A multi-disciplinary programme of work funded by the NIHR, started in November 2011. We will establish if breathing retraining for asthma, which is currently provided via face-to-face interaction with a therapist, can be delivered successfully via digital formats (DVD/download).
Objectives of BREATHE
Three phases of research are planned in this programme, using different methodologies in each phase.
Phase 1: Development phase-transfer of breathing training programme to audio-visual media: qualitative piloting (pre Fellowship)
During the first 10 months the patient educational materials will be developed by members of the team including, physicians, physiotherapists, health psychologists, communications technology specialists and patient representatives. These will then be piloted in preparation for the RCT.
Phase 2: Randomised controlled clinical trial (RCT) (Pilot Nov 2012-Mar 2013, Main trial April 2013-Dec 2015)
Pragmatic observer blinded 3 arm parallel group randomised controlled trial comparing a breathing training programme delivered through a DVD/ download with a 'face to face' physiotherapist programme and a 'control' arm receiving usual care for adults with asthma and impaired health status.
Phase 3: Health economic evaluation
During the trial we will record resources required to provide the interventions in both DVD/download and the 'face to face' physiotherapy groups. Information will also be collected on all asthma-related healthcare costs for the 1-year follow up period. Respondent questionnaires will be completed at each data collection point to quantify time off work/school; travel costs; and out of pocket expenses.
|Staff Member||Primary Position|
|Anne Bruton||Professor of Respiratory Rehabilitation; NIHR Senior Research Fellow|
|Maria Chorozoglou||Health Economics|
|Ratko Djukanovic||Professor of Medicine|
|Steve George||Emeritus Fellow|
|Sarah Kirby||Associate Professor|
|Amanda Lee||Medical Statistician, Aberdeen|
|Paul Little||Professor of Primary Care Research|
|Emily Moore||Operational Director, Southampton Clinical Trials Unit|
|Michael Moore||Professor of Primary Health Care Research|
|Laura Parry||Senior Research Assistant|
|Ian Pavord||Respiratory Medicine, Leicester|
|David Price||Primary Care, Aberdeen|
|James Raftery||Professor of Health Technology Assessment|
|Emma Teasdale||PhD student, Primary Care and Population Sciences|
|Mike Thomas||Professor of Primary Care Research|
|Jenny Versnel||Asthma UK|
|Lucy Yardley||Professor of Health Psychology|