None listed
Conditions
Brief summary
For people with chronic lung disease, breathlessness is common, distressing and difficult to relieve. Pulmonary rehabilitation programs have been demonstrated to improve exercise capacity and quality of life. This study will determine whether changing the way people think about the sensation of breathlessness while completing pulmonary rehabilitation, further reduces distress/anxiety and health service use and improve exercise capacity, disability related to breathlessness and quality of life.
Interventions
Eight week comprehensive pulmonary rehabilitation (CPR) with a cognitive behavioural therapy program for the sensation of breathlessness (CPR + BREVE). The pulmonary rehabilitation program adheres to the recommendations of the COPD-X Plan 2008, and includes three exercise sessions (circuit training group therapy) and a two-hour education session each week (group therapy). The eight week CBT program (BREVE –Breathless. Recognise sensations, Explore thoughts and beliefs, Validate whether thoughts
Eight week comprehensive pulmonary rehabilitation (CPR) with a cognitive behavioural therapy program for the sensation of breathlessness (CPR + BREVE). The pulmonary rehabilitation program adheres to the recommendations of the COPD-X Plan 2008, and includes three exercise sessions (circuit training group therapy) and a two-hour education session each week (group therapy). The eight week CBT program (BREVE –Breathless. Recognise sensations, Explore thoughts and beliefs, Validate whether thoughts are useful or harmful, Evolve and change behaviour) includes one hour group work facilitated by a psychologist supported by an eight module workbook. Each module includes an educational component, individual reflective activity, practice tasks for the exercise sessions and homework. Interventions and control occur seperately (i.e cycles of pulmonary rehabilation with and without the active intervention occur in randomised sequence)
Sponsors
University of South Australia
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
No
Inclusion criteria
People referred to Repatriation General Hospital to undertake the Comprehensive Pulmonary Rehabilitation (CPR) program will be eligible for inclusion in this study if they have a clinical diagnosis of COPD, intend to undertake the eight week CPR and have a forced expiratory volume (FEV1) < 80 percent predicted and best recorded ratio of FEV1 to forced vital capacity of < 70 percent (FEV1/FVC <70%).
Exclusion criteria
Participants will be only be excluded from this RCT due to the presence of cognitive or memory impairments (Mini-Mental State Examination score < 23/30), have clinically unstable COPD or co-morbidities which are likely to render exercise unsafe (determined by respiratory physician based upon change in medication or symptoms over the past two months) or are currently registered for lung volume reduction surgery or lung transplantation (risk of withdrawal from RCT).
Outcome results
None listed