BEAM COPD: Breathing, Education, Awareness and Movement in Chronic Obstructive Pulmonary Disease (COPD)

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Keywords

chronic bronchitis, emphysema, pulmonary, COPD

Brief summary

The main purpose of this study is to determine feasibility and effects of tai chi and mind-body breathing in patients with COPD.

Kristen M. Kraemer, Karen Kilgore, Daniel Litrownik, Brianna Jean-Laurent, Peter M. Wayne et al. (8 authors)

Global Advances in Integrative Medicine and Health2023-11-015 citations

10.1177/27536130231212169

The impact of Tai Chi and mind-body breathing in COPD: Insights from a qualitative sub-study of a randomized controlled trial

Elizabeth A. Gilliam, Tina Cheung, Kristen M. Kraemer, Daniel Litrownik, Peter M. Wayne et al. (7 authors)

PLoS ONE2021-04-0829 citations

10.1371/journal.pone.0249263

BEAM study (Breathing, Education, Awareness, Movement): a randomised controlled feasibility trial of tai chi exercise in patients with COPD

Gloria Y. Yeh, Daniel Litrownik, Peter M. Wayne, Douglas Beach, Elizabeth S. Klings et al. (9 authors)

BMJ Open Respiratory Research2020-11-0133 citations

10.1136/bmjresp-2020-000697

Tai chi mind-body exercise in patients with COPD: study protocol for a randomized controlled trial

Gloria Y. Yeh, Peter M. Wayne, Daniel Litrownik, David H. Roberts, Roger B. Davis et al. (6 authors)

Trials2014-08-2835 citations

10.1186/1745-6215-15-337

Interventions

BEHAVIORALTai chi

12 week tai chi class

BEHAVIORALMind-body breathing

12 week breathing class

BEHAVIORALEducation

12 week education class

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

40 Years to No maximum

Healthy volunteers

No

Inclusion criteria

1. Moderate-severe COPD 2. Age ≥ 40 years

Exclusion criteria

1. Subjects with respiratory failure or GOLD stage 4 who are unable to safely perform a 6 minute walk test or otherwise safely exercise as deemed by a physician. 2. COPD exacerbation requiring steroids, antibiotics, ED visit or hospitalization within the past 2 weeks unless physician deems subject at baseline 3. Planned major pulmonary intervention within the next 3 months 4. Hypoxemia on walk test or cardiopulmonary exercise test 5. Inability to ambulate due to vascular or other neuromuscular conditions that would preclude a walk test 6. Clinical signs of unstable cardiovascular disease 7. Severe cognitive dysfunction 8. Non-English speaking 9. Current active participation in pulmonary rehabilitation program or current regular practice of tai chi 10. Physician diagnosis of unstable/untreated clinical depression 11. History of lung cancer

Design outcomes

Primary

Measure	Time frame	Description
Feasibility of tai chi intervention	12 weeks	Willingness to participate, adherence, and safety

Secondary

Measure	Time frame	Description
Change from baseline- Exercise capacity	baseline, 12 weeks, 24 weeks	six-minute walk distance, cardiopulmonary exercise testing
Change from baseline- Dyspnea	baseline, 12 weeks, 24 weeks	UCSD Shortness of Breath Questionnaire
Change from baseline- Disease specific quality of life	baseline, 12 weeks, 24 weeks	Chronic Respiratory Questionnaire
Change from baseline- Pulmonary function	baseline, 12 weeks, 24 weeks	Spirometry and lung volumes
Change from baseline- Physical strength and flexibility	baseline, 12 weeks, 24 weeks	Chair Sit and Reach, Chair Stand
Change from baseline- Psychosocial well-being	baseline, 12 weeks, 24 weeks	CES-D, Perceive Stress Scale, COPD Self-Efficacy Scale, Multidimensional Scale of Percieved Social Support

Countries

United States

Outcome results

None listed