Integrated Digitally Enhanced Care for Long-term Conditions- Asthma (IDEAL)
Asthma

About this trial
This is an interventional supportive care trial for Asthma
Eligibility Criteria
Inclusion Criteria:
- Adult patients aged 18 years and over
- Able to give written informed consent
- A clinical diagnosis of Asthma on regular inhaled medication
- Measures of poor asthma control: Oral steroid use in the last 12 months and /or ACT score of less than 20 at screening, and/or use of 6 or more short acting beta-agonist inhalers in the last 6 months and/or frequent symptoms and/or (Accident and Emergency) A+E or hospital admission for asthma
- Access to the internet at home, use of mobile technology and the ability to operate a web platform in English
- No plans to travel abroad for prolonged periods during the trial period
- Consent to be contacted by phone, text and email
Exclusion Criteria:
Asthma exacerbation in the past 4-6 weeks (Baseline visit to be delayed)
. Patients who have a significant medical comorbidity that can present with asthma type symptoms e.g. COPD, Heart Failure, Lung Cancer (these cases require physical examination and a remote assessment would not be appropriate)
- Terminal Illness Pregnant
- Breast Feeding
- Patients who have another medical condition, including but not limited to respiratory immunological or cardiac disease other than asthma deemed by the investigators as significant
- Diagnosis of Occupational Asthma
- Patients on long term oral steroids or theophylline, as these treatments are not provided by the online doctor service
- Previous Intensive Therapy Unit (ITU) admission for asthma
- Patients under routine follow up of secondary care for asthmaHousebound
- Patients who are unable to read or use an internet-enabled device
- Alcohol and drug misuse
- Patients deemed unsuitable by their GP
Patients who have another medical treatment(s), including but not limited to beta blockers deemed unsuitable by the investigators.
- Already using a self management app.
Sites / Locations
- my mhealth Limited
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
No Intervention
MyAsthma Application and Lloyds Pharmacy Online Doctor
MyAsthma Application and Usual care
Usual care only (control)
Web based applications to support people with Asthma management
Web based application to support people with Asthma Management
Usual care of asthma management