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Asthma Intermittent, UncontrolledNCT05829265

Feasibility of an Asthma Online Social Intervention

An observational study of Asthma Intermittent, Uncontrolled, run by Queen Mary University of London at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this observational study is to test the feasibility and acceptability of an online intervention for people with troublesome asthma in primary care, involving a consultation with a primary care clinician to introduce and promote online peer support (i.e. Read more about this study

Who is it for?
Ages 16 years and older
Conditions the study is for
Asthma Intermittent, Uncontrolled
What is being tested?
A digital social intervention by primary care clinicians.
How many people
526 participants
Where
1 siteUnited Kingdom
Study dates
9 Dec 2022to 31 Aug 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Three to six general practices in North and East London will act as recruitment sites. In each practice, a GP or nurse will create a list of all adults with a diagnosis of asthma, who are not receiving palliative/end of life or institutional care. These adults will receive a text message inviting them to take part in the online questionnaire survey. Patients fulfilling the inclusion criteria will be identified, via the survey, and invited to receive the intervention. Eligible patients will be purposively sampled so that a range of ethnic/age groups, health literacy levels, ACT score ranges and co-existing conditions are represented in the cohort of patients receiving the intervention.

Who may be able to join

  • Eligibility criteria for receiving the intervention in the feasibility study:
  • Patients with a diagnosis of asthma indicated in online clinical records.
  • Aged 16 years and above.
  • Have expressed, in the questionnaire survey, interest in receiving a digital social intervention.
  • Experience troublesome asthma (i.e. asthma control test (ACT) score of less than 20).
  • Sufficiently fluent in English to take part in a consultation and subsequent data collection procedures.
  • Competent to consent for themselves, as determined by a qualified primary care healthcare professional.

Who cannot join

  • Patients who are
  • Palliative or end-of-life.
  • Receiving institutional long-term care (i.e. receiving total care in residential homes or living in nursing homes).
  • Already a member of the ALUK OHC or other asthma OHCs/Facebook groups (general use of social media will not prevent participation).

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • CRN North Thames

    London

Other trials in United Kingdom

About this study

Official title: Non-randomised Feasibility Study Testing a Primary Care Intervention to Promote Engagement in an Online Health Community (OHC) for Adults With Troublesome Asthma

The goal of this observational study is to test the feasibility and acceptability of an online intervention for people with troublesome asthma in primary care, involving a consultation with a primary care clinician to introduce and promote online peer support (i.e. support from other patients with asthma within an established and safe OHC). The main questions this study aims to answer are:

  • Is the intervention feasible and acceptable to patients?
  • Can the research team recruit patients and collect health-related data to identify the impact of this intervention on patients and what are the challenges to pursue further research to evaluate this intervention in a trial?
Read the detailed description

This observational study will involve a non-randomised, mixed-methods, feasibility study, setting out to test and refine a digital social intervention for people with troublesome asthma in primary care. The feasibility study will consist of a number of steps, including a questionnaire survey to identify and recruit eligible patients, intervention delivery, collection of follow-up outcomes, and exit one-to-one interviews with a sample of patients and primary care clinicians. Provided the feasibility study is successful, there are plans to undertake a full randomised controlled trial.

The precise content of the survey is currently being co-developed with stakeholders. However, the research team envisages including questions about participants' demographic and socioeconomic data, asthma symptoms, control and self-management, quality of life, mental wellbeing, health literacy, and interest in digital social interventions. Completion of the survey should take around 15 minutes.

Eligible patients identified through the survey will be invited to receive the intervention (see 'Groups and Interventions' section below). The exact content of the intervention is still being co-developed with patients and clinicians. Clinicians delivering the intervention will be thoroughly trained (through an online workshop/session) on the practicalities of signing patients up to an OHC, including on seeking and recording consent and collecting baseline data. The precise content of training is still being developed in collaboration with various stakeholders.

A number of outcomes, both self-reported and non-self-reported by patients, will be collected (see 'Outcome measures' section below). The self-reported outcome variables will be collected, via an online form designed on RedCap software, at baseline and at six months following the intervention. For the baseline collection, clinicians will add patients' responses to the online form at the time of delivering the intervention. For the follow-up collection, participants will receive a link to the online form, via a text message from the practice with which participants are registered, for self-submission (form completion should take 10-15 minutes).

