{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T19:20:42Z","timestamp":1781551242583,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,5,15]],"date-time":"2018-05-15T00:00:00Z","timestamp":1526342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Many patients with advanced COPD experience refractory breathlessness and individualized breathlessness interventions may improve management of this complex symptom. The aims of this study were to develop, implement and assess the efficacy of a breathlessness intervention for patients with COPD and refractory breathlessness and to evaluate patient acceptability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An individualized breathlessness plan, information leaflets, breathlessness education and a hand\u2010held fan were offered to consecutive patients with severe COPD and refractory breathlessness attending a tertiary integrated respiratory and palliative care service. Validated dyspnoea, quality of life and anxiety\/depression questionnaires were administered at baseline and after 6 weeks, with change in dyspnoea scores being the primary outcome measure. A subset of patients participated in a structured telephone interview to qualitatively assess the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six patients with severe COPD (mean forced expiratory volume in 1\u2009s (FEV<jats:sub>1<\/jats:sub>) 38%) were included, with a mean age of 74 years. Mean modified Medical Research Council Breathlessness Scale score was 3.5. Anxiety and depression were common, being present in 38% and 35% of participants. At 6 weeks, there was a clinically significant improvement in breathlessness severity as measured by the Numerical Rating Scale. The subset of patients with anxiety\/depression also saw significant improvement in all domains of the Self\u2010Administered Standardized Chronic Respiratory Questionnaire  (CRQ\u2010SAS). Patients reported that the intervention was highly useful and acceptable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This feasibility study of individualized breathlessness interventions in patients with severe COPD and refractory breathlessness is the first to demonstrate a clinically significant reduction in dyspnoea scores, with high levels of patient acceptability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.13324","type":"journal-article","created":{"date-parts":[[2018,5,15]],"date-time":"2018-05-15T20:27:19Z","timestamp":1526416039000},"page":"1146-1151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Individualized breathlessness interventions may improve outcomes in patients with advanced COPD"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6033-6580","authenticated-orcid":false,"given":"Mary Y.Y.","family":"Qian","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Melbourne Hospital  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Politis","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Melbourne Hospital  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Melbourne Hospital  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1490-0547","authenticated-orcid":false,"given":"Darren","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Melbourne  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Le","sequence":"additional","affiliation":[{"name":"Department of Palliative Care Royal Melbourne Hospital  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Irving","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Melbourne Hospital  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3403-3586","authenticated-orcid":false,"given":"Natasha","family":"Smallwood","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Royal Melbourne Hospital  Melbourne VIC Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,15]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"From the Global Strategy for the Diagnosis, Management and Prevention of COPD","author":"Global Initiative for Chronic Obstructive Lung Disease (GOLD)","year":"2017"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.94.07071342"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-017-0396-4"},{"key":"e_1_2_6_5_1","first-page":"137","article-title":"Chronic refractory dyspnoea\u2014evidence based management","volume":"42","author":"Wiseman R","year":"2013","journal-title":"Aust. 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