Abstract
Dyspnoea self-management is often suboptimal for patients with COPD. Many patients with COPD experience chronic dyspnoea as distressing and disabling, especially during physical activities. Breathing therapy is a behavioural intervention that targets reducing the distress and impact of dyspnoea on exertion in daily living. Using a qualitative design, we conducted interviews with 14 patients after they participated in a novel mind–body breathing therapy intervention adjunct, capnography-assisted respiratory therapy (CART), combined with outpatient pulmonary rehabilitation. Comprehensive CART consisted of patient-centred biofeedback, tailored breathing exercises, a home exercise programme and motivational interviewing counselling. We assessed participants’ perceptions and reported experiences to gauge the acceptability of CART and refine CART based on feedback. Constant comparative analysis was used to identify commonalities and themes. We identified three main themes relating to the acceptability and reported benefits of CART: (1) self-regulating breathing; (2) impact on health; and (3) patient satisfaction. Our findings were used to refine and optimise CART (i.e. its intensity, timing and format) for COPD. By addressing dysfunctional breathing behaviours and dysregulated interoception, CART offers a promising new paradigm for relieving dyspnoea and related anxiety in patients with COPD.
| Original language | English (US) |
|---|---|
| Article number | 00256-2021 |
| Journal | ERJ Open Research |
| Volume | 7 |
| Issue number | 4 |
| DOIs | |
| State | Published - Oct 1 2021 |
Funding
Conflict of interest: A.M. Norweg has nothing to disclose. A. Skamai has nothing to disclose. S. Kwon declares grants from the National Institute on Disability, Independent Living, and Rehabilitation Research. J. Whiteson has nothing to disclose. K. MacDonald has nothing to disclose. F. Haas has nothing to disclose. E.G. Collins has nothing to disclose. R.M. Goldring has nothing to disclose. J. Reibman has nothing to disclose. Y. Wu has nothing to disclose. G. Sweeney has nothing to disclose. A. Pierre has nothing to disclose. A.B. Troxel has nothing to disclose. L. Ehrlich-Jones has nothing to disclose. N.M. Simon has nothing to disclose. Support statement: This study was funded under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) (grant number 90SFGE0003). NIDILRR is a centre within the Administration for Community Living (ACL), Dept of Health and Human Services (HHS). The contents of this paper do not necessarily represent the policy of NIDILRR, ACL or HHS. This work was also supported in part by grant 1R34AT010673-01A1 from National Institutes of Health, National Center for Complementary & Integrative Health. Support statement: This study was funded under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) (grant number 90SFGE0003). NIDILRR is a centre within the Administration for Community Living (ACL), Dept of Health and Human Services (HHS). The contents of this paper do not necessarily represent the policy of NIDILRR, ACL or HHS. This work was also supported in part by grant 1R34AT010673-01A1 from National Institutes of Health, National Center for Complementary & Integrative Health. Funding information for this article has been deposited with the Crossref Funder Registry.
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine