Digital mindfulness-based intervention for people with COPD - a multicentre pilot and feasibility RCT.
Hannah Tschenett, Florian Vafai-Tabrizi, Ralf Harun Zwick, Arschang Valipour, Georg-Christian Funk, Urs M. Nater
Respiratory research May 26, 2025 DOI: 10.1186/s12931-025-03243-4 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled pilot study Preregistered Peer reviewed |
|---|---|
| Sample size | 30 |
| Population | Psychologically burdened COPD patients aged 63 ± 7 years, 61% female, with FEV1% 41 ± 19 |
| Dose | daily 10-15-minute audio-guided meditation |
| Duration | 8-week intervention |
| Topics | Anxiety Depression Meditation |
| Keywords | Digital mindfulness intervention Copd management: copd People with copd Individuals with copd Managing symptoms Daily audio-guided meditation Brief daily meditation Meditating Psychological distress Emotional well-being Momentary stress Feasibility study: feasibility Pilot Highly feasible |
| Citations | 9 |
| Registration | NCT04769505 |
| Key points | The digital mindfulness intervention was feasible and showed preliminary improvements in anxiety and emotional functioning after 8 weeks, along with immediate reductions in momentary stress, anxiety, and dyspnoea after meditating. |
Abstract
Mindfulness-based interventions (MBIs) are effective in improving mental and physical health in various chronic conditions. While the GOLD 2024 report recommends MBIs for chronic obstructive pulmonary disease (COPD), scientific evidence in this specific population is scarce. This prospective randomised controlled pilot study investigated the feasibility of an 8-week digital MBI and its preliminary effects on mental and physical health in COPD. Psychologically burdened COPD patients (63 ± 7 years, 61% female, FEV1% 41 ± 19) were randomly allocated to the MBI group (n = 14; daily 10-15-minute audio-guided meditation via smartphone) or a waitlist control group (n = 16). Primary outcomes included the intervention's feasibility (dropouts, MBI usage rates, interview and questionnaire responses) and its preliminary effects on symptoms of anxiety and depression (Hospital Anxiety and Depression Scale, HADS). Secondary outcomes included its preliminary effects on the COPD Assessment Test (CAT), Chronic Respiratory Disease Questionnaire (CRQ-SAS), Perceived Stress Scale (PSS-10), and biological stress markers. Exploratory outcomes included momentary subjective stress, anxiety, and dyspnoea after meditating. The results indicated that the intervention was feasible (81% usage rate; 93% and 71% found the MBI enjoyable and helpful, respectively), with 21% dropout. A statistically significant intervention (time x group) effect was found for anxiety (HADS-A, p =.010, ηp2 = 0.11) and emotional functioning (CRQ-SAS, p =.004, ηp2 = 0.14), but not for depression (HADS-D, p =.060, ηp2 = 0.06) or any other secondary outcome after 8 weeks. Momentary subjective stress (p <.001, ηp2 = 0.75), anxiety (p =.022, ηp2 = 0.75), and dyspnoea (p <.001, ηp2 = 0.70) were significantly reduced after meditating. The digital MBI was feasible, with preliminary effects indicating improvements in anxiety and emotional functioning after 8 weeks as well as momentary outcomes after meditating. Future large-scale trials should further assess the effectiveness of digital MBIs in this context. However, the findings suggest that digital MBIs might be promising and effective low-threshold add-on treatments in clinical settings. The article has been preregistered at ClinicalTrials.gov (identifier: NCT04769505, date: 23rd February 2021).
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 2
- Mindfulness-Based Interventions for Chronic Pulmonary Diseases: A Systematic Review of Effects on Anxiety, Depression, Stress, Dyspnea, and Quality of Life Bioengineering August 29, 2025
- The Effects of a Digital Mindfulness Intervention on Mental Health and Vision-Related Quality of Life in Non-infectious Uveitis. Ophthalmology June 1, 2026
Cites 11
- Mindfulness Interventions Annual Review of Psychology September 30, 2016
- The Empirical Status of Mindfulness-Based Interventions: A Systematic Review of 44 Meta-Analyses of Randomized Controlled Trials Perspectives on Psychological Science February 16, 2021
- Tele-delivered mindfulness-based cognitive therapy in chronic obstructive pulmonary disease: A mixed-methods feasibility study Journal of Telemedicine and Telecare June 25, 2018
- Mindfulness-based cognitive therapy for depression. Industrial Psychiatry Journal October 29, 2024
- Patient Perspectives on Mindfulness-Based Interventions During Hospitalization for Acute Exacerbations of Chronic Obstructive Pulmonary Disease: An Exploratory Interview Study Mindfulness July 1, 2024
and 6 more in the library