What is the clinical evidence from this study?

Population: Intractable dyspnea in advanced cardiopulmonary disease. Intervention: Breathlessness Intervention Service (BIS). Primary outcome: Participants' experience of using the Breathlessness Intervention Service.

What question did this study set out to answer?

To evaluate patient, caregiver, and clinician experiences with a newly established palliative Breathlessness Intervention Service for intractable dyspnea in advanced cardiopulmonary disease.

September 1, 2006Palliative & Supportive Care

The impact of a breathlessness intervention service (BIS) on the lives of patients with intractable dyspnea: A qualitative phase 1 study

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Key result

A palliative Breathlessness Intervention Service was highly valued by patients, carers, and clinicians for its educational approach and non-pharmacological strategies.

Why the study?

Does a Breathlessness Intervention Service (BIS) improve the experience and management of intractable dyspnea in patients with advanced cardiopulmonary disease?

Key Points

To evaluate patient, caregiver, and clinician experiences with a newly established palliative Breathlessness Intervention Service for intractable dyspnea in advanced cardiopulmonary disease.
Conducted a qualitative phase 1 study structured around the Medical Research Council Framework for the Evaluation of Complex Interventions.
Completed qualitative interviews assessing service experiences among referred patients, their relatives, and referring clinicians.
Patients and relatives identified non-pharmacological strategies—particularly handheld fans and specialized exercises—as novel, highly effective tools that lessened the panic and isolation associated with severe dyspnea.
Participants highlighted the value of flexible access and recommended supplemental written advice, while clinicians valued shared management for refractory respiratory symptoms.

Structured PICO

Does a Breathlessness Intervention Service (BIS) improve the experience and management of intractable dyspnea in patients with advanced cardiopulmonary disease?

Population

Patients with intractable dyspnea due to advanced cardiopulmonary disease, their relatives, and referring clinicians who utilized a palliative Breathlessness Intervention Service.

Intervention

Breathlessness Intervention Service (BIS) providing a positive educational approach and non-pharmacological strategies (e.g., hand-held fan, exercises)

Outcome

Participants' experience of using the Breathlessness Intervention Service (BIS)patient reported

A palliative Breathlessness Intervention Service providing non-pharmacological strategies and education is highly valued by patients with intractable dyspnea, their carers, and referring clinicians.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Does not support routine BIS adoption; hypothesis-generating for non-pharmacological dyspnea care in advanced disease.

Cite This Study

Booth et al. (2006) studied Intractable dyspnea in advanced cardiopulmonary disease. Breathlessness Intervention Service (BIS) was evaluated on Participants' experience of using the Breathlessness Intervention Service. A palliative Breathlessness Intervention Service was highly valued by patients, carers, and clinicians for its educational approach and non-pharmacological strategies.

synapsesocial.com/papers/6a85a657ee60e6e86dae68ce https://doi.org/10.1017/s1478951506060366

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The impact of a breathlessness intervention service (BIS) on the lives of patients with intractable dyspnea: A qualitative phase 1 study

Key Points

Structured PICO

Discussion

Implication

Cite This Study

The impact of a breathlessness intervention service (BIS) on the lives of patients with intractable dyspnea: A qualitative phase 1 study

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider