Evidence map›Paper›PMID 28031210›Full record

Trial reportBMJ open2016

Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma.

Nikki Newhouse, Angela Martin, Sena Jawad, Ly-Mee Yu, Mina Davoudianfar, Louise Locock, Sue Ziebland, John Powell

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04166344 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness of a Web-based, Digital Health Platform Combining Social Care and Respiratory Coach Support to Improve Adherence to Treatment and Symptom Control in Children and Adolescents with Difficult-to-control Asthma

TypeinterventionalSponsorLovexair FoundationRan2021 to 2024Enrolled60ConditionsAsthma in ChildrenArmsHappyair Ecosystem
NCT04236544 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Impact of a Multimedia Website With Patient Experiences of Multiple Sclerosis (PExMS) on Immunotherapy Decision-making: a Pilot Randomised Controlled Trial in a Mixed-methods Design

TypeinterventionalSponsorUniversitätsklinikum Hamburg-EppendorfRan2024 to 2025Enrolled55ConditionsMultiple Sclerosis, Multiple Sclerosis, Relapsing-Remitting, Patient Engagement, Self EfficacyArmsPExMS and DECIMS-Wiki, DECIMS-Wiki
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  6. Article
  7. Digital Health Education for Chronic Lung Disease: Scoping Review.Journal of medical Internet research · 2025
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  8. Review
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  12. Article
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  14. Article
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  20. Review
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.

Nikki NewhouseNuffield Department of Primary Care Health Sciences, Health Experiences Research Group, University of Oxford, Oxford, UK.ORCID 0000-0001-9002-3588
Angela MartinNuffield Department of Primary Care Health Sciences, Health Experiences Research Group, University of Oxford, Oxford, UK.
Sena JawadClinical Trials Unit, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Ly-Mee YuClinical Trials Unit, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-0331-7364
Mina DavoudianfarClinical Trials Unit, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Louise LocockNuffield Department of Primary Care Health Sciences, Health Experiences Research Group, University of Oxford, Oxford, UK.
Sue ZieblandNuffield Department of Primary Care Health Sciences, Health Experiences Research Group, University of Oxford, Oxford, UK.
John PowellNuffield Department of Primary Care Health Sciences, Health Experiences Research Group, University of Oxford, Oxford, UK.

Funding

Department of Health PDA/02/06/096Department of Health RP-PG-0608-10147
6 · The paper itself

Abstract

objectiveTo determine the feasibility of a randomised controlled trial (RCT) assessing the effects of an experience-based website as a resource for the self-management of chronic asthma. DESIGN AND

settingFeasibility, single-blind RCT in 2 regions of England. Randomisation used computer-generated random number sequence in a 1:1 ratio, after baseline data collection, to website access for 2 weeks.

participantsAdults (age ≥18 years), with clinically diagnosed asthma as coded in their primary care electronic record, prescribed inhaled corticosteroids for at least 3 months in the previous year, were recruited from 9 general practices.

interventionThe EXPERT asthma intervention is an interactive PC/laptop/tablet/smartphone compatible website designed with extensive input from adults with asthma. It provides experience-based information and aims to support subjective perception of self-efficacy, self-management and improve health status. OUTCOME MEASURES: Primary outcomes were consent/recruitment, website usage and completion of outcome measures. Secondary outcomes included Partners in Health (PIH) questionnaire, the Chronic Disease Self-Efficacy Scale, the SF36 and the E-Health Impact Questionnaire. Participant blinding postrandomisation was not possible. The analysis was blind to allocation.

resultsRecruitment target exceeded. 148 participants randomised (73 intervention group). Age range 19-84 years; 59% female. 121 of 148 (84%; 62 intervention group) followed up. The median number of logins was 2 (IQR 2-3, range 1-48). Minimal differences of change from baseline between groups; both showed improvement in health state or management of their condition with no significant differences between arms. No adverse events.

conclusionsRecruitment and retention confirmed feasibility. The trends towards improved outcomes suggest that further research on digital interventions based on exposure to others' personal experiences may be of value in the self-management of chronic asthma. TRIAL REGISTRATION NUMBER: ISRCTN29549695; Results.

Indexed as

InternetPatient SelectionSelf CareSelf-ManagementAdrenal Cortex HormonesAdultAgedAged, 80 and overAsthmaChronic DiseaseFeasibility StudiesFemaleHealth PromotionHealth StatusHumansMaleAdrenal Cortex HormonesRESPIRATORY MEDICINE (see Thoracic Medicine)

Identifiers

PMID28031210
PMCPMC5223671

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.