COPD Clinical Trial
Official title:
Meditative Movement for COPD Symptoms in Non-Smoking Flight Attendants
This study will explore the a Qigong based exercise intervention, here referred to as Meditative Movement (MM), to ameliorate the symptoms associated with chronic obstructive pulmonary disease (COPD) and its co-morbidities. It tests the hypothesis that MM will have a beneficial effect on COPD in FA, particularly on functional ability, respiratory symptoms, affective state, inflammation, and autonomic imbalance. If the hypothesis is correct, MM could be rapidly and inexpensively taught to FA with COPD and other COPD patients to slow degeneration and improve quality of life.
The study has three phases.
Phase 1 will identify the best MM practices and their impact on a test group of affected FA.
Phase 2 will develop a video to apply what is learned in Phase 1 to a larger group of
affected FA, and will document the resulting impact on various aspects of pulmonary
dysfunction and its comorbidities. Phase 3 is to refine the protocols and methods developed
in earlier phases.
Phase 1: To identify the best set of MM exercises for improving COPD-related symptoms. This
will be done by conducting a 12-week in-person MM program that will be held in one or more
locations in the Northeastern region of the US and possibly other regions of the
country.These training sessions will be used to determine precisely which MM exercises are
most appropriate for this group. Selection will be based on professional judgment,
participant feedback, and objective pre- and post-intervention measurements taken at the
beginning and end of the 12-week program.
Phase 2: To use an RCT to evaluate the effectiveness of the exercises selected in Aim 1, as
delivered by video only. We will design and produce an instructional DVD based on the
findings in Aim 1.In the RCT we will test the hypothesis that targeted MM training and
practice using the DVD alone will improve QOL, exercise tolerance, autonomic balance and
pulmonary function, and reduce fatigue, in flight attendants with a COPD diagnosis. Pre- and
post-intervention measurements will be compared, and to outcomes from a control group of
flight attendants who will be wait listed for later participation in the study.
Phase 3: The videos used to train subjects in Phase II will be refined and the order of
introduction of training modules will be adjusted. Efficacy will again be tested in newly
recruited subjects. This is also a RCT.
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