Speech breathing intervention for Dyspnea

Phase-Based Estimates
1
Effectiveness
1
Safety
University of Delaware, Newark, DE
Dyspnea
Speech breathing intervention - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Dyspnea

Study Summary

This study is evaluating whether a remote group intervention can help people with breathing problems.

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Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Speech breathing intervention will improve 2 primary outcomes, 2 secondary outcomes, and 1 other outcome in patients with Dyspnea. Measurement will happen over the course of Assessed after the 4-week experimental condition, at the end of the study period..

Assessed after the 4-week experimental condition, at the end of the study period.
Acceptability of the intervention
Assessed at baseline, after the 2-week control condition, and after the 4-week experimental condition.
Breath intake pattern
Change in reported dyspnea
Change in reported self-efficacy
Change in reported voice handicap

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Control
All participants

This trial requires 20 total participants across 2 different treatment groups

This trial involves 2 different treatments. Speech Breathing Intervention is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

All participantsThis is a single-arm trial. All participants will receive (1) a control condition (socialization phase, 2 weeks) and (2) an intervention condition (speech breathing intervention, 4 weeks). Group sessions will take place once a week, and participants will be instructed to practice their exercises every day at home during the study duration.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: assessed at baseline, after the 2-week control condition, and after the 4-week experimental condition.
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly assessed at baseline, after the 2-week control condition, and after the 4-week experimental condition. for reporting.

Who is running the study

Principal Investigator
M. D.
Maude Desjardins, MD
University of Delaware

Closest Location

University of Delaware - Newark, DE

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
sign the informed consent form
The University of Cincinnati Dyspnea Questionnaire refers to speech, and states that if you experience dyspnea in one of the items, then you should report it. show original
The group interventions will be available during the dates listed. show original
be aged 50 years or older

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes dyspnea?

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The causes of dyspnea can be classified into intrinsic causes caused by lung disease and extrinsic causes caused by cardiac and pulmonary disease. The principal causes are lung disease (which mostly cause restrictive pulmonary dysfunction) and vascular disease (which are common causes of restrictive lung disease).

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What are the signs of dyspnea?

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Patients with dyspnea report a variety of typical signs of breathlessness. In addition, dyspnea has the potential to make patients anxious, frustrated and depressed. Patients with dyspnea may be less likely than those without dyspnea to report use of pain medications but more likely to report their use of over-the-counter medications to ease pain and dyspnea.

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Can dyspnea be cured?

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No cures can be found for shortness of breath, the symptom of which is closely connected to not only physical functioning but also psychological well-being. However, dyspnea is a symptom that can be reduced at the most.

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How many people get dyspnea a year in the United States?

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In the United States, around 5.1 million people suffer from dyspnea at least once a year, that is 9.5% of all adults. The proportion of women is higher due to lower cigarette consumption in women.

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What is dyspnea?

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Dyspnea can occur as a result of lung conditions like pulmonary embolism, congestive heart failure, pneumonia, pulmonary embolism and sarcoidosis, lung cancer, asthma, obstructive sleep apnea syndrome, lung disease like COPD, and respiratory infection. And dyspnea is the symptom that will most often help with the diagnosis of lung diseases. It is reasonable to consider any underlying lung disease when evaluating dyspnea.

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What are common treatments for dyspnea?

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Patients with dyspnea should be evaluated for serious medical conditions in the emergency department. Treatments for dyspnea vary based on the underlying cause. Oxygen, a noninvasive ventilation, or bronchodilators can be prescribed depending on the severity of the patients respiratory distress. The treatment should follow the patients clinical symptoms to decrease their anxiety and improve their comfort.

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How serious can dyspnea be?

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Many patients reported having dyspnea. While severe dyspnea was rare, it was associated with [a higher likelihood of having a history of COPD and a higher likelihood of having had surgery for a lung pathology] but not a higher LOS. The data suggest that dyspnea is common and patients with a chronic lung condition should be considered a possibility before deciding to have surgery. Since the LOS was longer for patients in hospital, a possible cause for the longer LOS could be a desire to do the surgery in a hospital environment with many people present. Patients with severe dyspnea were more likely to report feelings of hopelessness, which was associated with worse outcomes.

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Is speech breathing intervention typically used in combination with any other treatments?

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Overall, the interventions used are mostly delivered in conjunction with other treatments. These interventions are used frequently (37% of the patients had some interventions) and there are a variety of methods used. More work is required to determine the level of benefit for each of the interventions. Moreover, while some of the interventions may be of use in the short term, the long-term benefit of interventions has not been assessed.

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Does dyspnea run in families?

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Dyspnea is a familial pattern that can be recognized in a multigenerational pedigree and should be routinely investigated by genetic studies. Genetic counseling is often indicated in this situation, because dyspnea can arise in response to various life-threatening and curable diseases, including hereditary heart conditions and pneumothorax.

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Have there been any new discoveries for treating dyspnea?

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There have been a few reports of novel drugs being used in the treatment of dyspnea, including: [cyclooxygenase-2 (COX-2) inhibitors.], [osmoteslicase, and [mefenamic acid.] These drugs are all being used to target the specific biochemical pathway(s) involved in causing or perpetuating dyspnea. However, none of these drugs have been shown to meet the US Food and Drug Administration's [requirement,] “to have a compelling medical rationale or proof of efficacy to prove the safety and efficacy of their use.

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How does speech breathing intervention work?

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Lung and chest wall motion during speech was unchanged by three interventions. Speech breathing is likely to increase abdominal breathing during speech, and lung and chest wall motion during speech. These movements may be of little clinical importance. Results from a recent clinical trial from this pilot study suggest that interventions aimed at breathing as a means of improving speaking skills will have limited effect in improving speech quality.

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What is the latest research for dyspnea?

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This literature review has been used to show that some symptoms that patients may experience can be better treated or prevented. There are many factors to consider in making this decision for patients, including age, race/ethnicity, quality of life, and side effects. There are numerous types of treatment options to try for dyspnea based on symptoms, location of dyspnea, and type, severity, and persistence of symptoms. Physicians should be cautious about using treatments for dyspnea without clear proof that they will improve patient outcomes.

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