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Multicomponent Interventions for Patients with Chronic Dyspnea: A Scoping Review
Mari Yamamoto1, Yohei Kishi1, Fumika Yatabe1
1Graduate School of Medicine, Mie University, Tsu, Mie, Japan.
The American Journal of Hospice & Palliative Care
|July 27, 2026
Summary
This review identified 17 support elements for chronic dyspnea interventions, frequently combining exercise, education, and breathing exercises. These findings aid in developing effective multimodal strategies for patients with breathing difficulties.
Area of Science:
- Pulmonary Medicine
- Respiratory Care
- Cardiology
Background:
- Chronic dyspnea significantly impacts patient quality of life across various conditions.
- Multicomponent interventions are crucial for managing chronic dyspnea.
- Understanding combined support methods is essential for optimizing patient care.
Purpose of the Study:
- To identify and categorize combined support methods within multicomponent interventions for chronic dyspnea.
- To analyze the frequency and combination of various support elements used in managing chronic dyspnea.
- To inform the development of effective, evidence-based strategies for chronic dyspnea management.
Main Methods:
- A scoping review following the Arksey and O'Malley framework.
- Searched databases including PubMed, CINAHL, and Ichushi Web up to June 20, 2025.
- Included randomized controlled trials of combined interventions for chronic dyspnea in specific patient populations.
Main Results:
- 39 studies were selected from 6439 screened papers.
- 17 distinct support elements were identified, including exercise, education, breathing exercises, and psychological support.
- Exercise and training, education, and breathing exercises were the most frequently combined elements.
Conclusions:
- Seventeen elements form the basis of comprehensive support for chronic dyspnea.
- Findings highlight the importance of physical function and self-management support in interventions.
- This study provides insights into current multimodal interventions and feasible support strategies for chronic dyspnea.
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