Relaxation Training for People With Chronic Obstructive Pulmonary Disease (COPD)

Study Overview
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Brief Summary
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People with Chronic Obstructive Pulmonary Disease (COPD) suffer from dyspnoea, which may be exacerbated by psychological outcomes including anxiety and depression. Previous studies suggest that relaxation techniques may have positive effects on pulmonary rehabilitation. The main aim of this study is to explore both the respiratory and psychological impact of a quick, one-session, relaxation training for people with Chronic Obstructive Pulmonary Disease (COPD).

Official Title
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A Quick Relaxation Training for People With Chronic Obstructive Pulmonary Disease (COPD)

Conditions
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Chronic Obstructive Pulmonary Disease (COPD)

Intervention / Treatment
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* Behavioral: Guided Relaxation Technique
* Other: Documentary Movie


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Written Informed Consent; Chronic Obstructive Pulmonary Disease (COPD) diagnosis confirmed by a specialized physician; basal FEV1/FVC <70%, using the standards established by Global Initiative For Chronic Obstructive Lung Disease (GOLD); Modified British Medical Research Council Questionnaire (mMRC) ≥ 2; COPD Assessment Test (CAT) ≥ 10. Exclusion Criteria: Pregnancy; psychiatric disturbances; oncological diseases; comorbid states that determine an immunosuppressive condition.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Guided Relaxation Technique<br>Forced Vital Capacity (FVC), Forced Expiratory Volume in the First Second (FEV1), FEV1/FVC, Heart Rate Variability (HRV), airway resistance (kPa/l/s), before and after an 11 minutes, one-session, guided relaxation technique Following 30-40 minutes questionnaire, 5 minutes heart rate (HR) and oxygen saturation (SpO2) recording, 11 minutes relaxation technique (listening via headphone to audio recording. In the meanwhile, heart rate and saturation are recording) to be completed by second heart rate (HR) and oxygen saturation (SpO2) recording. Entire procedure 60-80 minutes. | Behavioral: Guided Relaxation Technique<br> <br> * Other names: Relaxation Therapy;|
| Sham Comparator: Documentary movie<br>Forced Vital Capacity (FVC), Forced Expiratory Volume in the First Second (FEV1), FEV1/FVC, Heart Rate Variability (HRV), airway resistance (kPa/l/s), before and after an 11 minutes documentary movie. Following 30-40 minutes questionnaire, 5 minutes heart rate (HR) and oxygen saturation (SpO2) recording, 11 minutes documentary movie (listening via headphone. In the meanwhile, heart rate and saturation are recording) to be completed by second heart rate (HR) and oxygen saturation (SpO2) recording. Entire procedure 60-80 minutes. | Other: Documentary Movie<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Differences in patients' state of dyspnea, before and after the treatment, as assessed by the Borg Scale (BORG) |  | Baseline and following filling in all the psychological tests and the session of relaxation technique/documentary movie (60-80 minutes elapsed time) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Heart Rate Variability (HRV), before, during and after the treatment |  | It is recorded for 5 minutes before, during and after the session of relaxation technique/documentary movie (60-80 minutes elapsed time) | 
| Changes in oxygen saturation (SpO2), before, during and after the treatment |  | It is recorded for 5 minutes before, during and after the session of relaxation technique/documentary movie (60-80 minutes elapsed time) | 
| Changes in airway resistance (kPa/l/s) before and after the treatment |  | Baseline and following filling in all the psychological tests and the session of relaxation technique/documentary movie (60-80 minutes elapsed time) | 
| Changes in subjective feelings of anxiety, before and after the treatment, as measured by the State Trait Anxiety Inventory (STAI-Y1) |  | Before the session of relaxation training/documentary movie and after it (60-80 minutes elapsed time) | 
| Changes in the intensity of subjective feelings, before and after the treatment, as assessed by a Visual Analogue Scale (VAS) |  | Before the session of relaxation training/documentary movie and after it (60-80 minutes elapsed time) | 
| Changes in the intensity of positive and negative affects, before and after the treatment, as assessed by the Positive and Negative Affective Schedule (PANAS) |  | Before the session of relaxation training/documentary movie and after it (60-80 minutes elapsed time) | 
| Presence and intensity of the possible subjective experience of engaging just-manageable challenges by tackling a series of goals, continuously processing feedback about progress, and adjusting action based on this feedback, after the treatment | Presence and intensity of the possible state of flow experience, as assessed by a short form of the Flow State Scale, called Short Flow State Scale -2 (FSS-2) | After the session of relaxation training/documentary movie (60-80 minutes after the baseline) | 
| Differences in Forced Vital Capacity (FVC), before and after the treatment |  | Baseline and following filling in all the psychological tests and the session of relaxation technique/documentary movie (60-80 minutes elapsed time) | 
| Differences in Forced Expiratory Volume in The First Second (FEV1), before and after the treatment |  | Baseline and following filling in all the psychological tests and the session of relaxation technique/documentary movie (60-80 minutes elapsed time) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic Obstructive Pulmonary Disease (COPD), Relaxation Technique, Anxiety