NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.
Pediatr Pulmonol. 2022 Nov;57(11):2589-2602. doi: 10.1002/ppul.26099. Epub 2022 Sep 6.
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).
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.
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.
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.
描述一种基于现有有效成人干预措施（BREATHE）为青少年自我管理哮喘使用呼吸训练（BRT）规划数字干预措施的透明方法。
采用理论、证据和以人为本的方法，最大限度地提高干预措施的有效性和说服力。对目标干预措施使用者（N=18，年龄在 12-17 岁之间的哮喘青少年和父母）进行了范围综述和半结构化访谈，以探讨用户对预期行为和潜在干预措施特征的看法、障碍和促进因素。综合证据与基于理论的活动一起使用，并为干预措施的规划提供信息。
范围综述确定了与用户特定自我管理问题、内容、教育、培训需求以及数字干预措施特征相关的主题。访谈引出了预期行为的潜在障碍，例如使用 BRT 可能感到尴尬，以及保持冷静的担忧。促进因素包括由有哮喘经历的青少年提供的 BRT，以及用于私下执行锻炼的信息。相关理论框架确保针对适当的心理结构。行为分析确定了六种干预功能和三十种行为改变技术。逻辑模型映射了旨在提高青少年哮喘相关生活质量的方案理论和机制。
本研究深入了解了为青少年规划自我指导 BRT 干预措施所遵循的方法，并确定了关键行为问题，从而能够选择相关的干预内容。还深入了解了青少年对 BRT 的看法，这有助于开发原型干预措施。
