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| ID | Type | Description | Link |
|---|---|---|---|
| Post COVID-19 REMEDY | Other Identifier | University of Nottingham |
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A pilot Study
To investigate the efficacy of a breathing intervention for improving persistent breathlessness due to dysregulated breathing following COVID-19 when compared to usual care.
Pilot RCT for upto 60 subjects across 2 arms
Intervention A 12 session/six week, twice a week online group-based intervention based on breathing techniques including yoga practice directed by a specialist. Each group will aim for between 3- 6 participants.
Each online session will be circa 40-50 minutes in length. This will include an Introduction and warm up; Breathing practice including yogic breathing and a final cool down and relaxation.
Sessions will run at set times to ensure efficient use of resources but will try to accommodate different time points periods of the day when patients might be functioning best.
Comparator A six week non-intervention (usual care) period will be recruited to, allowing a comparison to the intervention.
Primary co-outcomes
Change in
Secondary measures include other measures of breathlessness, function, adherence and completion (see full text for detail).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Breathing Techniques Intervention | Active Comparator | A 12 session/six week, twice a week online group-based intervention based on breathing techniques including yoga practice directed by a specialist. Each group will aim for between 3- 6 participants. |
|
| Usual Care | No Intervention | A six week non-intervention (usual care) period will be recruited to, allowing a comparison to the intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Breathing techniques over 12 sessions / 6 weeks inc yoga | Other | as above |
|
| Measure | Description | Time Frame |
|---|---|---|
| Breathlessness. | Chronic Respiratory Disease Questionnaire - Dyspnoea Domain Range 1-7 with lower - worse | 7 weeks |
| Function | 5 repetition chair to stand. Range 0-120 seconds with longer worse | 7 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Dyspnoea-12 Questionnaire | SOB questionnaire. Range 0-36, Greater, worse | 7 weeks |
| Nijmegen Questionnaire | Measure of dysregulated breathing. 0-64. Greater worse |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Charlotte Bolton | University of Nottingham | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nottingham University Hospitals Trust | Nottingham | Notts | NG5 1PB | United Kingdom |
This is pilot to generate a more formal plan
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D012120 | Respiration Disorders |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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A single site, pilot RCT of intervention compared to usual care
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Randomisation will be completed in a 1:1 ratio (Intervention: Usual Care) using a sealed envelope block randomisation process.
The study will be single blinded and controlled through the use of a distinct intervention team and an outcomes team.
The intervention team will manage the randomisation and intervention session and planning. The outcomes team will be blinded to the intervention or usual care.
| 7 weeks |
| Borg Scale of Breathlessness | Measure of breathlessness. Range 0-10. Greater worse | 7 weeks |
| Four metre Gait speed | field test of physical performance. Range 0-60seconds. Greater worse | 7 weeks |
| Modified Minnesota Physical Activity | Questionnaire. Range 0-100. Greater better. | 7 weeks |
| Capnography - in some volunteers | End tidal CO2 measure in breath - at rest. Range N/A | 7 weeks |
| Chalder Fatigue Score | Questionnaire. Range 0-33. Greater worse | 7 weeks |
| EQ5D Quality of Life score | Questionnaire. VAS 0-100. Greater is better. | 7 weeks |
| Adherence | Recorded from number of potential sessions. Range 0-12. Greater better. | 7 weeks |
| Breath hold, Respiratory rate | Observational measures at rest. Breath hold - 0-45. Greater better. RR. Range 0-30. Greater worse | 7 weeks |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |