{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T22:41:09Z","timestamp":1787611269697,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T00:00:00Z","timestamp":1762646400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background and Purpose<\/jats:title>\n Assessing breathing patterns in people with chronic obstructive pulmonary disease (COPD) is essential, yet assessment tools are often inaccessible outside of specialized care. The Brompton Breathing Pattern Assessment Tool (BPAT) enables quick, contactless evaluations, making it suitable for remote assessments. Although the BPAT has been shown to be reliable for remote evaluation of asthma patients, there is no evidence regarding its reliability for COPD patients. The aim of this study was to assess the reliability of the BPAT for remote assessment in patients with chronic obstructive pulmonary disease (COPD).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This cross\u2010sectional study included 18 adults with medically confirmed stable COPD (mean age 80\u00a0\u00b1\u00a08.3\u00a0years; 72.2% female). One physiotherapist conducted in\u2010person BPAT evaluations, while a high\u2010definition smartphone camera and microphone captured video of the participants' full upper bodies. Three physiotherapists participated as remote assessors, independently evaluating the same recorded breathing patterns. The main outcome measure was the total scores from the BPAT. The intraclass correlation coefficient (ICC\n 3,1<\/jats:sub>\n ) was used to assess inter\u2010rater reliability, and Bland\u2013Altman analyses were conducted between the in\u2010person assessor and each remote assessor.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The reliability of the BPAT was positive and moderate between the four assessors (ICC 0.70 [0.50\u20130.86]) and the three remote assessors (ICC 0.70 [0.47\u20130.86]). The mean differences from the Bland\u2010Altman analyses ranged from \u22121.17 to \u22120.22 points.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n This study demonstrates that the BPAT seems to be reliable for remote use in people with COPD and may serve as a useful screening instrument to identify individuals who could benefit from further specialist assessment of breathing pattern disorders.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pri.70124","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T16:19:21Z","timestamp":1762705161000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reliability of the Breathing Pattern Assessment Tool for Remote Assessment in People With COPD"],"prefix":"10.1002","volume":"31","author":[{"given":"Pedro","family":"Freitas","sequence":"first","affiliation":[{"name":"FP\u2010I3ID FP\u2010BHS Escola Superior de Sa\u00fade Fernando Pessoa Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1151-8791","authenticated-orcid":false,"given":"Cristina","family":"J\u00e1come","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Health Information and Decision RISE\u2010Health Faculty of Medicine of University of Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4422-8440","authenticated-orcid":false,"given":"Rui","family":"Vilarinho","sequence":"additional","affiliation":[{"name":"FP\u2010I3ID FP\u2010BHS Escola Superior de Sa\u00fade Fernando Pessoa Porto Portugal"},{"name":"CIR E2S Polytechnic of Porto Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.13856"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2022.11.006"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.04.014"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_11_6_1","volume-title":"Design and Analysis of Clinical Experiments","author":"Fleiss J. L.","year":"1986"},{"key":"e_1_2_11_7_1","volume-title":"Global Strategy for Prevention, Diagnosis and Management of COPD: 2025 Report","author":"Global Initiative for Chronic Obstructive Lung Disease","year":"2025"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013196.pub2"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202410\u20102080ST"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resp.2017.08.011"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520\u2010023\u201002381\u20103"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(86)90837\u20108"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010024\u201003761\u20106"},{"key":"e_1_2_11_14_1","volume-title":"Physiotherapy for Respiratory and Cardiac Problems: Adults and Paediatrics","author":"Pryor J. 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