Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues

Stephanie Easton; Ben Ainsworth; Mike Thomas; Sue Latter; Rebecca Knibb; Amber Cook; Sam Wilding; Michael Bahrami-Hessari; Erika Kennington; Denise Gibson; Hannah Wilkins; Lucy Yardley; Graham Roberts

doi:10.1002/ppul.26099

Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues

Stephanie Easton, Ben Ainsworth, Mike Thomas, Sue Latter, Rebecca Knibb, Amber Cook, Sam Wilding, Michael Bahrami-Hessari, Erika Kennington, Denise Gibson, Hannah Wilkins, Lucy Yardley, Graham Roberts

School of Psychology

Research output: Contribution to journal › Review article › peer-review

Abstract

OBJECTIVES: To describe a transparent approach to planning a digital intervention for adolescents to self-manage their asthma using breathing retraining (BRT), based on an existing, effective adult intervention (BREATHE).

METHODS: A theory-, evidence-, and Person-Based Approach was used to maximise the effectiveness and persuasiveness of the intervention. A scoping review and semistructured interviews with target intervention users (N = 18, adolescents aged 12-17 years with asthma and parents) were carried out to explore user perspectives, barriers, and facilitators towards the intended behaviours and potential intervention features. The combined evidence was used alongside and to inform theory-based activities and enabled iterative planning of the intervention.

RESULTS: The scoping review identified themes relating to user-specific self-management issues, content, education, training needs, and features for a digital intervention. Interviews elicited potential barriers to intended behaviours such as the anticipated embarrassment of using BRT and concerns around remaining calm. Facilitators included BRT delivered by adolescents who share experiences of asthma and information for performing exercises discreetly. Relevant theoretical frameworks ensured that appropriate psychological constructs were targeted. A behavioural analysis identified six intervention functions and thirty behaviour change techniques. Logic modelling mapped the programme theory and mechanisms, which aims to improve adolescent asthma-related quality of life.

CONCLUSIONS: This study gives a transparent insight into the approach followed to plan a self-guided BRT intervention for adolescents and has led to identification of key behavioural issues, enabling relevant intervention content to be chosen. Insight has been given into adolescent perceptions of BRT, which facilitated development of the prototype intervention.

Original language	English
Pages (from-to)	2589-2602
Journal	Pediatric Pulmonology
Volume	57
Issue number	11
Early online date	6 Aug 2022
DOIs	https://doi.org/10.1002/ppul.26099
Publication status	Published - Nov 2022

Bibliographical note

© 2022 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Keywords

adolescent
asthma
breathing retraining
digital intervention
self-management

Access to Document

10.1002/ppul.26099

Pediatric Pulmonology - 2022 - Easton - Planning a digital intervention for adolescents with asthma BREATHE4T A theory
© 2022 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Final published version, 1.44 MBLicence: CC BY 4.0

Cite this

Easton, S., Ainsworth, B., Thomas, M., Latter, S., Knibb, R., Cook, A., Wilding, S., Bahrami-Hessari, M., Kennington, E., Gibson, D., Wilkins, H., Yardley, L., & Roberts, G. (2022). Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues. Pediatric Pulmonology, 57(11), 2589-2602. https://doi.org/10.1002/ppul.26099

@article{e517299053c142f08634bc87ba80b911,

title = "Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues",

abstract = "OBJECTIVES: To describe a transparent approach to planning a digital intervention for adolescents to self-manage their asthma using breathing retraining (BRT), based on an existing, effective adult intervention (BREATHE).METHODS: A theory-, evidence-, and Person-Based Approach was used to maximise the effectiveness and persuasiveness of the intervention. A scoping review and semistructured interviews with target intervention users (N = 18, adolescents aged 12-17 years with asthma and parents) were carried out to explore user perspectives, barriers, and facilitators towards the intended behaviours and potential intervention features. The combined evidence was used alongside and to inform theory-based activities and enabled iterative planning of the intervention.RESULTS: The scoping review identified themes relating to user-specific self-management issues, content, education, training needs, and features for a digital intervention. Interviews elicited potential barriers to intended behaviours such as the anticipated embarrassment of using BRT and concerns around remaining calm. Facilitators included BRT delivered by adolescents who share experiences of asthma and information for performing exercises discreetly. Relevant theoretical frameworks ensured that appropriate psychological constructs were targeted. A behavioural analysis identified six intervention functions and thirty behaviour change techniques. Logic modelling mapped the programme theory and mechanisms, which aims to improve adolescent asthma-related quality of life.CONCLUSIONS: This study gives a transparent insight into the approach followed to plan a self-guided BRT intervention for adolescents and has led to identification of key behavioural issues, enabling relevant intervention content to be chosen. Insight has been given into adolescent perceptions of BRT, which facilitated development of the prototype intervention.",

keywords = "adolescent, asthma, breathing retraining, digital intervention, self-management",

author = "Stephanie Easton and Ben Ainsworth and Mike Thomas and Sue Latter and Rebecca Knibb and Amber Cook and Sam Wilding and Michael Bahrami-Hessari and Erika Kennington and Denise Gibson and Hannah Wilkins and Lucy Yardley and Graham Roberts",

