Study of the effectiveness of breathing training exercises taught by a physiotherapist by either instructional videos/DVDs/internet download or by face to face sessions in the management of asthma in adults

Conditions

Asthma Respiratory Asthma

Bruton A, Lee A, Yardley L, Raftery J, Arden-Close E, Kirby S, Zhu S, Thiruvothiyur M, Webley F, Taylor L, Gibson D, Yao G, Stafford-Watson M, Versnel J, Moore M, George S, Little P, Djukanovic R, Price D, Pavord ID, Holgate ST, Thomas M.

2017-12-1486 citations

10.1016/s2213-2600(17)30474-5

A randomised controlled study of the effectiveness of breathing retraining exercises taught by a physiotherapist either by instructional DVD or in face-to-face sessions in the management of asthma in adults.

Thomas M, Bruton A, Little P, Holgate S, Lee A, Yardley L, George S, Raftery J, Versnel J, Price D, Pavord I, Djukanovic R, Moore M, Kirby S, Yao G, Zhu S, Arden-Close E, Thiruvothiyur M, Webley F, Stafford-Watson M, Dixon E, Taylor L.

2017-09-0117 citations

10.3310/hta21530

Interventions

We propose a prospective evaluation of a physiotherapy breathing training programme (already shown to be effective in face-to-face contact) delivered in a new video / DVD / download format. If effecti

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Full practice registration for a minimum of 12 months prior to enrolment 2. Age 16-70 years 3. Physician diagnosed asthma in medical records 4. One or more anti-asthma medication prescription in the previous year (determined from the physician prescribing records) 5. Impaired asthma-related health status (Asthma Quality of Life Questionnaire score of < 5.5) 6. Informed consent

Exclusion criteria

Exclusion criteria: 1. Asthma judged at the baseline assessment not to be dangerously unstable and in need of urgent medical review (if unstable asthma is found, the patient will be referred back to usual primary care clinician for review) 2. Documented diagnosis of Chronic Obstructive Pulmonary Disease (COPD) We aim to allow broad entry criteria (with inclusion of smokers, and not insisting on physiological demonstration of reversible airflow obstruction) in order to allow generalisability of research findings to mild-to-moderate UK asthma populations treated in primary care National Health Service (NHS) practice.

Design outcomes

Primary

Measure	Time frame
Analysis of the between-group (Intention-To-Treat (ITT)) change in asthma-specific health status [AQLQ (short version) score]. Outcome measures will be between-group and within-group changes from baseline to the end of the study (12 months).	—

Secondary

Measure	Time frame
1. Asthma Control Questionnaire score 2. Lung function [Forced expiratory volume in one second (FEV1), ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lungs (FEV1/FVC ratio), peak expiratory flow rate (PEFR)] 3. Fraction of exhaled nitric oxide 4. Health status (EuroQOL) 5. Anxiety and depression scores (HAD questionnaire) 6. Hyperventilation (Nijmegen questionnaire) 6. Oral corticosteroid courses 7. Bronchodilator use 8. Asthma related health resource use 9. Smoking status 10. Cost effectiveness/utility 11. Patient reported process evaluations (questionnaires) and estimates of adherence (use of exercises)	—

Measure

Time frame

1. Asthma Control Questionnaire score 2. Lung function [Forced expiratory volume in one second (FEV1), ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lungs (FEV1/FVC ratio), peak expiratory flow rate (PEFR)] 3. Fraction of exhaled nitric oxide 4. Health status (EuroQOL) 5. Anxiety and depression scores (HAD questionnaire) 6. Hyperventilation (Nijmegen questionnaire) 6. Oral corticosteroid courses 7. Bronchodilator use 8. Asthma related health resource use 9. Smoking status 10. Cost effectiveness/utility 11. Patient reported process evaluations (questionnaires) and estimates of adherence (use of exercises)

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Countries

United Kingdom

Outcome results

None listed