Evidence map›Paper›PMID 34023739›Full record

ArticleRespiratory medicine2021

Managing the experience of breathlessness with Tai Chi: A qualitative analysis from a randomized controlled trial in COPD.

Elizabeth A Gilliam, Karen L Kilgore, Yuchen Liu, Lauren Bernier, Shana Criscitiello, Daniel Litrownik, Peter M Wayne, Marilyn L Moy, Gloria Y Yeh

Open access · greenAbstract read
In one paragraph

Article in Respiratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Meditative movement for breathlessness in advanced COPD or cancer: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  3. COPD-Related Anxiety: A Systematic Review of Patient Perspectives.International journal of chronic obstructive pulmonary disease · 2023
    Pooled it
  4. Trial
  5. Kinesiophobia in Patients with Chronic Obstructive Pulmonary Disease: A Concept Analysis.International journal of chronic obstructive pulmonary disease · 2026
    Review
  6. Review
  7. Article
  8. The Science of Tai Chi andJournal of integrative and complementary medicine · 2025
    Review
  9. Article
  10. Article
  11. The impact of yoga on aging physiology: A review.The journal of nutrition, health & aging · 2024
    Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Elizabeth A GilliamDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA. Electronic address: egilliam@bidmc.harvard.edu.
Karen L KilgoreSchool of Special Education, School Psychology, and Early Childhood Studies, University of Florida, Gainesville, FL, USA.
Yuchen LiuDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA.
Lauren BernierDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA.
Shana CriscitielloDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA.
Daniel LitrownikDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA; Osher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Peter M WayneOsher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA; Division of Preventive Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Marilyn L MoyPulmonary and Critical Care Medicine Section, Department of Medicine, Veterans Administration Boston Healthcare System, Boston, MA, USA and Harvard Medical School, Boston, MA, USA.
Gloria Y YehDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA; Osher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Beth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USUniversity of Florida · USVA Boston Healthcare System · US

Funding

Tai Chi after Pulmonary Rehabilitation in Patients with COPD: A Randomized TrialR01AT006358 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI MOY, MARILYN L., YEH, GLORIA Y · 2012 to 2016
$3.0M
Mentoring and Patient-Oriented Research in Mind-Body ExerciseK24AT009465 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GLORIA Y YEH · 2017 to 2026
$1.3M
Mentoring and research in mind-body and integrative therapiesK24AT009282 · NCCIH · BRIGHAM AND WOMEN'S HOSPITAL · PI WAYNE, PETER MICHAEL · 2017 to 2021
$834k
NCCIH NIH HHS K24 AT009282NCCIH NIH HHS K24 AT009465NCCIH NIH HHS R01 AT006358
6 · The paper itself

Abstract

purposeChronic obstructive pulmonary disease (COPD) is associated with dyspnea, decreased physical activity, and reduced quality-of-life. While pulmonary rehabilitation is helpful, maintenance of physical activity afterwards is problematic. We sought to explore qualitatively the multi-dimensional, biopsychosocial experience of patients with COPD who participated in Tai Chi (TC) vs. group walking to facilitate physical activity after pulmonary rehabilitation).

methodsWe analyzed semi-structured qualitative exit interviews (N = 81) from a randomized controlled trial comparing 6-months TC with a time-matched group walking intervention and usual care control (UC). Transcripts were reviewed by at least 2 independent reviewers utilizing a social constructivist framework and theoretical sampling approach. An in-depth analysis of an exemplar subset was performed to thematic saturation and captured emergent themes within and between groups.

resultsFocused analysis was conducted on 54 transcripts (N = 21 TC, N = 16 Walking, N = 17 UC). Participants were characterized by mean age 68.5 (±8.3) years, GOLD Stage = 3.0 (IQR 2.0-3.0), baseline FEV

conclusionTC promoted physical and mental wellbeing by diminishing fear and embarrassment associated with breathlessness. Results highlight the multimodal characteristics of TC that may facilitate continued physical activity and improvement in quality of life.

Indexed as

Randomized Controlled Trials as TopicTai JiAgedDyspneaEmbarrassmentExerciseFearFemaleForced Expiratory VolumeHumansMaleMiddle AgedPsychophysiologyPulmonary Disease, Chronic ObstructiveQuality of LifeBreathlessnessChronic obstructive pulmonary diseaseCOPDDisease managementIntegrativeMind-bodyPatient experienceTai Chi

Identifiers

PMID34023739
PMCPMC8210537
OpenAlexW3160400125

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.