A sample of patients and clinicians will be invited to participate in a one-to-one, semi-structured interview. Clinicians will be interviewed shortly after delivering the intervention to all recruited patients, whereas patients will be interviewed at the end of the feasibility study (i.e. after the completion of the follow-up period). An interview topic guide composed of open-ended questions and prompts will be used to elicit experiences of delivering/receiving the intervention. Based on individual participants' preferences, interviews will take place either in person (within private meeting or consultation spaces in the general practices) or virtually (via Zoom platform). Interviews should last approximately 30-90 minutes, depending on how much each participant has to share, and will be audio recorded through digital recorders or by using the Cloud function in Zoom. Basic demographic data will be collected at the time of the interview.

Being tested
A digital social intervention by primary care clinicians.

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • A digital social intervention by primary care clinicians.Behavioural

    The intervention in this study will involve a structured consultation with a primary care clinician (e.g. a general practitioner (GP) or practice nurse) to promote online peer support, followed by engagement with the OHC of the Asthma + Lung UK (ALUK) charity. The intervention will either be delivered in person (in the general practices) or virtually. The aim is for the intervention to involve a face-to-face, one-off consultation, lasting approximately 30 minutes, during which a primary care clinician will:

    • Signpost and sign patients up to the ALUK OHC, by thoroughly explaining terms of conditions of use and providing log in details.
    • Introduce norms and values for passive (just reading) and active (writing OHC posts) participation.
    • Encourage seeking and offering self-management information and support, by emphasising that the OHC could be used ad hoc (e.g. when feeling unwell, or when there are information or emotional needs).
Study groups in NCT05829265
Study groupRoleWhat they receive
Intervention group in the feasibility study.There will only be one group in the feasibility study (i.e. all 50 patients recruited will receive the intervention).
Receives: Behavioral: A digital social intervention by primary care clinicians.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of patients on the asthma register in the recruited practices

    The number of patients on the asthma register will be measured in each recruited general practice, by extracting this information from practice records.

    Measured: Baseline

  2. Number of: survey respondents, patients willing and unwilling to receive the intervention, participants who withdraw or have missing data

    Number of survey respondents and patients willing and unwilling to receive the intervention will be calculated from survey data, whereas number of participants who withdraw or have missing data will be obtained from the study's database.

    Measured: Through study completion, an average of 1 year

  3. Characteristics of: survey respondents, patients willing and unwilling to receive the intervention, participants who withdraw or have missing data

    Characteristics of survey respondents and patients willing and unwilling to receive the intervention will be obtained from survey data, whereas characteristics of participants who withdraw or have missing data will be obtained from the study's database.

    Measured: Through study completion, an average of 1 year

  4. Recruitment rate (i.e. proportion of asthma register and/or survey respondents interested in and eligible for the intervention)

    This proportion will be calculated based on the survey data and clinical records in the general practices used as recruitment sites.

    Measured: Through study completion, an average of 1 year

  5. Uptake rate (i.e. proportion of eligible patients consenting to the intervention and/or actively or passively engaging in the online health community (OHC) for the duration of the study)

    The proportion of patients consenting to the study will be calculated based on data from the survey and the study's database, whereas the proportion of patients engaging with the OHC will be calculated based on OHC activity data.

    Measured: Through study completion, an average of 1 year

  6. Retention rate (i.e. proportion of patients providing valid measures at the end of the follow-up period)

    This proportion will be based on data from the study's database.

    Measured: Through study completion, an average of 1 year

  7. Proportion of missing data (by outcome measure)

    This proportion will be based on data from the study's database.

    Measured: Through study completion, an average of 1 year

  8. Experience of patients receiving the intervention

    Experiences of patients will be obtained via qualitative interviews with patients.

    Measured: Patient experiences will be obtained through study completion (an average of 1 year).

  9. Experience of clinicians delivering the intervention

    Experiences of clinicians will be obtained via qualitative interviews with clinicians.

    Measured: Clinician experiences will be obtained up to 24 weeks from study's commencement.

Secondary outcomes (24)
  1. Control of asthma

    Control of asthma will be self-reported by patients through an Asthma Control Test (ACT) questionnaire.

    Measured: Baseline and at three months from intervention receipt.

  2. Adherence to medications

    Adherence to medications will be self-reported by patients through a MARS-10 questionnaire.

    Measured: Baseline and at three months from intervention receipt.

  3. Number of asthma exacerbations over last 3 months

    Asthma exacerbations will be self-reported by patients through a bespoke question.

    Measured: Baseline and at three months from intervention receipt.

  4. Health-related quality of life

    Health-related quality of life will be self-reported by patients through an EQ-5D-5L questionnaire.

    Measured: Baseline and at three months from intervention receipt.

  5. Primary and secondary care use over last 3 months

    Care use will be self-reported by patients through a bespoke question.

