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Breathing retraining for African-American adolescents with asthma: a pilot study of a school-based randomized controlled trial.
J Asthma 2015; 52(9):889-96JA

Abstract

OBJECTIVE

Asthma affects approximately seven million children/adolescents in the USA, with African-American children disproportionately affected. Breathing retraining techniques have been shown to improve asthma outcomes in adults, though research in youth is limited. The purpose of this pilot study was to test the feasibility and preliminary efficacy of a school-based randomized controlled trial of breathing retraining for asthma outcomes and anxiety symptoms in a sample of urban, African-American adolescents.

METHODS

Adolescents were randomized into either the intervention group (20-min breathing retraining plus education) or control group (20-min standard education). Participants completed two study visits, one month apart. Asthma control, asthma quality of life and lung functioning (FEV1 and peak flow) were the primary outcomes, and state anxiety (pre-post the intervention) and trait anxiety (over the one-month period) were the secondary outcomes.

RESULTS

Thirty-three African-American adolescents participated in the study, with a 90% retention rate between visit 1 and visit 2. Asthma control and asthma quality of life, significantly improved over time (p ≤ 0.01) with no differences between intervention and control groups. State anxiety significantly decreased (p ≤ 0.01) immediately post intervention at both time points with no differences between groups. There were no significant differences found in lung functioning or trait anxiety over the one-month time period.

CONCLUSIONS

These preliminary results suggest that breathing retraining is a feasible, acceptable and potentially efficacious intervention (although no significant differences between groups were found) for improving asthma symptoms in urban adolescents with asthma in a school-based setting.

Authors+Show Affiliations

a Department of Psychology and.a Department of Psychology and.b Division of Integrative Medicine, Department of Family and Community Medicine , University of Cincinnati , Cincinnati , OH , USA.b Division of Integrative Medicine, Department of Family and Community Medicine , University of Cincinnati , Cincinnati , OH , USA.b Division of Integrative Medicine, Department of Family and Community Medicine , University of Cincinnati , Cincinnati , OH , USA.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

26374696

Citation

Bignall, Whitney Janee Raglin, et al. "Breathing Retraining for African-American Adolescents With Asthma: a Pilot Study of a School-based Randomized Controlled Trial." The Journal of Asthma : Official Journal of the Association for the Care of Asthma, vol. 52, no. 9, 2015, pp. 889-96.
Bignall WJ, Luberto CM, Cornette AF, et al. Breathing retraining for African-American adolescents with asthma: a pilot study of a school-based randomized controlled trial. J Asthma. 2015;52(9):889-96.
Bignall, W. J., Luberto, C. M., Cornette, A. F., Haj-Hamed, M., & Cotton, S. (2015). Breathing retraining for African-American adolescents with asthma: a pilot study of a school-based randomized controlled trial. The Journal of Asthma : Official Journal of the Association for the Care of Asthma, 52(9), pp. 889-96. doi:10.3109/02770903.2015.1033724.
Bignall WJ, et al. Breathing Retraining for African-American Adolescents With Asthma: a Pilot Study of a School-based Randomized Controlled Trial. J Asthma. 2015;52(9):889-96. PubMed PMID: 26374696.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breathing retraining for African-American adolescents with asthma: a pilot study of a school-based randomized controlled trial. AU - Bignall,Whitney Janee Raglin, AU - Luberto,Christina Marie, AU - Cornette,Adrianne Falkenberg, AU - Haj-Hamed,Monzer, AU - Cotton,Sian, Y1 - 2015/09/16/ PY - 2015/9/17/entrez PY - 2015/9/17/pubmed PY - 2016/4/2/medline KW - Anxiety KW - asthma control KW - breathing techniques KW - intervention KW - urban SP - 889 EP - 96 JF - The Journal of asthma : official journal of the Association for the Care of Asthma JO - J Asthma VL - 52 IS - 9 N2 - OBJECTIVE: Asthma affects approximately seven million children/adolescents in the USA, with African-American children disproportionately affected. Breathing retraining techniques have been shown to improve asthma outcomes in adults, though research in youth is limited. The purpose of this pilot study was to test the feasibility and preliminary efficacy of a school-based randomized controlled trial of breathing retraining for asthma outcomes and anxiety symptoms in a sample of urban, African-American adolescents. METHODS: Adolescents were randomized into either the intervention group (20-min breathing retraining plus education) or control group (20-min standard education). Participants completed two study visits, one month apart. Asthma control, asthma quality of life and lung functioning (FEV1 and peak flow) were the primary outcomes, and state anxiety (pre-post the intervention) and trait anxiety (over the one-month period) were the secondary outcomes. RESULTS: Thirty-three African-American adolescents participated in the study, with a 90% retention rate between visit 1 and visit 2. Asthma control and asthma quality of life, significantly improved over time (p ≤ 0.01) with no differences between intervention and control groups. State anxiety significantly decreased (p ≤ 0.01) immediately post intervention at both time points with no differences between groups. There were no significant differences found in lung functioning or trait anxiety over the one-month time period. CONCLUSIONS: These preliminary results suggest that breathing retraining is a feasible, acceptable and potentially efficacious intervention (although no significant differences between groups were found) for improving asthma symptoms in urban adolescents with asthma in a school-based setting. SN - 1532-4303 UR - https://www.unboundmedicine.com/medline/citation/26374696/Breathing_retraining_for_African_American_adolescents_with_asthma:_a_pilot_study_of_a_school_based_randomized_controlled_trial_ L2 - http://www.tandfonline.com/doi/full/10.3109/02770903.2015.1033724 DB - PRIME DP - Unbound Medicine ER -