Skip to main content

Main menu

  • Home
  • Current issue
  • Early View
  • Archive
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • COVID-19 submission information
    • Institutional open access agreements
    • Peer reviewer login
  • Alerts
  • Subscriptions
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

User menu

  • Log in
  • Subscribe
  • Contact Us
  • My Cart

Search

  • Advanced search
  • ERS Publications
    • European Respiratory Journal
    • ERJ Open Research
    • European Respiratory Review
    • Breathe
    • ERS Books
    • ERS publications home

Login

European Respiratory Society

Advanced Search

  • Home
  • Current issue
  • Early View
  • Archive
  • Authors/reviewers
    • Instructions for authors
    • Submit a manuscript
    • COVID-19 submission information
    • Institutional open access agreements
    • Peer reviewer login
  • Alerts
  • Subscriptions

Acceptability of Capnography Assisted Respiratory Therapy (CART): a new mind-body intervention for chronic obstructive pulmonary disease

Anna Migliore Norweg, Anne Skamai, Simona C. Kwon, Jonathan Whiteson, Kyle MacDonald, Francois Haas, Eileen G. Collins, Roberta M. Goldring, Joan Reibman, Yinxiang Wu, Greg Sweeney, Alicia Pierre, Andrea B. Troxel, Linda Ehrlich-Jones, Naomi M. Simon
ERJ Open Research 2021; DOI: 10.1183/23120541.00256-2021
Anna Migliore Norweg
1Rehabilitation Medicine, New York University (NYU) Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: AnnaMaria.Norweg@nyumc.org
Anne Skamai
2Phelps Family Medicine Residency Program, Hofstra/Northwell Zucker School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Simona C. Kwon
3Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jonathan Whiteson
1Rehabilitation Medicine, New York University (NYU) Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kyle MacDonald
1Rehabilitation Medicine, New York University (NYU) Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Francois Haas
1Rehabilitation Medicine, New York University (NYU) Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Eileen G. Collins
4College of Nursing, University of Illinois At Chicago, Chicago, IL, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Roberta M. Goldring
5Pulmonary Medicine, New York University, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Joan Reibman
5Pulmonary Medicine, New York University, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Yinxiang Wu
3Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Greg Sweeney
1Rehabilitation Medicine, New York University (NYU) Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alicia Pierre
1Rehabilitation Medicine, New York University (NYU) Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrea B. Troxel
3Department of Population Health, NYU Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Linda Ehrlich-Jones
6Shirley Ryan Ability Lab, Chicago, IL, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Naomi M. Simon
7Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Info & Metrics
  • PDF
Loading

Abstract

Dyspnea self-management is often suboptimal for patients with chronic obstructive pulmonary disease (COPD). Many patients with COPD experience chronic dyspnea as distressing and disabling, especially during physical activities. Breathing therapy is a behavioral intervention that targets reducing the distress and impact of dyspnea on exertion in daily living.

Using a qualitative design, we conducted interviews with 14 patients after they participated in a novel mind-body breathing therapy intervention adjunct, capnography-assisted respiratory therapy (CART), combined with outpatient pulmonary rehabilitation. Comprehensive CART consisted of patient-centered biofeedback, tailored breathing exercises, home exercise program, and motivational interviewing counseling. We assessed participants’ perceptions and reported experiences to gauge the acceptability of CART and refine CART based on feedback. Constant comparative analysis was used to identify commonalities and themes.

We identified three main themes relating to the acceptability and reported benefits of CART: (1) Self-regulating breathing; (2) Impact on health; and (3) Patient satisfaction. Our findings were used to refine and optimise CART (i.e., its intensity, timing, and format) for COPD. By addressing dysfunctional breathing behaviors and dysregulated interoception, CART offers a promising new paradigm for relieving dyspnea and related anxiety in patients with COPD.

Footnotes

This manuscript has recently been accepted for publication in the ERJ Open Research. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJOR online. Please open or download the PDF to view this article.

Conflict of interests: Anna Migliore Norweg has nothing to disclose.

Conflict of interests: Anne Skamai has nothing to disclose.

Conflict of interests: S. Kwon declares grants fron the National Institute on Disability, Independent Living, and Rehabilitation Research.

Conflict of interests: Jonathan Whiteson has nothing to disclose.

