Experiences of breathing training for asthma: qualitative process analysis of participants in the BREATHE trial

Abstract

Background: Poor symptom control is common in asthma, and breathing training exercises may be an effective method of self-management. This study aimed to explore the experiences of participants in the intervention arms of the BREATHE trial, which explored the effectiveness of breathing training as a mode of asthma management. Method: 16 people with asthma (11 women, 8 per group) who had taken part in the intervention arms of the BREATHE trial (breathing training delivered by DVD or face-to-face sessions with a respiratory physiotherapist) took part in semi-structured telephone interviews about their experiences. Interviews were analysed using thematic analysis. Findings: Breathing training was perceived positively as a method of asthma management. Motivations for taking part included being asked, to enhance progress in research, to feel better/ reduce symptoms, and to reduce medication. Participants were positive about the physiotherapist, liked having the materials tailored, found seeing her motivational, and liked the DVD and booklet. The impact of breathing training following regular practice included increased awareness of breathing and development of new habits. Benefits of breathing training included increased control over breathing, reduced need for medication, feeling more relaxed, and improved health and quality of life. Problems included finding time to do it, and difficulty mastering techniques. Discussion: Breathing training was acceptable and valued by almost all participants, and many reported improved wellbeing. Face to face physiotherapy was well received. However, some participants in the DVD group mentioned being unable to master techniques.