note = "{\textcopyright} 2022 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.",

year = "2022",

month = nov,

doi = "10.1002/ppul.26099",

language = "English",

volume = "57",

pages = "2589--2602",

journal = "Pediatric Pulmonology",

issn = "8755-6863",

publisher = "Wiley-Liss Inc.",

number = "11",

}

Easton, S, Ainsworth, B, Thomas, M, Latter, S, Knibb, R, Cook, A, Wilding, S, Bahrami-Hessari, M, Kennington, E, Gibson, D, Wilkins, H, Yardley, L & Roberts, G 2022, 'Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues', Pediatric Pulmonology, vol. 57, no. 11, pp. 2589-2602. https://doi.org/10.1002/ppul.26099

TY - JOUR

T1 - Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues

AU - Easton, Stephanie

AU - Ainsworth, Ben

AU - Thomas, Mike

AU - Latter, Sue

AU - Knibb, Rebecca

AU - Cook, Amber

AU - Wilding, Sam

AU - Bahrami-Hessari, Michael

AU - Kennington, Erika

AU - Gibson, Denise

AU - Wilkins, Hannah

AU - Yardley, Lucy

AU - Roberts, Graham

N1 - © 2022 The Authors. Pediatric Pulmonology published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

PY - 2022/11

Y1 - 2022/11

N2 - OBJECTIVES: To describe a transparent approach to planning a digital intervention for adolescents to self-manage their asthma using breathing retraining (BRT), based on an existing, effective adult intervention (BREATHE).METHODS: A theory-, evidence-, and Person-Based Approach was used to maximise the effectiveness and persuasiveness of the intervention. A scoping review and semistructured interviews with target intervention users (N = 18, adolescents aged 12-17 years with asthma and parents) were carried out to explore user perspectives, barriers, and facilitators towards the intended behaviours and potential intervention features. The combined evidence was used alongside and to inform theory-based activities and enabled iterative planning of the intervention.RESULTS: The scoping review identified themes relating to user-specific self-management issues, content, education, training needs, and features for a digital intervention. Interviews elicited potential barriers to intended behaviours such as the anticipated embarrassment of using BRT and concerns around remaining calm. Facilitators included BRT delivered by adolescents who share experiences of asthma and information for performing exercises discreetly. Relevant theoretical frameworks ensured that appropriate psychological constructs were targeted. A behavioural analysis identified six intervention functions and thirty behaviour change techniques. Logic modelling mapped the programme theory and mechanisms, which aims to improve adolescent asthma-related quality of life.CONCLUSIONS: This study gives a transparent insight into the approach followed to plan a self-guided BRT intervention for adolescents and has led to identification of key behavioural issues, enabling relevant intervention content to be chosen. Insight has been given into adolescent perceptions of BRT, which facilitated development of the prototype intervention.

AB - OBJECTIVES: To describe a transparent approach to planning a digital intervention for adolescents to self-manage their asthma using breathing retraining (BRT), based on an existing, effective adult intervention (BREATHE).METHODS: A theory-, evidence-, and Person-Based Approach was used to maximise the effectiveness and persuasiveness of the intervention. A scoping review and semistructured interviews with target intervention users (N = 18, adolescents aged 12-17 years with asthma and parents) were carried out to explore user perspectives, barriers, and facilitators towards the intended behaviours and potential intervention features. The combined evidence was used alongside and to inform theory-based activities and enabled iterative planning of the intervention.RESULTS: The scoping review identified themes relating to user-specific self-management issues, content, education, training needs, and features for a digital intervention. Interviews elicited potential barriers to intended behaviours such as the anticipated embarrassment of using BRT and concerns around remaining calm. Facilitators included BRT delivered by adolescents who share experiences of asthma and information for performing exercises discreetly. Relevant theoretical frameworks ensured that appropriate psychological constructs were targeted. A behavioural analysis identified six intervention functions and thirty behaviour change techniques. Logic modelling mapped the programme theory and mechanisms, which aims to improve adolescent asthma-related quality of life.CONCLUSIONS: This study gives a transparent insight into the approach followed to plan a self-guided BRT intervention for adolescents and has led to identification of key behavioural issues, enabling relevant intervention content to be chosen. Insight has been given into adolescent perceptions of BRT, which facilitated development of the prototype intervention.

KW - adolescent

KW - asthma

KW - breathing retraining

KW - digital intervention

KW - self-management

UR - https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.26099

UR - http://www.scopus.com/inward/record.url?scp=85138285208&partnerID=8YFLogxK

U2 - 10.1002/ppul.26099

DO - 10.1002/ppul.26099

M3 - Review article

C2 - 35932183

SN - 8755-6863

VL - 57

SP - 2589

EP - 2602

JO - Pediatric Pulmonology

JF - Pediatric Pulmonology

IS - 11

ER -

Planning a digital intervention for adolescents with asthma (BREATHE4T): a, theory-, evidence- and Person-Based Approach to identify key behavioural issues

Abstract

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Cite this