Universität zu Köln

Schloesser, Karlotta, Bergmann, Anja, Eisenmann, Yvonne, Pauli, Berenike ORCID: 0000-0002-4209-6659, Hellmich, Martin, Oberste, Max, Hamacher, Stefanie ORCID: 0000-0003-2158-9101, Tuchscherer, Armin, Frank, Konrad F., Randerath, Winfried ORCID: 0000-0002-5010-8461, Herkenrath, Simon and Simon, Steffen T. (2022). Only I Know Now, of Course, How to Deal With it, or Better to Deal With it: A Mixed Methods Phase II Study of a Cognitive and Behavioral Intervention for the Management of Episodic Breathlessness. J. Pain Symptom Manage., 63 (5). S. 758 - 769. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1873-6513

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Abstract

Context. Episodic breathlessness is characterized by increased breathlessness intensity, and it is burdensome for patients. A vicious cycle of breathlessness-anxiety/panic-breathlessness leads to emergencies that can rarely be alleviated by drugs. Nonpharmacological interventions seem to be beneficial: Can a brief cognitive and behavioral intervention help patients to better manage episodic breathlessness? Objectives. To evaluate the feasibility, safety, acceptability, and potential effects of a brief cognitive and behavioral intervention for the management of episodic breathlessness. Methods. Between February 2019 and February 2020, 49 patients with life-limiting diseases suffering from episodic breathlessness were enrolled in the single-arm phase II study. The baseline assessment was followed by the one- to two-hour intervention. In weeks two, four, and six after the intervention, the outcomes (main outcome of potential effects: mastery of breathlessness) were assessed, and in week six, a qualitative interview, and the final assessment took place. A mixed-methods approach was used to evaluate mainly the feasibility, including interviewing informal carers. Results. 46/49 patients (24 female; 36 with COPD; mean age: 66.0 years) participated in the baseline assessment, 38 attended the intervention, 32 completed the final assessment, and 22 were interviewed. Study procedures and the intervention were feasible and mainly well accepted and patients did not experience burdens caused by it (28/32). In the interviews, patients described a positive change in their competencies in managing episodic breathlessness and feelings of anxiety during the episode. Mastery of breathlessness improved after the intervention. Conclusion. The brief cognitive and behavioral intervention and the study procedures are feasible, safe, and well accepted. We can describe a change for better management of episodic breathlessness in patients after the intervention, still, this needs to be evaluated in a Phase III trial for inclusion in the management of episodic breathlessness. (C) 2022 Published by Elsevier Inc. on behalf of American Academy of Hospice and Palliative Medicine.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schloesser, Karlotta UNSPECIFIED UNSPECIFIED UNSPECIFIED Bergmann, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Eisenmann, Yvonne UNSPECIFIED UNSPECIFIED UNSPECIFIED Pauli, Berenike UNSPECIFIED orcid.org/0000-0002-4209-6659 UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Oberste, Max UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamacher, Stefanie UNSPECIFIED orcid.org/0000-0003-2158-9101 UNSPECIFIED Tuchscherer, Armin UNSPECIFIED UNSPECIFIED UNSPECIFIED Frank, Konrad F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Randerath, Winfried UNSPECIFIED orcid.org/0000-0002-5010-8461 UNSPECIFIED Herkenrath, Simon UNSPECIFIED UNSPECIFIED UNSPECIFIED Simon, Steffen T. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-662840
DOI:	10.1016/j.jpainsymman.2021.11.003
Journal or Publication Title:	J. Pain Symptom Manage.
Volume:	63
Number:	5
Page Range:	S. 758 - 769
Date:	2022
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; ADVANCED CANCER; LUNG-CANCER; PREVALENCE; DYSPNEA; LIFE Multiple languages Health Care Sciences & Services; Medicine, General & Internal; Clinical Neurology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66284