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


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.

Publication DOI:
Divisions: College of Health & Life Sciences > School of Psychology
Additional Information: © 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.
Uncontrolled Keywords: adolescent,asthma,breathing retraining,digital intervention,self-management
Publication ISSN: 1099-0496
Last Modified: 17 Jun 2024 08:06
Date Deposited: 29 Jul 2022 08:45
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Related URLs: https://onlinel ... 1002/ppul.26099 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Review article
Published Date: 2022-11
Published Online Date: 2022-08-06
Accepted Date: 2022-07-21
Authors: Easton, Stephanie
Ainsworth, Ben
Thomas, Mike
Latter, Sue
Knibb, Rebecca (ORCID Profile 0000-0001-5561-0904)
Cook, Amber
Wilding, Sam
Bahrami-Hessari, Michael
Kennington, Erika
Gibson, Denise
Wilkins, Hannah
Yardley, Lucy
Roberts, Graham



Version: Accepted Version

Access Restriction: Restricted to Registered users only


Version: Published Version

License: Creative Commons Attribution

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