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

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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 improvements in asthma-related patient reported outcome measures.
Trial registration number: ISRCTN15698435.
Original languageEnglish
Article numbere032465
JournalBMJ Open
Volume9
Issue number11
DOIs
Publication statusAccepted/In press - 23 Sep 2019

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