A 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

Ben Ainsworth, Kate Greenwell, Beth Stuart, James Raftery, Frances Mair, Anne Bruton, Lucy Yardley, Mike Thomas

Research output: Contribution to journalArticle (Academic Journal)peer-review

1 Citation (Scopus)
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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 7 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 month). 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, 2 patients withdrew and 6 did not complete outcome measures. At 12 month, 2 withdrew and 4 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 randomised controlled trial that is required to determine the clinical and cost-effectiveness of a digital asthma self-management intervention.
Trial registration number: ISRCTN15698435.
Original languageEnglish
Article numbere032465
Number of pages11
JournalBMJ Open
Volume9
Issue number11
DOIs
Publication statusPublished - 12 Nov 2019

Structured keywords

  • Physical and Mental Health
  • Mental Health Data Science
  • Digital Health

Keywords

  • Asthma
  • thoracic medicine
  • Primary care
  • digital medicine
  • self-management
  • Breathing retraining
  • Quality of life

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