Davoudianfar, M

Jawad, S

Locock, L

Martin, A

Newhouse, N

Powell, J

Yu, LM

Ziebland, S

BMJ Open

English

PubMed

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

Yu, L-M

Spiral - Imperial College Digital Repository

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 control 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 (CDSES), the SF36 and the E-Health Impact Questionnaire (eHIQ). 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. 121/148 (84%; 62 intervention group) followed up.   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

Oxford University Research Archive (ORA)

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 control 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 (CDSES), the SF36 and the E-Health Impact Questionnaire (eHIQ). 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. 121/148 (84%; 62 intervention group) followed up.   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

Newhouse, Nicola

Martin, Angela

Jawad, Ssena

Yu, Ly-Mee

Davoudianfar, Mina

Locock, Louise

Ziebland, Sue

Powell, John

Oxford University Research Archive

Research Archive

http://dx.doi.org/10.1136/bmjopen-2016-013401

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

Abstract

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Spiral - Imperial College Digital Repository

Oxford University Research Archive (ORA)

Oxford University Research Archive

Research Archive