The impact of Tai Chi and mind-body breathing in COPD: Insights from a qualitative sub-study of a randomized controlled trial
| العنوان: | The impact of Tai Chi and mind-body breathing in COPD: Insights from a qualitative sub-study of a randomized controlled trial |
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| المؤلفون: | Daniel Litrownik, Peter M. Wayne, Gloria Y. Yeh, Kristen M. Kraemer, Marilyn L. Moy, Tina Cheung, Elizabeth A. Gilliam |
| المصدر: | PLoS ONE, Vol 16, Iss 4, p e0249263 (2021) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Activities of daily living, Pulmonology, Physiology, Emotions, Psychological intervention, Social Sciences, Anxiety, law.invention, Pulmonary Disease, Chronic Obstructive, 0302 clinical medicine, Randomized controlled trial, law, Medicine and Health Sciences, Medicine, Psychology, Public and Occupational Health, 030212 general & internal medicine, Multidisciplinary, Respiration, Behavior change, Middle Aged, Breathing, Female, medicine.symptom, Behavioral and Social Aspects of Health, Psychosocial, Clinical psychology, Research Article, Chronic Obstructive Pulmonary Disease, Science, 03 medical and health sciences, Social support, Mental Health and Psychiatry, Humans, Exercise, Aged, Behavior, business.industry, Biology and Life Sciences, Physical Activity, 030228 respiratory system, Quality of Life, Tai Ji, business, Physiological Processes, Neurocognitive |
| الوصف: | PurposeChronic obstructive pulmonary disease (COPD) is associated with multiple psychosocial and behavioral factors. Prior research suggests that mind-body interventions may support the development and maintenance of healthy behaviors and improve health-related quality-of-life in such patients. We sought to qualitatively explore cognitive, psychosocial, and behavioral changes in patients with COPD who participated in two different mind-body interventions compared to an education control.MethodsWe analyzed semi-structured qualitative exit interviews from a prospective, randomized pilot trial (N = 123) investigating 12-weeks of Tai Chi (TC) vs. mind-body breathing (MBB) vs. education (EDU) control in patients with moderate-severe COPD. TC involved traditional movements, that integrate meditative breathing, while MBB focused mainly on meditative breathing techniques alone. Interviews were audio-recorded and transcribed verbatim. Qualitative analysis of randomly selected transcripts was performed by two independent reviewers using an iterative process to identify emergent themes informed by grounded theory methods until thematic saturation was reached.ResultsA total of 66 transcripts were reviewed (N = 22 TC, N = 22 MBB, N = 22 EDU). Participants were mean age = 68.1 years, GOLD Stage = 2.3, baseline FEV11percent predicted mean (SD): 58% (13.4), 42.4% female. We identified six frequently mentioned themes: 1) overall awareness and understanding, 2) self-care knowledge, skills and behaviors, 3) behavior-related neurocognitive concepts, 4) physical function, 5) psychological well-being, and 6) social support/social function. Compared to EDU, more participants in TC and MBB noted improvements in awareness of self and the mind-body connection (e.g., body and breath awareness), knowledge of breathing techniques and integration of self-care skills with daily activities, self-efficacy for symptom management (particularly managing anxiety and dyspnea), acceptance of disease, physical function improvements (e.g., endurance, dyspnea, fatigue), and psychological well-being (particularly relaxation, emotion regulation and decreased reactivity). Compared to MBB, those in TC shared more intention to continue with self-care behaviors, physical activity self-efficacy, and improved flexibility. All three groups, including EDU, noted increased social support and knowledge of disease. Those in EDU, however, had fewer mentions of processes related to behavior change, and less concrete changes in neurocognitive, psychological, and physical function domains.ConclusionsMind-body interventions including meditative breathing may impact behavior-related neurocognitive and emotional factors that improve self-care management and support positive behavioral changes in patients with COPD.Trial registrationThis trial is registered in Clinical Trials.gov, ID numberNCT01551953. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b3e4261f305f7992d7f9cb52ce4d5924 https://doaj.org/article/2b028a944f744486bd549c726d9ad24b |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b3e4261f305f7992d7f9cb52ce4d5924 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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