbb49a9f |
| Database: |
Directory of Open Access Journals |
