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Breathe Easier Online: Evaluation of a Randomized Controlled Pilot Trial of an Internet-Based Intervention to Improve Well-being in Children and Adolescents With a Chronic Respiratory Condition

Newcombe, Peter A., Dunn, Tamara L., Casey, Leanne M., Sheffield, Jeanie K., Petsky, Helen, Anderson-James, Sophie and Chang, Anne B. (2012). Breathe Easier Online: Evaluation of a Randomized Controlled Pilot Trial of an Internet-Based Intervention to Improve Well-being in Children and Adolescents With a Chronic Respiratory Condition. Journal of Medical Internet Research,14(1):e23-1-e23-7.

Document type: Journal Article
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NHMRC Grant No. 545216
Title Breathe Easier Online: Evaluation of a Randomized Controlled Pilot Trial of an Internet-Based Intervention to Improve Well-being in Children and Adolescents With a Chronic Respiratory Condition
Author Newcombe, Peter A.
Dunn, Tamara L.
Casey, Leanne M.
Sheffield, Jeanie K.
Petsky, Helen
Anderson-James, Sophie
Chang, Anne B.
Journal Name Journal of Medical Internet Research
Publication Date 2012
Volume Number 14
Issue Number 1
ISSN 1438-8871   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84860554652
Start Page e23-1
End Page e23-7
Place of Publication Toronto, Canada
Publisher Journal of Medical Internet Research, Centre for Global Health Innovation
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
Chronic respiratory illnesses are the most common group of childhood chronic health conditions and are overrepresented in socially isolated groups.

Objective

To conduct a randomized controlled pilot trial to evaluate the efficacy of Breathe Easier Online (BEO), an Internet-based problem-solving program with minimal facilitator involvement to improve psychosocial well-being in children and adolescents with a chronic respiratory condition.

Methods

We randomly assigned 42 socially isolated children and adolescents (18 males), aged between 10 and 17 years to either a BEO (final n = 19) or a wait-list control (final n = 20) condition. In total, 3 participants (2 from BEO and 1 from control) did not complete the intervention. Psychosocial well-being was operationalized through self-reported scores on depression symptoms and social problem solving. Secondary outcome measures included self-reported attitudes toward their illness and spirometry results. Paper-and-pencil questionnaires were completed at the hospital when participants attended a briefing session at baseline (time 1) and in their homes after the intervention for the BEO group or a matched 9-week time period for the wait-list group (time 2).

Results

The two groups were comparable at baseline across all demographic measures (all F < 1). For the primary outcome measures, there were no significant group differences on depression (P = .17) or social problem solving (P = .61). However, following the online intervention, those in the BEO group reported significantly lower depression (P = .04), less impulsive/careless problem solving (P = .01), and an improvement in positive attitude toward their illness (P = .04) compared with baseline. The wait-list group did not show these differences. Children in the BEO group and their parents rated the online modules very favorably.

Conclusions

Although there were no significant group differences on primary outcome measures, our pilot data provide tentative support for the feasibility (acceptability and user satisfaction) and initial efficacy of an Internet-based intervention for improving well-being in children and adolescents with a chronic respiratory condition.
Keywords Internet-based intervention
cronic respiratory condition
psychosocial well-being
childennd adolescents
randomized controlled trial
DOI http://dx.doi.org/10.2196/jmir.1997   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes Copyright remains with the authors 2012. This is an Open Access article distributed under the terms of the Creative Commons Attribution 2.0 Generic (CC BY 2.0) license (http://creativecommons.org/licenses/by/2.0/) which permits unrestricted distribution and reproduction in any medium, providing that the work is properly cited


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