“I think it’s really important that people keep signing up to these type of trials to push research forward.”
A trial comparing 2 training programmes to manage breathlessness in people with cancer affecting the lungs (SOB LC2)
This trial was to see if 3 sessions of a training course helped people cope with breathlessness better than a single session.
If you have cancer that started in your lungs or cancer that has spread to your lungs, it is possible you may have breathlessness, although not everyone does.
More about this trial
We know that having training in breathing techniques can help ease distress from breathlessness. And help people manage their condition better. At the moment, health professionals offer breathing training at the local hospital or hospice once a week for 3 weeks. But this can take a lot of energy and time for people who may already be feeling unwell as a result of their lung cancer. The researchers are also aware that some people would prefer to have this training at home.
They didn’t know if people would have had the same benefit by only having one training session, at home or in clinic, along with written information, video or a DVD about the training. They compared a group of people who had a full course of breathlessness training with a group who had one session only.
This trial was in 2 parts. Part 1 was like a waiting list, which you were able to join if you didn’t suffer with breathlessness now, but wanted to take part in the trial in the future, if breathlessness became a problem.
Part 2 looked at training for managing breathlessness for people who were already breathless.
The aim of this trial was to see if 3 breathing training sessions given a week apart helped more than a one off session.
Summary of results
The trial team found that 3 breathing training sessions weren’t of any more benefit than a single session for people with breathlessness due to lung cancer.
This was a randomised trial that recruited 156 people.
- 52 people had 3 breathing training sessions
- 104 people had a single session
The team asked everyone to rate, using a scale from 0 (no breathlessness) to 10 (the worst imaginable breathlessness), their most severe breathlessness in the past 24 hours. They also asked them to rate on an average how bad their breathlessness was. They did this before starting the training, then at 1, 2, 3, 4 and 8 weeks after training. The team also looked at
- How distressed people were
- How well they coped
- How satisfied they were with their care
Overall people’s breathlessness and how they coped had improved. But there was no significant difference in the improvement between the 2 groups.
The trial team concluded that breathing training was helpful but 3 training sessions were no better than a single session.
We have based this summary on information from the research team. The information they sent us has been reviewed by independent specialists (
How to join a clinical trial
Dr Miriam Johnson
Hull and East Yorkshire NHS Trust
NIHR Research for Patient Benefit (RfPB) Programme
National Institute for Health Research Cancer Research Network (NCRN)