Cargando…
Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma
OBJECTIVE: To 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 SETTING: Feasibility, single-blind RCT in 2 regions of England. Randomisation used computer-generate...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223671/ https://www.ncbi.nlm.nih.gov/pubmed/28031210 http://dx.doi.org/10.1136/bmjopen-2016-013401 |
_version_ | 1782493216993443840 |
---|---|
author | Newhouse, Nikki Martin, Angela Jawad, Sena Yu, Ly-Mee Davoudianfar, Mina Locock, Louise Ziebland, Sue Powell, John |
author_facet | Newhouse, Nikki Martin, Angela Jawad, Sena Yu, Ly-Mee Davoudianfar, Mina Locock, Louise Ziebland, Sue Powell, John |
author_sort | Newhouse, Nikki |
collection | PubMed |
description | OBJECTIVE: To 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 SETTING: Feasibility, 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. PARTICIPANTS: Adults (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. INTERVENTION: The 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. RESULTS: Recruitment 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. CONCLUSIONS: Recruitment 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. |
format | Online Article Text |
id | pubmed-5223671 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-52236712017-01-13 Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma Newhouse, Nikki Martin, Angela Jawad, Sena Yu, Ly-Mee Davoudianfar, Mina Locock, Louise Ziebland, Sue Powell, John BMJ Open Respiratory Medicine OBJECTIVE: To 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 SETTING: Feasibility, 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. PARTICIPANTS: Adults (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. INTERVENTION: The 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. RESULTS: Recruitment 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. CONCLUSIONS: Recruitment 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. BMJ Publishing Group 2016-12-26 /pmc/articles/PMC5223671/ /pubmed/28031210 http://dx.doi.org/10.1136/bmjopen-2016-013401 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Respiratory Medicine Newhouse, Nikki Martin, Angela Jawad, Sena Yu, Ly-Mee Davoudianfar, Mina Locock, Louise Ziebland, Sue Powell, John Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma |
title | Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma |
title_full | Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma |
title_fullStr | Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma |
title_full_unstemmed | Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma |
title_short | Randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma |
title_sort | randomised feasibility study of a novel experience-based internet intervention to support self-management in chronic asthma |
topic | Respiratory Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223671/ https://www.ncbi.nlm.nih.gov/pubmed/28031210 http://dx.doi.org/10.1136/bmjopen-2016-013401 |
work_keys_str_mv | AT newhousenikki randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma AT martinangela randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma AT jawadsena randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma AT yulymee randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma AT davoudianfarmina randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma AT lococklouise randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma AT zieblandsue randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma AT powelljohn randomisedfeasibilitystudyofanovelexperiencebasedinternetinterventiontosupportselfmanagementinchronicasthma |