Conflict of interests: Kyle MacDonald has nothing to disclose.

Conflict of interests: Francois Haas has nothing to disclose.

Conflict of interests: Eileen G. Collins has nothing to disclose.

Conflict of interests: Roberta M. Goldring has nothing to disclose.

Conflict of interests: Joan Reibman has nothing to disclose.

Conflict of interests: Yinxiang Wu has nothing to disclose.

Conflict of interests: Greg Sweeney has nothing to disclose.

Conflict of interests: Alicia Pierre has nothing to disclose.

Conflict of interests: Andrea B. Troxel has nothing to disclose.

Conflict of interests: Linda Ehrlich-Jones has nothing to disclose.

Conflict of interests: Naomi M. Simon has nothing to disclose.

This is a PDF-only article. Please click on the PDF link above to read it.

  • Received April 12, 2021.
  • Accepted August 3, 2021.
  • Copyright ©The authors 2021
http://creativecommons.org/licenses/by-nc/4.0/

This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions{at}ersnet.org

PreviousNext
Back to top
Vol 8 Issue 3 Table of Contents
ERJ Open Research: 8 (3)
  • Table of Contents
  • Index by author
Email

Thank you for your interest in spreading the word on European Respiratory Society .

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Acceptability of Capnography Assisted Respiratory Therapy (CART): a new mind-body intervention for chronic obstructive pulmonary disease
(Your Name) has sent you a message from European Respiratory Society
(Your Name) thought you would like to see the European Respiratory Society web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Citation Tools
Acceptability of Capnography Assisted Respiratory Therapy (CART): a new mind-body intervention for chronic obstructive pulmonary disease
Anna Migliore Norweg, Anne Skamai, Simona C. Kwon, Jonathan Whiteson, Kyle MacDonald, Francois Haas, Eileen G. Collins, Roberta M. Goldring, Joan Reibman, Yinxiang Wu, Greg Sweeney, Alicia Pierre, Andrea B. Troxel, Linda Ehrlich-Jones, Naomi M. Simon
ERJ Open Research Jan 2021, 00256-2021; DOI: 10.1183/23120541.00256-2021

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Acceptability of Capnography Assisted Respiratory Therapy (CART): a new mind-body intervention for chronic obstructive pulmonary disease
Anna Migliore Norweg, Anne Skamai, Simona C. Kwon, Jonathan Whiteson, Kyle MacDonald, Francois Haas, Eileen G. Collins, Roberta M. Goldring, Joan Reibman, Yinxiang Wu, Greg Sweeney, Alicia Pierre, Andrea B. Troxel, Linda Ehrlich-Jones, Naomi M. Simon
ERJ Open Research Jan 2021, 00256-2021; DOI: 10.1183/23120541.00256-2021
del.icio.us logo Digg logo Reddit logo Technorati logo Twitter logo CiteULike logo Connotea logo Facebook logo Google logo Mendeley logo
Full Text (PDF)

Jump To

  • Article
    • Abstract
  • Info & Metrics
  • PDF

Subjects

  • COPD and smoking
  • Tweet Widget
  • Facebook Like
  • Google Plus One

More in this TOC Section

  • Microbial and host immune factors as drivers of COPD
  • Asymmetry in acute exacerbation of IPF
  • Multiple large clusters of tuberculosis in London
Show more Original article

Related Articles

Navigate

  • Home
  • Current issue
  • Archive

About ERJ Open Research

  • Editorial board
  • Journal information
  • Press
  • Permissions and reprints
  • Advertising

The European Respiratory Society

  • Society home
  • myERS
  • Privacy policy
  • Accessibility

ERS publications

  • European Respiratory Journal
  • ERJ Open Research
  • European Respiratory Review
  • Breathe
  • ERS books online
  • ERS Bookshop

Help

  • Feedback

For authors

  • Instructions for authors
  • Publication ethics and malpractice
  • Submit a manuscript

For readers

  • Alerts
  • Subjects
  • RSS

Subscriptions

  • Accessing the ERS publications

Contact us

European Respiratory Society
442 Glossop Road
Sheffield S10 2PX
United Kingdom
Tel: +44 114 2672860
Email: journals@ersnet.org

ISSN

Online ISSN: 2312-0541

Copyright © 2022 by the European Respiratory Society