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Updated: Apr 3, 2026

Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease
Published on: September 5, 2025
Interstitial lung disease fatigue and breathlessness (ILD-FAB) programme: a multidisciplinary feasibility study
Jessica Mandizha1,2, Rebecca Davies3, Charlotte Crook3
1University of Exeter, Exeter, UK j.mandizha2@exeter.ac.uk.
The Fatigue and Breathlessness (FAB) program, adapted for interstitial lung disease (ILD), shows promise in improving quality of life for patients. This ILD-FAB program is feasible, acceptable, and clinically effective for managing ILD symptoms.
Area of Science:
- Pulmonary Medicine
- Rehabilitation Medicine
- Quality of Life Studies
Background:
- Interstitial lung disease (ILD) significantly impacts quality of life due to prevalent symptoms like fatigue and breathlessness.
- The Fatigue and Breathlessness (FAB) program supports self-management in chronic conditions.
- Adapting the FAB program for ILD patients is explored to address their unique challenges.
Purpose of the Study:
- To evaluate the feasibility, acceptability, and clinical effectiveness of an adapted FAB program for individuals with interstitial lung disease.
- To assess the program's impact on managing breathlessness, fatigue, and overall well-being in ILD patients.
Main Methods:
- A 4-week ILD-specific FAB program involving weekly group sessions led by an ILD physiotherapist and clinical nurse specialist (CNS).
- Individualized 1:1 sessions with the ILD-CNS focusing on goal setting and cognitive behavioral therapy principles.
- The Chronic Respiratory Questionnaire-Self Report (CRQ-SR) was used for pre- and post-program assessments of key symptoms and functioning.
Main Results:
- 49 participants with various ILDs (idiopathic pulmonary fibrosis, progressive pulmonary fibrosis) and diverse lung function severity were enrolled.
- High attendance rates (76% attended all 4 sessions) and strong program recommendation (100%) were observed.
- Clinically significant improvements were noted in dyspnoea (59%), emotional functioning (51%), fatigue (49%), and mastery (49%) among participants who completed the program.
Conclusions:
- The ILD-specific FAB program is feasible, acceptable, and clinically effective for improving patient-reported outcomes.
- The program demonstrates potential for enhancing self-management and quality of life in individuals with interstitial lung disease.
- Further research with larger cohorts and longitudinal outcome measures is warranted to solidify these findings.
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