    Measured: Baseline and at three months from intervention receipt.

  6. Time off work to seek care and/or due to asthma over last 3 months

    Time off work will be self-reported by patients through a bespoke question.

    Measured: Baseline and at three months from intervention receipt.

  7. Depression

    Depression will be self-reported by patients through a PHQ-8 questionnaire.

    Measured: Baseline and at three months from intervention receipt.

  8. Anxiety

    Anxiety will be self-reported by patients through a GAD-7 questionnaire.

    Measured: Baseline and at three months from intervention receipt.

  9. Self-efficacy

    Self-efficacy will be self-reported by patients through the General Self-Efficacy Scale.

    Measured: Baseline and at three months from intervention receipt.

  10. Amount of OHC engagement

    Amount of engagement with OHC will be self-reported by patients through a bespoke question.

    Measured: Three months post intervention receipt.

  11. Type (passive versus active) of OHC engagement

    Type of engagement with OHC will be self-reported by patients through a bespoke question.

    Measured: Three months post intervention receipt.

  12. Number of asthma exacerbations over last 3 months

    Exacerbations will be obtained from general practice records and data from the British Health Service (NHS)

    Measured: Baseline and at three months from intervention receipt

  13. Primary and secondary healthcare service utilisation over last 3 months

    Number of consultations in general practices, as well as number of hospital attendances and admissions, will be obtained from general practice records and data from NHS.

    Measured: Baseline and at three months from intervention receipt

  14. Costs associated with primary and secondary healthcare service utilisation over last 3 months

    Costs associated with primary care and hospital attendances, as obtained from general practice records and NHS data, will be calculated through economic models.

    Measured: Baseline and at three months from intervention receipt

  15. Amount of time spent on the OHC

    Amount of time spent on the OHC will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  16. Number of communities joined

    Number of communities joined will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  17. Number of logins to the OHC

    Number of logins will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  18. Number of likes on pages/posts within the OHC platform

    Number of likes will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  19. Time spent on pages within the OHC

    Time spent on pages will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  20. Public posts of the 50 participants within the OHC

    Public posts will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  21. Time of each public post in the OHC by the 50 participants

    Time of posts will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  22. Discussion thread of each public post in the OHC by the 50 participants

    Discussion threads of each post will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  23. User details in each discussion thread in the OHC in which one of the 50 participants was involved

    User details in each discussion thread will be provided to the research team by the manager of the ALUK OHC

    Measured: Three months post intervention receipt

  24. Time to deliver the intervention

    This will be recorded by clinicians at the time of delivering the intervention.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Apr 2023
  2. Study start9 Dec 2022
  3. Primary completion31 Aug 2024
  4. Study completion31 Aug 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
526 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05829265
Sponsor's protocol ID
314672
Status last verified
Dec 2024
First submitted
21 Feb 2023
Last updated
24 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data from individual participants will not be shared. Participants will not be individually identifiable from any research outputs. 'Pseudonymisation of data' will be the policy for ensuring confidentiality. All participants will be coded, by allocating them unique participation codes. The association between participation codes and names will be contained on a Word/Excel document and will be stored on a password-protected computer at Queen Mary University of London. Any electronic documents or hard copies of data collected from participants will only be accessible to the research team. Only members of the research team will have access to associations between names and participation codes. Every attempt will be made to pool/aggregate or coarsely categorise potentially identifiable information in any dissemination of research findings.

Publications

  • Karampatakis GD, Wood HE, Griffiths CJ, Taylor SJC, Toffolutti V, Bird VJ, Lea NC, Ashcroft RE, Day B, Coulson NS, Panzarasa P, Li X, Sheikh A, Relton C, Sastry N, Watson JS, Marsh V, Mant J, Mihaylova B, Walker N, De Simoni A. 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. 2023 Jul 11;13(7):e073503. doi: 10.1136/bmjopen-2023-073503.

    PubMed 37433727
  • Karampatakis GD, Wood HE, Griffiths CJ, Lea NC, Ashcroft RE, Day B, Walker N, Coulson NS, De Simoni A. Ethical and Information Governance Considerations for Promoting Digital Social Interventions in Primary Care. J Med Internet Res. 2023 Sep 27;25:e44886. doi: 10.2196/44886.

    PubMed 37756051

Questions about this trial

What is this clinical trial studying?

An observational study of Asthma Intermittent, Uncontrolled, run by Queen Mary University of London at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of patients on the asthma register in the recruited practices (time frame: Baseline). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05829265, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Dec 2024.

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