Dyspnea
Conditions
Keywords
Education, Neuroscience education
Brief summary
The principal aim of this study was to adapt pain neuroscience education to dyspnea, Dyspnea Neuroscience Education (DNE), and measure its effect on dyspnea perception, physica l activity level, disability, quality of life and ventilatory and functional capacity through a randomized controlled trial. The secondary objectives were to evaluate its feasibility and its effect on emotional state (anxiety and depression), medical atten dance, number of exacerbations and the willingness to exercise.
Interventions
BEHAVIORALDyspnea Neuroscience education
Patients will follow an online therapeutic education course about dyspnea. Education about the cognitive and emotional aspects of dyspnea processing, with the goal of changing maladaptive cognitions and behaviors. The course will be group-based (5 participants). The frequency will be of 1 session per week for 4 weeks, each session will have a duration of 1 hour.
BEHAVIORALUsual care
General health advice, physiotherapy treatment. The frequency will be of 1 session per week for 4 weeks, each session will have a duration of 1 hour.
Sponsors
Cardenal Herrera University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Diagnostic of COPD by a physician or pneumologist * Stage 1, 2 or 3 on the GOLD Classification * GOLD Stage and FEV1 assessed by a physician in the last three months * Access to a computer and internet
Exclusion criteria
* Cognitive impairment (MoCA-S score \< 21) * Depression disorder (PHQ-9 score ≥11) * Generalized Anxiety Disorder (GAD-7 score ≥10) * Instable comorbidities preventing physical activities * Had a surgery in the past three months * Had an exacerbation in the past three months * Currently quitting tobacco * Use of oxygenation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from Self-efficacy Scale for Physical Activity questionnaire at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
| Change from Level of Physical Activity questionnaire at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
| Change from Perception of Dyspnea questionnaire at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
| Change from Activity-related intensity and unpleasantness of perceived dyspnea questionnaire at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
| Change from disability questionnaire at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
| Change from Quality of Life about respiratory disease questionnaire at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
Secondary
| Measure | Time frame |
|---|---|
| Change from FEV1 physiological parameter at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
| Change from Six Minute Walk Test (Sp02% Change) physiological parameter at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
| Change from Forced vital capacity physiological parameter at 4 and weeks and 6 months | Preintervention, postintervention (4 weeks) and follow-up (6 months). |
Contacts
Primary ContactLuis Suso-Martí, PhD
Outcome results
None listed