Georgios Dimitrios Karampatakis
Non-randomised feasibility study testing a primary care intervention to promote engagement in an online health community for adults with troublesome asthma: protocol
Karampatakis, Georgios Dimitrios; Wood, Helen E; Griffiths, Chris J; Taylor, Stephanie J C; Toffolutti, Veronica; Bird, Victoria J; Lea, Nathan C; Ashcroft, Richard E; Day, Bill; Coulson, Neil S; Panzarasa, Pietro; Li, Xiancheng; Sheikh, Aziz; Relton, Clare; Sastry, Nishanth; Watson, Jane S; Marsh, Viv; Mant, Jonathan; Mihaylova, Borislava; Walker, Neil; De Simoni, Anna
Authors
Helen E Wood
Chris J Griffiths
Stephanie J C Taylor
Veronica Toffolutti
Victoria J Bird
Nathan C Lea
Richard E Ashcroft
Bill Day
Professor NEIL COULSON NEIL.COULSON@NOTTINGHAM.AC.UK
Professor of Health Psychology
Pietro Panzarasa
Xiancheng Li
Aziz Sheikh
Clare Relton
Nishanth Sastry
Jane S Watson
Viv Marsh
Jonathan Mant
Borislava Mihaylova
Neil Walker
Anna De Simoni
Abstract
Introduction: In the UK, approximately 4.3 million adults have asthma, with one-third experiencing poor asthma control, affecting their quality of life, and increasing their healthcare use. Interventions promoting emotional/behavioural self-management can improve asthma control and reduce comorbidities and mortality. Integration of online peer support into primary care services to foster self-management is a novel strategy. We aim to co-design and evaluate an intervention for primary care clinicians to promote engagement with an asthma online health community (OHC). Our protocol describes a ‘survey leading to a trial’ design as part of a mixed-methods, non-randomised feasibility study to test the feasibility and acceptability of the intervention.
Methods and analysis: Adults on the asthma registers of six London general practices (~3000 patients) will be invited to an online survey, via text messages. The survey will collect data on attitudes towards seeking online peer support, asthma control, anxiety, depression, quality of life, information on the network of people providing support with asthma and demographics. Regression analyses of the survey data will identify correlates/predictors of attitudes/receptiveness towards online peer support. Patients with troublesome asthma, who (in the survey) expressed interest in online peer support, will be invited to receive the intervention, aiming to reach a recruitment target of 50 patients. Intervention will involve a one-off, face-to-face consultation with a practice clinician to introduce online peer support, sign patients up to an established asthma OHC, and encourage OHC engagement. Outcome measures will be collected at baseline and 3 months post intervention and analysed with primary care and OHC engagement data. Recruitment, intervention uptake, retention, collection of outcomes, and OHC engagement will be assessed. Interviews with clinicians and patients will explore experiences of the intervention.
Ethics and dissemination: Ethical approval was obtained from a National Health Service Research Ethics Committee (reference: 22/NE/0182). Written consent will be obtained before intervention receipt and interview participation. Findings will be shared via dissemination to general practices, conference presentations and peer-reviewed publications.
Trial registration number: NCT05829265.
Citation
Karampatakis, G. D., Wood, H. E., Griffiths, C. J., Taylor, S. J. C., Toffolutti, V., Bird, V. J., …De Simoni, A. (2023). Non-randomised feasibility study testing a primary care intervention to promote engagement in an online health community for adults with troublesome asthma: protocol. BMJ Open, 13(7), Article e073503. https://doi.org/10.1136/bmjopen-2023-073503
Journal Article Type | Article |
---|---|
Acceptance Date | Jun 29, 2023 |
Online Publication Date | Jul 11, 2023 |
Publication Date | 2023-07 |
Deposit Date | Jul 24, 2023 |
Publicly Available Date | Jul 26, 2023 |
Journal | BMJ Open |
Electronic ISSN | 2044-6055 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 13 |
Issue | 7 |
Article Number | e073503 |
DOI | https://doi.org/10.1136/bmjopen-2023-073503 |
Keywords | SOCIAL MEDICINE, Feasibility Studies, Protocols & guidelines, Self Care, Asthma, Primary Care |
Public URL | https://nottingham-repository.worktribe.com/output/23221253 |
Files
bmjopen-2023-073503
(1.3 Mb)
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Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/
Copyright Statement
© Author(s) (or their employer(s)) 2023.
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