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Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis

Gary McLean, Elizabeth Murray, Becky Band Orcid Logo, Keith R. Moffat, Peter Hanlon, Anne Bruton, Mike Thomas, Lucy Yardley, Frances S. Mair

BMC Pulmonary Medicine, Volume: 16, Issue: 1

Swansea University Author: Becky Band Orcid Logo

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DOI (Published version): 10.1186/s12890-016-0248-7

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BackgroundTo identify, summarise and synthesise the evidence for using interactive digital interventions to support patient self-management of asthma, and determine their impact.MethodsSystematic review with meta-analysis. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Library, DoPHER...

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Published in: BMC Pulmonary Medicine
ISSN: 1471-2466
Published: Springer Science and Business Media LLC 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa67043
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We searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Library, DoPHER, TROPHI, Social Science Citation Index and Science Citation Index. The selection criteria requirement was studies of adults (16 years and over) with asthma, interventions that were interactive digital interventions and the comparator was usual care. Outcomes were change in clinical outcomes, cost effectiveness and patient-reported measures of wellbeing or quality of life. Only Randomised Controlled Trials published in peer-reviewed journals in English were eligible.Potential studies were screened and study characteristics and outcomes were extracted from eligible papers independently by two researchers. Where data allowed, meta-analysis was performed using a random effects model.ResultsEight papers describing 5 trials with 593 participants were included, but only three studies were eligible for inclusion for meta-analysis. Of these, two aimed to improve asthma control and the third aimed to reduce the total dose of oral prednisolone without worsening control. Analyses with data from all three studies showed no significant differences and extremely high heterogeneity for both Asthma Quality of Life (AQLQ) (Standardised Mean Difference (SMD) 0.05; 95 % Confidence Interval (CI) 0.32 to −0.22: I2 96.8) and asthma control (SMD 0.21; 95 % CI −0.05 to .42; I2 = 87.4). The removal of the third study reduced heterogeneity and indicated significant improvement for both AQLQ (SMD 0.45; 95 % CI 0.13 to 0.77: I2 = 0.34) and asthma control (SMD 0.54; 95 % CI 0.22 to 0.86: I2 = 0.11). No evidence of harm was identified.ConclusionDigital self-management interventions for adults with asthma show promise, with some evidence of small beneficial effects on asthma control. 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spelling v2 67043 2024-07-09 Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC BackgroundTo identify, summarise and synthesise the evidence for using interactive digital interventions to support patient self-management of asthma, and determine their impact.MethodsSystematic review with meta-analysis. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Library, DoPHER, TROPHI, Social Science Citation Index and Science Citation Index. The selection criteria requirement was studies of adults (16 years and over) with asthma, interventions that were interactive digital interventions and the comparator was usual care. Outcomes were change in clinical outcomes, cost effectiveness and patient-reported measures of wellbeing or quality of life. Only Randomised Controlled Trials published in peer-reviewed journals in English were eligible.Potential studies were screened and study characteristics and outcomes were extracted from eligible papers independently by two researchers. Where data allowed, meta-analysis was performed using a random effects model.ResultsEight papers describing 5 trials with 593 participants were included, but only three studies were eligible for inclusion for meta-analysis. Of these, two aimed to improve asthma control and the third aimed to reduce the total dose of oral prednisolone without worsening control. Analyses with data from all three studies showed no significant differences and extremely high heterogeneity for both Asthma Quality of Life (AQLQ) (Standardised Mean Difference (SMD) 0.05; 95 % Confidence Interval (CI) 0.32 to −0.22: I2 96.8) and asthma control (SMD 0.21; 95 % CI −0.05 to .42; I2 = 87.4). The removal of the third study reduced heterogeneity and indicated significant improvement for both AQLQ (SMD 0.45; 95 % CI 0.13 to 0.77: I2 = 0.34) and asthma control (SMD 0.54; 95 % CI 0.22 to 0.86: I2 = 0.11). No evidence of harm was identified.ConclusionDigital self-management interventions for adults with asthma show promise, with some evidence of small beneficial effects on asthma control. Overall, the evidence base remains weak due to the lack of large, robust trials. Journal Article BMC Pulmonary Medicine 16 1 Springer Science and Business Media LLC 1471-2466 Asthma; Usual Care; Medication Adherence; Asthma Control; Standardise Mean Difference 23 5 2016 2016-05-23 10.1186/s12890-016-0248-7 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number (RP-PG- 1211–20001). The views expressed in this presentation are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. NHS Solent is the grant host. 2024-09-02T12:16:30.6604782 2024-07-09T15:27:16.1351028 Faculty of Medicine, Health and Life Sciences School of Psychology Gary McLean 1 Elizabeth Murray 2 Becky Band 0000-0001-5403-1708 3 Keith R. Moffat 4 Peter Hanlon 5 Anne Bruton 6 Mike Thomas 7 Lucy Yardley 8 Frances S. Mair 9 67043__31212__5aead1bdad7243329a428bbad554d60c.pdf 67043.VoR.pdf 2024-09-02T12:14:21.8096177 Output 693123 application/pdf Version of Record true © 2016 McLean et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. true eng http://creativecommons.org/licenses/by/4.0/
title Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis
spellingShingle Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis
Becky Band
title_short Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis
title_full Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis
title_fullStr Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis
title_full_unstemmed Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis
title_sort Interactive digital interventions to promote self-management in adults with asthma: systematic review and meta-analysis
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Gary McLean
Elizabeth Murray
Becky Band
Keith R. Moffat
Peter Hanlon
Anne Bruton
Mike Thomas
Lucy Yardley
Frances S. Mair
format Journal article
container_title BMC Pulmonary Medicine
container_volume 16
container_issue 1
publishDate 2016
institution Swansea University
issn 1471-2466
doi_str_mv 10.1186/s12890-016-0248-7
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 1
active_str 0
description BackgroundTo identify, summarise and synthesise the evidence for using interactive digital interventions to support patient self-management of asthma, and determine their impact.MethodsSystematic review with meta-analysis. We searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Library, DoPHER, TROPHI, Social Science Citation Index and Science Citation Index. The selection criteria requirement was studies of adults (16 years and over) with asthma, interventions that were interactive digital interventions and the comparator was usual care. Outcomes were change in clinical outcomes, cost effectiveness and patient-reported measures of wellbeing or quality of life. Only Randomised Controlled Trials published in peer-reviewed journals in English were eligible.Potential studies were screened and study characteristics and outcomes were extracted from eligible papers independently by two researchers. Where data allowed, meta-analysis was performed using a random effects model.ResultsEight papers describing 5 trials with 593 participants were included, but only three studies were eligible for inclusion for meta-analysis. Of these, two aimed to improve asthma control and the third aimed to reduce the total dose of oral prednisolone without worsening control. Analyses with data from all three studies showed no significant differences and extremely high heterogeneity for both Asthma Quality of Life (AQLQ) (Standardised Mean Difference (SMD) 0.05; 95 % Confidence Interval (CI) 0.32 to −0.22: I2 96.8) and asthma control (SMD 0.21; 95 % CI −0.05 to .42; I2 = 87.4). The removal of the third study reduced heterogeneity and indicated significant improvement for both AQLQ (SMD 0.45; 95 % CI 0.13 to 0.77: I2 = 0.34) and asthma control (SMD 0.54; 95 % CI 0.22 to 0.86: I2 = 0.11). No evidence of harm was identified.ConclusionDigital self-management interventions for adults with asthma show promise, with some evidence of small beneficial effects on asthma control. Overall, the evidence base remains weak due to the lack of large, robust trials.
published_date 2016-05-23T12:16:29Z
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