Ainsworth,1 Anne Bruton,2
Lucy Yardley,1 Mike Thomas.3
1Psychology, University of Southampton,
Southampton, United Kingdom 2Centre for
Innovation and Leadership, Faculty of Health Sciences, University of
Southampton, Southampton, United Kingdom 3Population
Sciences & Primary Care, University of Southampton,
Southampton, United Kingdom
It is estimated that appropriate early-intervention and self-management
could prevent 70% of asthma-related hospital admissions. Patient
education and self-management have been convincingly shown to improve
clinical outcomes in asthma, and digital interventions have proved a
cost-effective means by which to do this in other chronic health
conditions. We used existing quantitative and a program of qualitative
research to develop My Breathing Matters, an online self-management
programme to improve a variety of asthma-related outcomes.
person-based approach to intervention development took an iterative
approach, exploring patients' perceptions of My Breathing Matters using
thematic analysis of in-depth think-aloud studies, with modifications
based on feedback.
The age range of the patient group was 21 to 61, all with a positive
diagnosis of asthma. My Breathing Matters was viewed positively by
patients as a tool for patient self-management. Patients had positive
perceptions of both pharmacological and non-pharmacological
self-management techniques. Patients approved of digital interventions
for self-management, including personalized tailoring in order to allow
quick access of relevant content (such as an online Personalized Asthma
This study provides important evidence that digital interventions are
an acceptable and well-liked way to improve asthma-related outcomes.
Further research will conduct a feasibility trial of the intervention,
with process analyses of patient and primary care staff experiences, to
inform a future Phase 3 trial.