Changes in Dyspnea, Activity and Sleep in COPD by Video-Based Breathing Exercises

NCT06477367 | Completed

• 1 other identifier: BartınU_Bayındır Cevik_001
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic Obstructive Pulmonary Disease (COPD) is one of the most prevalent and high-mortality chronic diseases worldwide. Symptoms such as dyspnea, cough, sleep disturbances, fatigue, restricted activity levels, anxiety, and depression develop in COPD patients, negatively affecting their quality of life. Dyspnea, associated with various symptoms in COPD patients such as reduced activity levels and sleep disturbances, is a significant issue. Therefore, effective management of dyspnea will contribute to reducing other important problems associated with COPD. One of the non-pharmacological methods used in managing these symptoms associated with COPD is breathing exercises. Particularly, pursed-lip breathing exercises and diaphragmatic breathing exercises are recommended for symptom management in COPD patients in the literature. The aim of this study was to learn the effects of video-based breathing exercises (pursed lips and diaphragmatic breathing) training given to COPD patients over 18 years of age on the severity of dyspnea experienced by the patient, activity level and sleep quality. The main question it aims to answer is: Does the use of video-based breathing exercises for 30 days result in a decrease in dyspnea severity and an increase in activity level and sleep quality in COPD patients over 18 years of age? Patients will receive video-based breathing exercises lasting approximately 5-7 minutes and will perform the breathing exercises regularly for 30 days, keep a diary and receive follow-up messages (sms). Afterwards, dyspnea severity, activity level and sleep quality will be assessed again, both in the group itself and in comparison with the control group that did not receive this education and follow-up.

Conditions

Pulmonary Disease, Chronic Obstructive

Keywords

COPD; patient with COPD; pursed lip breathing exercise; video-based breathing exercises; dyspnea; sleep quality; activity level; diaphragmatic breathing exercise

Outcome Measures

Primary Outcomes (3)

• Modified Borg Scale(MBS) (for dyspnea severity of the COPD patients)

  Dyspnea severity of the COPD patient will be evaluated with Modified Borg Scale(MBS). It was aimed to determine the change in dyspnea severity in COPD patients who received and regularly practiced video-based breathing exercises training. Modified Borg Scale (MBS): As scores increase, dyspnea severity increases (0: None, 0.5: Very, very light, 1: Very light, 2: Light, 3: Moderate, 4: Somewhat severe, 5: Severe, 6: ..., 7: Very severe, 8: ..., 9: Very, very severe, 10: Maximum).

  pre-intervention (first measurement)

• St. George's respiratory questionnaire (for activity level of the COPD patients)

  30 days of regular breathing exercise was aimed to realize the change in the activity level of patients with COPD. The change in activity level will be measured by Saint George's Respiratory Questionnaire (SGRQ). Saint George's Respiratory Questionnaire (SGRQ): The questionnaire consists of 50 items and three subscales: symptoms (8 items), activity (16 items), and impacts of the disease (26 items). Each item in the scale has an empirically determined weight. The questionnaire evaluates respiratory symptoms, activities limited by dyspnea, and the overall impact on daily life. Each subscale of the questionnaire is scored separately, and a total score is calculated. The total score ranges from 0 to 100, where a score of 0 indicates no impairment in quality of life, while a score of 100 indicates a progressive deterioration in quality of life.

  pre-intervention (first measurement)

• Chronic Obstructive Pulmonary Disease and Asthma Sleep Impact Scale (for sleep qualty of the COPD patients)

  30 days of regular breathing exercise was aimed to realize the change in the sleep qualty of patients with COPD. The Asthma COPD Sleep Scale is a Likert scale consisting of a total of 7 items. A high scale score indicates poor sleep quality and a low scale score indicates good sleep quality. In the scale, scores can range from a minimum of 0 to a maximum of 35. However, the original version of the scale does not specify minimum, maximum, or cut-off scores. A higher total score indicates poorer sleep quality, while a lower total score reflects better sleep quality. Relevant explanations regarding this matter are also provided.

  pre-intervention (first measurement)

Secondary Outcomes (3)

• Modified Borg Scale(MBS) (for dyspnea severity of the COPD patients)

  Last measurement 4 weeks after the first measurement (30 days later)

• St. George's respiratory questionnaire (for activity level of the COPD patients)

  Last measurement 4 weeks after the first measurement (30 days later)

• Asthma Sleep Impact Scale (for sleep qualty of the COPD patients)

  Last measurement 4 weeks after the first measurement (30 days later)

Study Arms (2)

The group receiving video-based training

EXPERIMENTAL

Researchers will present a 5-7 minute instructional video aimed at helping participants recall the technique for performing the exercises. These instructional videos will be sent to the researchers' mobile phones via WhatsApp. Participants will be instructed to perform the exercises three times a day for 15 minutes each, for a period of 30 days. To encourage regular exercise, participants will be provided with an exercise diary, and researchers will send reminder SMS messages at the same time every day.

Other: Video-Based Breathing Exercises

The group not receiving video-based training

NO INTERVENTION

The control group will receive the clinic's routine dyspnea care protocol. After thirty days, final tests will be administered to both groups, and the research will be concluded.

Interventions

Video-Based Breathing Exercises OTHER

Researchers will present a 5-7 minute instructional video aimed at helping participants recall the technique for performing the exercises. These instructional videos will be sent to the researchers' mobile phones via WhatsApp. Participants will be instructed to perform the exercises three times a day for 15 minutes each, for a period of 30 days. To encourage regular exercise, participants will be provided with an exercise diary, and researchers will send reminder SMS messages at the same time every day. The control group will receive the clinic's routine dyspnea care protocol. After thirty days, final tests will be administered to both groups, and the research will be concluded.

The group receiving video-based training

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals aged 18 and above
• Diagnosed with COPD for at least six months
• Modified Borg Dyspnea Scale score of at least 3
• Unable to complete the 6-minute walk test
• Not previously participated in a respiratory exercise program

You may not qualify if:

• Having cognitive impairment
• Not willing to participate in the study
• Failure to perform respiratory exercises regularly
• Having non-COPD lung diseases such as tuberculosis

Sponsors & Collaborators

• Bartın Unıversity: lead

Study Sites (1)

Bartin University

Bartın, Bartın, 74100, Turkey (Türkiye)

Location

Related Publications (26)

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MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Dyspnea; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Respiration Disorders; Signs and Symptoms, Respiratory; Signs and Symptoms; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assc. Prof

Study Record Dates

• First Submitted: June 4, 2024
• First Posted: June 27, 2024
• Study Start: June 20, 2024
• Primary Completion: December 20, 2025
• Study Completion: March 17, 2026
• Last Updated: March 18, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)