Effects of an animated diagram and video-based online breathing program for dyspnea in patients with stable COPD

Abstract

BackgroundBreathing programs have been reported to have positive effects in alleviating symptoms and optimizing pulmonary function in patients with chronic obstructive pulmonary disease (COPD). However, patients with stable disease may drop out of such programs if they are not modified to the individual’s exercise tolerance level, or if they are not easy to perform in the home. Little is known about the effectiveness of web-based home breathing programs for dyspnea. The purpose of this study was to evaluate the effectiveness of an online breathing program which included an animated diagram and video-guided instruction on pulmonary function, exercise capacity, and health-related quality of life in patients with COPD.MethodsSixty patients with stable COPD were randomized 1:1 to an experimental group (n = 30) or a control group (n = 30). Subjects in the experimental group trained for four months using an online program which included an animated diagram and video-guided instruction while the control group received conventional patient education on discharge from hospital. Forced expiratory volume, forced expiratory volume in one second (FEV1)/forced vital capacity (%), peak expiratory volume, six-minute walking distance test, and responses to the St George’s Respiratory Questionnaire were assessed before and after the intervention.ResultsPatients in the two groups were well matched for demographic and clinical characteristics at baseline. All outcome measures showed significant improvement in the experimental group but not in the control group.ConclusionThe online training program resulted in improved pulmonary function, exercise capacity, and health status. Therefore, it is strongly recommended that patients with stable COPD be trained with such programs.

Effectiveness of nursing interventions for breathlessness in people with chronic obstructive pulmonary disease: A systematic review and meta‐analysis

“…Our systematic review found that three studies in the category of interventions performed at home showed significant effects on the SGRQ subscores and total score in favour of the experimental group compared with controls (Akinci & Olgun, 2011;Ingadottir & Jonsdottir;Liu et al, 2013). In contrast to our findings, some studies included in an integrated review of home-based respiratory care showed a significant difference in favour of the experimental groups for activity and impact scores on the SGRQ, but no significant differences between groups for the symptom score or total score (Jonsdottir, 2008).…”

“…In this category, one RCT was identified (Liu et al., ) and two studies with a two‐group pre–post design (Akinci & Olgun, ; Moriyama et al., ). These three studies used the SGRQ and included an online video‐based breathing programme (Liu et al., ), education about COPD and performance of breathing exercises and physical training (Akinci & Olgun, ), or a nurse‐led self‐management educational programme that included an interactive workbook, learning materials and journal for self‐monitoring (Moriyama et al., ). One study reported a positive effect in favour of the experimental group (MD = 15.6–18.2, p < 0.05) for all of the SGRQ scores (Liu et al., ).…”

“…The studies were conducted in Turkey (Akinci & Olgun, 2011), Australia (Cooke, Moyle, Griffiths, & Shields, 2010;Wood-Baker, Reid, Robinson, & Walters, 2012), Iceland (Ingadottir & Jonsdottir, 2010), China (Liu et al, 2013), Japan (Moriyama, Takeshita, Haruta, Hattori, & Ezenwaka, 2015), Korea (Oh, 2003) In this category, one RCT was identified (Liu et al, 2013) and two studies with a two-group pre-post design (Akinci & Olgun, 2011;Moriyama et al, 2015). These three studies used the SGRQ and included an online video-based breathing programme (Liu et al, 2013), education about COPD and performance of breathing exercises and physical training (Akinci & Olgun, 2011), or a nurse-led self-management educational programme that included an interactive workbook, learning materials and journal for self-monitoring (Moriyama et al, 2015). One study reported a positive effect in favour of the experimental group (MD = 15.6-18.2, p < 0.05) for all of the SGRQ scores (Liu et al, 2013).…”

Home-based pulmonary rehabilitation improves clinical features and systemic inflammation in chronic obstructive pulmonary disease patients

“…In the case of chronic disease, alternative treatments have often been sought to provide improved clinical features of COPD, emphasizing a better health-related quality of life. Liu et al 33 during a 4-month HBPR program, based on an online intervention, found a significant improvement in exercise tolerance, pulmonary function, and the health-related quality of life reported by patients with stable COPD. To this end, different questionnaires on the quality of life remain important assessment tools.…”

A case series of an off-the-shelf online health resource with integrated nurse coaching to support self-management in COPD

“… 4 However, for those unable or unwilling to attend group classes, IT-based approaches can provide support. 6 – 11 IT-based self-management and lifestyle-change interventions for COPD have reported improved health-related quality of life, 9 , 12 – 16 physical activity, 13 , 14 , 17 exercise capacity, 12 , 16 and functional capacity 18 , 19 and reduced number and duration of hospital admissions. 9 , 18 , 20 – 23 Participants have shown improved knowledge and awareness of their symptoms and health status, 19 , 24 and qualitative analyses indicate positive effects on self-management, psychological condition, and coping ability.…”