Evidence map›Paper›PMID 31722952›Full record

Trial reportBMJ open2019

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

Open access · goldAbstract readPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
1.6field-weighted citation impact, top 16% 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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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.

Ben AinsworthDepartment of Psychology, University of Bath, Bath, UK b.ainsworth@bath.ac.uk.ORCID 0000-0002-5098-1092
Kate GreenwellPsychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.ORCID 0000-0002-3662-1488
Beth StuartPrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
James RafteryPrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
Frances MairInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Anne BrutonSchool of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Lucy YardleyPsychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Mike ThomasPrimary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.
University of Southampton · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Bristol · GBUniversity of Glasgow · GB

Funding

Department of Health RP-PG-1211-20001Department of Health SRF-2012-05-120
6 · The paper itself

Abstract

objectiveTo 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

settingA two-arm feasibility RCT conducted across seven general practices in Wessex, UK.

participantsPrimary 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.

resultsPrimary 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.

conclusionsThis 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.

Indexed as

Quality of LifeSelf-ManagementSocial SupportSoftwareAnti-Asthmatic AgentsAsthmaCost-Benefit AnalysisFeasibility StudiesFemaleHumansMaleMiddle AgedPatient CompliancePatient Education as TopicPatient SatisfactionPrimary Health CareAnti-Asthmatic Agentsasthmabreathing retrainingdigitalprimary carequality of lifeself-management

Identifiers

PMID31722952
PMCPMC6858238
OpenAlexW2986706800

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.