Evidence map›Paper›PMID 26215651›Full record

ArticleBMC medical informatics and decision making2015

Details of development of the resource for adults with asthma in the RAISIN (randomized trial of an asthma internet self-management intervention) study.

Deborah Morrison, Frances S Mair, Rekha Chaudhuri, Marilyn McGee-Lennon, Mike Thomas, Neil C Thomson, Lucy Yardley, Sally Wyke

Open access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 26 citations in OpenAlex.

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  18. Applying Human-Centered Design to the Development of an Asthma Essentials Kit for School-Aged Children and Their Parents.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Deborah MorrisonGeneral Practice & Primary Care, Institute of Health & Wellbeing, University of Glasgow, 1 Horselethill Road, Glasgow, G12 9LX, UK.
Frances S MairGeneral Practice & Primary Care, Institute of Health & Wellbeing, University of Glasgow, 1 Horselethill Road, Glasgow, G12 9LX, UK. Frances.Mair@glasgow.ac.uk.
Rekha ChaudhuriInstitute of Infection, Immunity and Inflammation, Gartnavel General Hospital, University of Glasgow, 1053 Great Western Road, Glasgow, G12 0YN, UK.
Marilyn McGee-LennonComputer and Information Science, University of Strathclyde, Glasgow, G1 1XH, UK.
Mike ThomasPrimary Care Research, Aldermoor Health Centre, University of Southampton, Aldermoor Close, Southampton, SO16 5ST, UK.
Neil C ThomsonInstitute of Infection, Immunity and Inflammation, Gartnavel General Hospital, University of Glasgow, 1053 Great Western Road, Glasgow, G12 0YN, UK.
Lucy YardleyDepartment of Psychology, University of Southampton, Shackleton Building, Highfield, Southampton, SO17 1BJ, UK.
Sally WykeInstitute of Health and Wellbeing, College of Social Sciences, University of Glasgow, Rm 204, 25-28 Bute Gardens, Glasgow, G12 8RS, UK.
Gartnavel General Hospital · GBUniversity of Glasgow · GBUniversity of Southampton · GBUniversity of Strathclyde · GB

Funding

Chief Scientist Office CAF/11/08
6 · The paper itself

Abstract

backgroundAround 300 million people worldwide have asthma and prevalence is increasing. Self-management can be effective in improving a range of outcomes and is cost effective, but is underutilised as a treatment strategy. Supporting optimum self-management using digital technology shows promise, but how best to do this is not clear. We aimed to develop an evidence based, theory informed, online resource to support self-management in adults with asthma, called 'Living well with Asthma', as part of the RAISIN (Randomized Trial of an Asthma Internet Self-Management Intervention) study.

methodsWe developed Living well with Asthma in two phases. Phase 1: A low fidelity prototype (paper-based) version of the website was developed iteratively through input from a multidisciplinary expert panel, empirical evidence from the literature, and potential end users via focus groups (adults with asthma and practice nurses). Implementation and behaviour change theories informed this process. Phase 2: The paper-based designs were converted to a website through an iterative user centred process. Adults with asthma (n = 10) took part in think aloud studies, discussing the paper based version, then the web-based version. Participants considered contents, layout, and navigation. Development was agile using feedback from the think aloud sessions immediately to inform design and subsequent think aloud sessions. Think aloud transcripts were also thematically analysed, further informing resource development.

resultsThe website asked users to aim to be symptom free. Key behaviours targeted to achieve this include: optimising medication use (including inhaler technique); attending primary care asthma reviews; using asthma action plans; increasing physical activity levels; and stopping smoking. The website had 11 sections, plus email reminders, which promoted these behaviours. Feedback on the contents of the resource was mainly positive with most changes focussing on clarification of language, order of pages and usability issues mainly relating to navigation difficulties.

conclusionsOur multifaceted approach to online intervention development underpinned by theory, using evidence from the literature, co-designed with end users and a multidisciplinary panel has resulted in a resource which end users find relevant to their needs and easy to use. Living well with Asthma is undergoing evaluation within a randomized controlled trial.

Indexed as

Medical Informatics ApplicationsAdultAsthmaHumansInternetPatient SatisfactionRandomized Controlled Trials as TopicSelf Care

Identifiers

PMID26215651
PMCPMC4517557
OpenAlexW1908129662

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.