Universität zu Köln

Schloesser, Karlotta, Eisenmann, Yvonne, Bergmann, Anja and Simon, Steffen T. (2021). Development of a Brief Cognitive and Behavioral Intervention for the Management of Episodic BreathlessnessdA Delphi Survey With International Experts. J. Pain Symptom Manage., 61 (5). S. 963 - 975. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1873-6513

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Abstract

Context. Episodic breathlessness is characterized by a severe worsening of breathlessness intensity that goes beyond usual fluctuations. Episodes are usually short; therefore, nonpharmacological strategies (cognitive and behavioral) seem most promising to be beneficial. Which strategiesddelivered separately or in combinationdmight be most effective and feasible remains unclear. Objectives. The Delphi survey selects and determines different nonpharmacological strategies for coping with episodic breathlessness to develop a brief cognitive and behavioral intervention for the management of episodic breathlessness. Methods. Using an online Delphi survey comprising three rounds, international, multidisciplinary experts in breathlessness summarized and determined cognitive and behavioral strategies. The a priori target agreement for close-ended questions was 70%. Results. Experts (n = 41/87; n = 45/85; n = 36/85) agreed on 15 of the 31 cognitive and behavioral strategies. Based on the panellists? opinion, the final version of the cognitive and behavioral intervention comprised the following characteristics: individually tailored intervention, a high proportion of communication, short duration, the involvement of carers, and use of the Breathing, Thinking, Functioning Model of Spathis et al. Consensus upon the delivery of the subsequent strategies within the intervention was reached: handheld fan, forward lean, diaphragmatic breathing, distraction, pursed lips breathing, long breaths out, and relaxation training. Conclusion. Using the consented nonpharmacological strategies, a brief cognitive and behavioral intervention was developed that balances between individualization and standardization of the intervention.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schloesser, Karlotta UNSPECIFIED UNSPECIFIED UNSPECIFIED Eisenmann, Yvonne UNSPECIFIED UNSPECIFIED UNSPECIFIED Bergmann, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Simon, Steffen T. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-562475
DOI:	10.1016/j.jpainsymman.2020.09.034
Journal or Publication Title:	J. Pain Symptom Manage.
Volume:	61
Number:	5
Page Range:	S. 963 - 975
Date:	2021
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1873-6513
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OBSTRUCTIVE PULMONARY-DISEASE; LUNG-CANCER; COPD PATIENTS; DYSPNEA; PREVALENCE; CATEGORIZATION; ANXIETY; PEOPLE; MODEL; TRIAL Multiple languages Health Care Sciences & Services; Medicine, General & Internal; Clinical Neurology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56247