Basic Body Awareness Therapy (BBAT) for Patients With Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease Clinical Trial

Official title:

Individual Basic Body Awareness Therapy (BBAT) as an add-on Treatment for Dyspnea Self-management in Patients With Chronic Obstructive Pulmonary Disease (COPD) - a Quantitative and Qualitative Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05506202
• Other study ID #: 2022.316
• Status: Recruiting
• Phase: N/A
• Start date: August 1, 2022
• Est. completion date: October 31, 2023

Study information

• Verified date: August 2022
• Source: North District Hospital
• Contact: Kim Chung Mo, MSc
• Phone: +85226837822
• Email: Dennis.Mo[@]link.cuhk.edu.hk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Chronic obstructive pulmonary disease (COPD) is a burden to health care and economic systems globally, to manage this preventable and treatable disease, different pharmacological and non-pharmacological interventions were shown to be effective.

Chronic and progressive dyspnea, cough and sputum production are the characteristic symptoms of COPD. The most commonly encountered symptom in patients with COPD is dyspnea, it is a subjective experience of breathing discomfort . It causes impact on patient's health status, sleep quality, anxiety and depression level. Therefore, skills transfer in self-managing major symptoms are crucial to prevent negative consequences, and as suggested by Global Initiative for Chronic Obstructive Lung Disease (GOLD), managing symptoms and to prevent future risk of exacerbations is important for stable COPD cases.

Basic Body Awareness Therapy (BBAT) is a physio-therapeutic intervention directed toward patients' functional movement quality. The development of BBAT was based on the hypothesis of persons' lacking contact with and lacking awareness on their own body, with their inner life, external environment and in the relation to other persons. Thus, it leads to dysfunctional movement, pain and other body functions. BBAT focus on multi-perspective within a person including physical, physiological, psycho-social-cultural and existential perspectives. It directs patients to be "aware", guides patients to have mental contact with their body, monitors internal sensations and external environment, and thus, to enhance the self-regulated behavior and positive emotional state.

There are three key components in practicing BBAT, namely balance, free breathing and mental awareness. Evidence shown that the effect of BBAT is significant in improving physical and psycho-social well-being in patients with different physical and mental disorders. Now, there is absence of evidence in applying BBAT in managing cases with respiratory diseases, especially for those with prominent symptoms of dyspnea (for example COPD cases).

The objectives of this study are (1) to evaluate individual BBAT as an add-on treatment in patients with COPD, (2) to understand COPD patients' experience through participating in individual Basic Body Awareness Therapy (BBAT).

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 36
• Est. completion date: October 31, 2023
• Est. primary completion date: July 31, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

• Patients diagnosed with COPD (ICD-9-CM 496.X) AND

• Ability to stand independently without aids, AND

• Subjectively experienced dyspnea, AND

• Ability to listen, speak, read and understand Chinese.

Exclusion Criteria:

• Patients with acute exacerbation of COPD within one-month, OR

• Patients with medical disorders possibly causing dyspnea (for example asthma, heart failure, etc.), OR

• Patients with major psychiatric or cognitive disorders, OR

• Patients refusal

Related Conditions & MeSH terms

• Chronic Obstructive Pulmonary Disease
• Lung Diseases
• Lung Diseases, Obstructive
• Pulmonary Disease, Chronic Obstructive

Intervention

Other:
• Individual basic body awareness therapy
Basic Body Awareness Therapy (BBAT) is a physiotherapeutic intervention directed toward patients' functional movement quality. The development of BBAT was based on the hypothesis of persons' lacking contact with and lacking awareness on their own body, with their inner life, external environment and in the relation to other persons. Thus, it leads to dysfunctional movement, pain and other body functions. BBAT focus on multi-perspective within a person including physical, physiological, psycho-social-cultural and existential perspectives. It directs patients to be "aware", guides patients to have mental contact with their body, monitors internal sensations and external environment, and thus, to enhance the self-regulated behavior and positive emotional state.
• Respiratory physiotherapy interventions
Comprehensive physical and psycho-social assessment and treatments are included. Both basic and advanced respiratory physiotherapy interventions, including respiratory muscles training, breathing techniques, bronchial hygiene maintenance, assisting in non-invasive ventilation therapy and oxygen therapy titration, are provided according to assessment findings.

Locations

Country	Name	City	State
Hong Kong	North District Hospital	Hong Kong

Sponsors (1)

Lead Sponsor	Collaborator
North District Hospital

Country where clinical trial is conducted

Hong Kong, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Modified Medical Research Council scale for breathlessness	mMRC is used to establish patients' baseline functional impairment due to dyspnea	2 months
Primary	Dyspnoea-12 (Chinese version)	D-12 is used to measure patients' dyspnea severity	2 months
Primary	St. George's Respiratory Questionnaire (Chinese version)	SGRQ is used to measure patients' health-related quality of life	2 months
Primary	COPD Self-Efficacy Scale (CSES) (Chinese version)		2 months
Primary	6 minutes walking test	6MWT is used to assess patients' functional capacity	2 months