The Effect of Pranayama Practiced With Rain Sounds on Self-Efficacy, Dyspnea, and Respiratory Functions in Patients With COPD

NCT07820059 | Not Yet Recruiting

• 1 other identifier: 9053
• Study Type: interventional
• Target: 114
• Locations: 0 countries
• Sites: N/A

Brief Summary

Chronic obstructive pulmonary disease (COPD) ranks third among the leading causes of death worldwide. It causes a variety of symptoms resulting from irreversible obstruction of the airways. In addition to pharmacological methods, nonpharmacological methods are also used to alleviate these symptoms. A review of the methods used for this purpose reveals that yoga and breathing exercises are among them. Accordingly, the aim of this study is to investigate the effects of pranayama breathing exercises performed to the sound of rain on dyspnea, self-efficacy, and respiratory function in individuals with chronic obstructive pulmonary disease (COPD). The study, designed as a randomized controlled pre-test/post-test trial, will be conducted at the Turgut Özal Medical Center of İnönü University between April 2026 and September 2027 among patients visiting the Pulmonology Outpatient Clinic. The study will consist of two experimental groups and one control group. Prior to the start of the study, informed consent will be obtained from the patients, and the Patient Demographic Form, COPD Self-Efficacy Scale, Dyspnea 12 Severity Scale, Visual Analog Scale, and Pulmonary Function Test will be administered. The intervention will be administered twice daily for 15-20 minutes over a 6-week period. 1. Patients in the experimental group will have a pranayama breathing exercise video and the sound of rain downloaded to their phones so they can practice at home. 2. Patients in the control group will have only the pranayama breathing exercise video downloaded to their phones so they can practice at home. No intervention will be performed on patients in the control group. Throughout the study, patients will receive daily reminder messages urging them to continue the exercises for 6 weeks. At the end of the 6 weeks, patients will be called to the outpatient clinic, where they will complete the COPD Self-Efficacy Scale, the Dyspnea 12 Severity Scale, the Visual Analog Scale, and a pulmonary function test. To be able to administer the pranayama breathing exercise, the researcher will receive training prior to the study. Based on the results of the study, it is believed that, thanks to the ease of practice of pranayama breathing exercises, they can be performed by nurses on the ward and by patients at home, leading to a reduction in their symptoms.

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Keywords

Dyspnea,; Nursing; COPD; Self-Efficacy; Pranayama; Sound of Rain

Outcome Measures

Primary Outcomes (1)

• COPD Self-Efficacy Scale

  COPD Self-Efficacy Scale: The COPD Self-Efficacy Scale was developed by Wigal et al. in 1991. In Turkey, its validity and reliability were established by Kara and Mirci (2002). The COPD Self-Efficacy Scale is a 5-point Likert-type scale consisting of 34 items and 5 sub-dimensions that determine the degree of confidence COPD patients have in managing or avoiding shortness of breath during certain activities. The Negative Impact sub-dimension measures the degree of confidence in managing shortness of breath in stressful situations. The Emotional State sub-dimension determines the degree of confidence in coping with shortness of breath in situations of anger, fear, and life-related distress. The Physical Effort sub-dimension measures the level of ability to manage shortness of breath during physical activities such as climbing stairs very quickly and walking. The Weather/Environmental Conditions sub-dimension evaluates coping with situations that may cause shortness of breath, such as co

  In the pre-test and post-test phases of the study (at the end of the sixth week), the COPD Self-Efficacy Scale will be administered to experimental groups 1 and 2 one day after the pranayama breathing exercises, and to the control group 6 weeks after the

Study Arms (3)

Pranayama breathing exercise

EXPERIMENTAL

group practicing pranayama breathing exercises

Other: pranayama breathing exercises

Pranayama breathing exercises accompanied by the sound of rain.

EXPERIMENTAL

A group practicing pranayama breathing exercises accompanied by the sound of rain.

Other: A group will perform pranayama breathing exercises accompanied by the sound of rain.

standard maintenance

NO INTERVENTION

Rain sounds and pranayama breathing exercises will not be applied to this group.

Interventions

pranayama breathing exercises OTHER

Nadhi sodhana/Nadhi Shudi, also known as alternate nostril breathing, is used to help calm the nervous system, soothe the mind, reduce stress, and improve concentration. Because it can be applied to different patient groups with various diagnoses and has no complications, Nadhi sodhana Pranayama practice will be conducted. To ensure patients can perform Nadhi sodhana Pranayama correctly and completely, a video demonstrating the practice will be prepared and uploaded to their phones. Additionally, patients will receive a pranayama training and practice guide. In a suitable room, the pranayama practice and its steps will be repeated through explanation and demonstration until the patient learns, and any difficulties will be corrected. Once patients are observed to be performing the practice correctly, they will be asked to practice pranayama breathing exercises twice a day for 15-20 minutes for 6 weeks. The researcher will also send a daily text message reminding them to practice the bre

Pranayama breathing exercise

A group will perform pranayama breathing exercises accompanied by the sound of rain. OTHER

Nadhi sodhana/Nadhi Shudi, also known as alternate nostril breathing, is used to help calm the nervous system, soothe the mind, reduce stress, and improve concentration. Because it can be applied to different patient groups with various diagnoses and has no complications, Nadhi sodhana Pranayama practice will be conducted. To ensure patients can perform Nadhi sodhana Pranayama correctly and completely, a video demonstrating the practice will be prepared and uploaded to their phones. Additionally, patients will receive a pranayama training and practice guide. In a suitable room, the pranayama practice and its steps will be repeated through explanation and demonstration until the patient learns, and any difficulties will be corrected. Once patients are observed to be performing the practice correctly, they will be asked to practice pranayama breathing exercises twice a day for 15-20 minutes for 6 weeks, accompanied by the sound of rain. The researcher will also send a daily text message

Pranayama breathing exercises accompanied by the sound of rain.

Eligibility Criteria

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

You may qualify if:

• 18 years of age and older
• Diagnosed with COPD at least 6 months prior based on pulmonary function test results
• Stage 1 (FEV1 \> 80%), Stage 2 (50% ≤ FEV1 \< 80%), and Stage 3 (30% ≤ FEV1 \< 50%) patients meeting GOLD 2021 criteria
• No nasal breathing obstruction
• Possessing sufficient cognitive ability to understand questions,
• No visual or hearing problems,
• No communication problems,
• Using a smartphone
• At least literate
• Volunteering to participate in the study

You may not qualify if:

• Those who do not wish to continue the practice
• Those who experience difficulties during the practice
• Those who begin using any alternative treatment in addition to standard care other than pranayama breathing exercises

Sponsors & Collaborators

• Inonu University: lead

Related Links

• reference link

MeSH Terms

Conditions

Pulmonary Disease, Chronic Obstructive; Dyspnea

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

Study Officials

• Serap Parlar Kılıç

  Inonu University

  PRINCIPAL INVESTIGATOR

• Elvan Kırılmaz

  Siirt University

  STUDY DIRECTOR

• Hilal Ermiş

  Inonu University

  STUDY DIRECTOR

Central Study Contacts

Serap Parlar Kılıç, Prof. Dr.

CONTACT

0557 712 03 94; serap.parlar@inonu.edu.tr

Elvan Kırılmaz, Lecturer

CONTACT

0551 260 56 88; elvankirilmaz1@gmail.com

Study Design

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

Model Details: The research will be conducted using a randomized controlled pretest-posttest experimental study design. A randomized controlled trial conducted using a cross-matching method with experimental and control groups.

Study Record Dates

• First Submitted: August 18, 2026
• First Posted: September 15, 2026
• Study Start: August 28, 2026
• Primary Completion (Estimated): May 1, 2027
• Study Completion (Estimated): September 30, 2027
• Last Updated: September 15, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share