Implementation of Evidence-based Breathing Retraining for Patients with Asthma in Region Zealand (EmBRAiZ)

Naestved Hospital

Status: Active, not recruiting

Conditions: Asthma

Treatments: Other: Breathing Retraining

Study type: Interventional

Funder types: Other

Identifiers

NCT05531370

EMN-2022-01229

Details and patient eligibility

About

This study aims to implement the evidence-based intervention breathing retraining into clinical care of patients with symptomatic asthma irrespective of asthma severity or comorbidities, and in a diverse multicentre setting to evaluate implementation outcomes. This will meet patients' needs and improve health and life situation in patients with uncontrolled asthma. Further, the study will evaluate implementation outcomes.

Full description

This study is a hybrid-designed prospective multicenter implementation evaluation study, in which the investigators secondarily will maintain measuring effectiveness of breathing retraining in a real-world setting including primary and secondary health care and add cross-sectorial co-operation. Thus, investigators include more primary outcomes.

The study is part of Exercise First-project, a collaboration of The National Health Service, Region Zealand and the research unit PROgrez, Department of Physiotherapy and Occupational Therapy at Næstved, Slagelse, Ringsted hospitals.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Doctor diagnosed asthma;
• Incompletely controlled asthma or worse: Asthma Control Questionnaire (ACQ5) score ≥0.8;
• Residence (or asthma treatment program) in Region Zealand, Denmark;
• Able to read and understand Danish or available assistance to help understand information material, intervention content and respond to questionnaires.

Exclusion criteria

• Unwilling to participate;
• Unable to participate in the intervention due to physical or mental condition.

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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300 participants in 1 patient group

Breathing Retraining (BR)

Experimental group

Description:

Patients will receive three sessions (60 min, 30 min, 30 min) of breathing retraining (BR), 1-to-1 with a trained physiotherapist. As preferred by the patient: * Hybrid delivery mode of BR (H-BR): First session on-site at hospital/clinic for initial assessment and introduction, and following sessions online (MedComs VDX platform or equal; participants access using web cam and sound on smart phone, tablet, or pc). * Ordinary delivery of BR: Three sessions on-site at hospital/clinic.

Treatment:

Other: Breathing Retraining