Trial reportThe European respiratory journal2017
Contributions of a hand-held fan to self-management of chronic breathlessness.
Trial report in The European respiratory journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A 7-point evidence-based care discharge protocol for patients hospitalized for exacerbation of COPD: consensus strategy and expert recommendation.NPJ primary care respiratory medicine · 2024Pooled it
- Handheld fans for dyspnoea in respiratory failure: randomised controlled trial.BMJ supportive & palliative care · 2025Trial
- Medical hypnosis mitigates laboratory dyspnoea in healthy humans: a randomised, controlled experimental trial.The European respiratory journal · 2024Trial
- A mixed-methods pilot study of handheld fan for breathlessness in interstitial lung disease.Scientific reports · 2021Trial
- Oral morphine drops for prompt relief of breathlessness in patients with advanced cancer-a randomized, double blinded, crossover trial of morphine sulfate oral drops vs. morphine hydrochloride drops with ethanol (red morphine drops).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Trial
- Effect of fan-to-face therapy on exertional breathlessness in adults with chronic lung disease.ERJ open research · 2026Article
- Airflow for reducing breathlessness in people with serious respiratory illness: a systematic review.ERJ open research · 2026Article
- Implementing breathlessness self-management in low- and middle-income countries: co-design of breathlessness self-management resources for use in India.NPJ primary care respiratory medicine · 2025Article
- Pathophysiological Insights and Clinical Management Strategies for Interstitial Lung Diseases.Biomolecules & therapeutics · 2025Review
- BREATHLEssness in INDIA (BREATHE-INDIA): realist review to develop explanatory programme theory about breathlessness self-management in India.NPJ primary care respiratory medicine · 2025Review
- "I'm living in a 'no' world now…"- A qualitative study of the widespread impact of living with chronic breathlessness, and experiences of identification and assessment of this symptom in an older, frail community-based population.NPJ primary care respiratory medicine · 2025Article
- Palliative Care for Patients with Severe Chronic Lung Diseases: A Swiss Position Paper.Respiration; international review of thoracic diseases · 2025Review
- Application of Fan Therapy in Alleviating Dyspnea.Journal of multidisciplinary healthcare · 2025Review
- Fan Therapy for Dyspnea in Lung Transplant Recipients in the Intensive Care Unit: A Before-and-After Study.Cureus · 2024Article
- Deventilation Syndrome in Patients with Chronic Obstructive Pulmonary Disease Using Nocturnal Noninvasive Ventilation: What Are the Underlying Mechanisms?Respiration; international review of thoracic diseases · 2024Observational
- "It's like a forgotten issue sometimes …": Qualitative study of individuals living and caring for people with chronic breathlessness.The clinical respiratory journal · 2023Article
- Caring for patients with advanced COPD: beyond the inhalers….Breathe (Sheffield, England) · 2023Review
- The handheld fan for chronic breathlessness: Clinicians' experiences and views of implementation in clinical practice.PloS one · 2023Article
- Article
- The handheld fan for chronic breathlessness: Clinicians' experiences and views of implementation in clinical practice.PloS one · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
This study explored the benefits of a hand-held fan as perceived by patients with chronic breathlessness and their carers.A secondary multimethod analysis was conducted of interview data collected in three clinical trials. Two researchers independently coded level of benefit qualitatively reported by each patient. Univariate and multivariate statistics were used to explore perceived benefit as a factor of sex, age and diagnosis. Qualitative analysis used an integrative method.133 patients commented on the fan, of whom 72 had a carer. Diagnoses included nonmalignant (n=91, 68.4%) and malignant (n=21, 15.8%) conditions. Of 111 patients who provided codable data, four (3.6%) perceived no benefit, 16 (14.4%) were uncertain, 80 (72.0%) perceived some benefit and 11 (10.0%) perceived very substantial benefit. Multivariate analysis was inconclusive. Benefit was described in terms of shorter recovery time, especially after activity. 10 (7.5%) patients said the fan reduced their need for home oxygen or inhaled β-agonist medications. Negative perceptions of a few included dislike of the cooling sensation and embarrassment in public.Findings suggest that a hand-held fan is a portable intervention with few disadvantages from which most patients with chronic breathlessness will derive benefit alongside other nonpharmacological and pharmacological strategies. Research is needed to optimise guidance on fan administration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.