Evidence map›Paper›PMID 40121019›Full record

Trial reportBMJ open respiratory research2025

Complex breathlessness intervention in idiopathic pulmonary fibrosis (BREEZE-IPF): a feasibility, wait-list design randomised controlled trial.

Michael George Crooks, Caroline Wright, Simon Hart, Victoria Allgar, Anne English, Flavia Swan, Judith Dyson, Gerry Richardson, Maureen Twiddy, Judith Cohen and 4 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMJ open respiratory research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Application of Fan Therapy in Alleviating Dyspnea.Journal of multidisciplinary healthcare · 2025
    Review
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

14 authors.

Michael George CrooksRespiratory Research Group, Hull York Medical School, Cottingham, East Yorkshire, UK michael.crooks@nhs.net.ORCID http://orcid.org/0000-0001-6876-0258
Caroline WrightRespiratory Research Group, Hull York Medical School, Cottingham, East Yorkshire, UK.ORCID http://orcid.org/0000-0002-6965-5270
Simon HartRespiratory Research Group, Hull York Medical School, Cottingham, East Yorkshire, UK.
Victoria AllgarPlymouth University, Plymouth, Plymouth, UK.
Anne EnglishNHS Humber Foundation Trust, Hull, UK.
Flavia SwanHull York Medical School, Hull, UK.ORCID http://orcid.org/0000-0001-7723-5244
Judith DysonHull York Medical School, Hull, UK.
Gerry RichardsonCentre for Health Economics, University of York, York, UK.
Maureen TwiddyHull York Medical School, Hull, UK.
Judith CohenHull York Medical School, Hull, UK.
Andrew SimpsonUniversity of Hull, Hull, UK.
Chao HuangHull York Medical School, Hull, UK.
Dominic L SykesRespiratory Research Group, Hull York Medical School, Cottingham, East Yorkshire, UK.ORCID http://orcid.org/0000-0002-0925-7772
Miriam JohnsonHull York Medical School, Hull, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBreathlessness is common and impairs the quality of life of people with idiopathic pulmonary fibrosis (IPF) and non-IPF fibrotic interstitial lung diseases (ILD). We report the findings of a multicentre, fast-track (wait-list), mixed-methods, randomised controlled, feasibility study of a complex breathlessness intervention in breathless IPF and non-IPF fibrotic ILD patients.

methodsBreathless IPF and non-IPF fibrotic ILD patients were randomised to receive the intervention within 1 week (fast-track) or after 8 weeks (wait-list). The intervention comprised two face-to-face and one telephone appointment during a 3-week period covering breathing control, handheld fan-use, pacing and breathlessness management techniques, and techniques to manage anxiety. Feasibility and clinical outcomes were assessed to inform progression to, and optimal design for, a definitive trial. A qualitative substudy explored barriers and facilitators to trial and intervention delivery.

results47 patients (M:F 38:9, mean (SD) age 73.9 (7.2)) were randomised with a recruitment rate of 2.5 participants per month across three sites. The adjusted mean differences (95% CI) for key clinical outcomes at 4 weeks post randomisation were as follows: Chronic Respiratory Questionnaire breathlessness mastery domain (0.45 (-0.07, 0.97)); and numerical rating scales for 'worst' (-0.93 (-1.95, 0.10)), 'best' (-0.19 (-1.38, 1.00)), 'distress caused by' (-1.84 (-3.29, -0.39)) and 'ability to cope with' (0.71 (-0.57, 1.99)) breathlessness within the past 24 hours. The qualitative substudy confirmed intervention acceptability and informed feasibility and acceptability of study outcome measures.

conclusionA definitive trial of a complex breathlessness intervention in patients with IPF and non-IPF fibrotic ILD is feasible with preliminary data supporting intervention effectiveness. TRIAL REGISTRATION NUMBER: ISRCTN13784514.

Indexed as

DyspneaIdiopathic Pulmonary FibrosisLung Diseases, InterstitialAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMiddle AgedQuality of LifeWaiting ListsInterstitial Fibrosis

Identifiers

PMID40121019
PMCPMC11931949

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.