IMT in Asthma: Activity, Coping, Self-Management
ConditionQualitative Research
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorIstanbul Esenyurt University
About this trial
The aim of this study is to investigate asthma patients' experiences with an 8 week IMT and the perceived effects of this intervention on physical activity, coping strategies, and asthma self-management. A qualitative methodological design will be applied to understand the experiences of patients participating in the IMT program, how the program affected their daily activities, how they coped with symptoms and difficulties, and how they managed their condition.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Being between the ages of 18-65
Having been diagnosed with severe persistent, non-allergic asthma by a pulmonologist in accordance with the Global Initiative for Asthma (GINA) guideline criteria,
Patients with type 2 inflammation markers. According to accepted standards; peripheral eosinophils <150/µL and/or negative skin prick test and/or total IgE <30 kU/L
Bronchodilator response (>12% or 200 mL improvement in FEV1% predicted following inhalation of 400 mg salbutamol)
Disqualifiers
Having recently had a respiratory tract infection recently (within the last month),
Having a smoking history of more than 10 pack-years or having a history of smoking within 6 months after quitting smoking
Having received oral corticosteroid treatment in the last 4 weeks,
Having a Body Mass Index >35,
Trial population
Asthma
Trial design
Design model
Other
Time perspective
Other
Treatments tested in this trial
other
Other interventionOther: Telephone concept elicitation interview All interview questions are designed to be quite open-ended in order to determine participants' preferences in an unbiased manner (as much as possible). Additional questions will only be used when necessary to ensure that all relevant concepts are covered. Participants will be asked questions about the effects of inspirational muscle training they have previously experienced on their daily lives, coping strategies, and self-management processes.
Treatment groups
15 Participants
are divided into 1 treatment groupGroup A: Pulmonary Rehabilitation Group (PRGr)1 intervention
Trial outcomes
Primary outcomes
1
Patient-reported experiences of inspiratory muscle training (IMT) assessed by semi-structured in-depth interviews (study-specific interview guide)
Semi-structured, in-depth, audio-recorded interviews will be conducted using a study-specific interview guide containing open-ended questions to investigate the effect of an 8-week inspiratory muscle training (IMT) program on the experiences of adults with severe persistent asthma. Interviews will be conducted online and, when possible, in person or via telephone/video call. Interviews are expected to last approximately 45-60 minutes. Recordings will be transcribed verbatim in Turkish, supplemented with the researcher's field notes, and analyzed using thematic analysis.
Time frame
Single assessment after completion of the 8-week IMT program (within 4 weeks after IMT completion)2
Experience of exercising using telerehabilitation assessed by semi-structured in-depth interviews (study-specific interview guide)
Semi-structured, in-depth, audio-recorded interviews will be conducted using a study-specific interview guide with open-ended questions to explore participants' experiences of exercising with telerehabilitation, including the perceived role of telerehabilitation in the learning process, and perceived advantages, limitations, and challenges from the participant's perspective. Interviews will be conducted online and, when possible, in person or via telephone/video call. Interviews are expected to last approximately 45-60 minutes. Recordings will be transcribed verbatim in Turkish, supplemented with the researcher's field notes, and analyzed using thematic analysis.
Time frame
Single assessment after completion of the 8-week IMT program (within 4 weeks after IMT completion)3
Changes in physical activity in daily life assessed by semi-structured in-depth interviews (study-specific interview guide)
Semi-structured, in-depth, audio-recorded interviews will be conducted using a study-specific interview guide with open-ended questions to explore perceived changes in physical activity in daily life (e.g., walking, climbing stairs, housework) from the participant's perspective following the 8-week program. Interviews will be conducted online and, when possible, in person or via telephone/video call. Interviews are expected to last approximately 45-60 minutes. Recordings will be transcribed verbatim in Turkish, supplemented with the researcher's field notes, and analyzed using thematic analysis.
Time frame
Single assessment after completion of the 8-week IMT program (within 4 weeks after IMT completion)4
Self-management skills assessed by semi-structured in-depth interviews (study-specific interview guide)
Semi-structured, in-depth, audio-recorded interviews will be conducted using a study-specific interview guide with open-ended questions to explore participants' perceived self-management skills, including disease and trigger recognition, symptom monitoring, accountability/responsibility, and perceived control. Interviews will be conducted online and, when possible, in person or via telephone/video call. Interviews are expected to last approximately 45-60 minutes. Recordings will be transcribed verbatim in Turkish, supplemented with the researcher's field notes, and analyzed using thematic analysis.
Time frame
Single assessment after completion of the 8-week IMT program (within 4 weeks after IMT completion)Sponsors and contacts
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Istanbul Esenyurt University
Lead sponsor
Saglik Bilimleri Universitesi
Sponsor institution
Source ClinicalTrials.gov