MedPath

Illness Expectations in Pulmonary Fibrosis

Conditions
Pulmonary Fibrosis
Interventions
Other: Psychological questionnaires
Registration Number
NCT06327360
Lead Sponsor
Fondazione Don Carlo Gnocchi Onlus
Brief Summary

This study aims to delve into the constructs of illness beliefs and expectations among patients with Pulmonary Fibrosis, exploring how these beliefs and expectations may influence the treatment journey, including oxygen therapy, non-invasive ventilation therapy, and pharmacological treatments.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
130
Inclusion Criteria
  • Patients with pulmonary fibrosis
  • Patients using oxygen therapy
  • Patients using non-invasive ventilation
  • Patients undergoing pharmacological treatment
  • Patients who speak and understand the Italian language
Exclusion Criteria
  • Patients who do not provide their consent
  • Patients without pulmonary fibrosis
  • Patients with psychiatric disorders or cognitive impaiment
  • Patients who don't speak or understand Italian language

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients with Pulmonary Fibrosis at the Don Gnocchi Foundation (Milan)Psychological questionnaires42 patients
Patients with Pulmonary Fibrosis at the FIMARP ONLUSPsychological questionnaires46
Patients with Pulmonary Fibrosis at the Policlinico (Milano)Psychological questionnaires42
Primary Outcome Measures
NameTimeMethod
Illness Expectationsfrom October 2023 to October 2025

Specific questions formulated to assess explicit illness expectations in Pulmonary Fibrosis are proposed.

Illness Cognitionsfrom October 2023 to October 2025

Illness Cognition Questionnaire (ICQ), a questionnaire assessing three ways of cognitively evaluating the stressful and adverse nature of a chronic illness: helplessness, acceptance, and perceived benefits.

Adherence to Pharmacological Treatmentfrom October 2023 to October 2025

Types of medications taken (Pirfenidone/Nintedanib/Other); assessed as the ratio between the received daily dose (RDD) and the prescribed daily dose (PDD); also evaluated using the Medication Adherence Report Scale (MARS-5), a 5-item questionnaire.

Adherence to Oxygen Therapyfrom October 2023 to October 2025

Use of oxygen and respective quantities (liters/minute at rest and during exertion).

Illness beliefsfrom October 2023 to October 2025

Assessed using the Brief Illness Perception Questionnaire (B-IPQ), a nine-question scale designed to rapidly assess cognitive and emotional representations of the illness.

Assessed using the Brief Illness Perception Questionnaire (B-IPQ), a nine-question scale designed to rapidly assess cognitive and emotional representations of the illness.

Pharmacological treatment Beliefsfrom October 2023 to October 2025

Assessed using the Beliefs about Medicines Questionnaire (BMQ), a tool designed to evaluate individuals' beliefs about medications. It has been validated for use in patients with chronic illnesses and has been shown to predict treatment adherence in other groups, such as individuals with asthma.

Adherence to Non invasive ventilationfrom October 2023 to October 2025

Use of Non-Invasive Ventilation (nighttime/daytime or both; prescribed and actual hours of usage).

Secondary Outcome Measures
NameTimeMethod
Socio-demographic variablesfrom October 2023 to October 2025

Gender, age, smoking status, and number of cigarettes smoked per day. Additionally, factors such as family history of respiratory diseases, alcohol use (frequency), physical activity (frequency and type), level of education, marital status, onset of initial symptoms, and date of diagnosis will be considered.

Clinical and medical datafrom October 2023 to October 2025

Weight and height (for calculation of Body Mass Index, BMI); comorbidities (diabetes, hypertension, hypercholesterolemia, presence of other conditions), perceived symptoms (e.g., dyspnea, cough, chest pain, fatigue and weakness, muscle and joint pains, weight loss...). Additionally, parameters from respiratory function tests (particularly Forced Vital Capacity (FVC) and Diffusing Capacity of the Lungs for Carbon Monoxide (DLCO), arterial blood gas analysis) will be recorded. These data will be extracted from the latest available medical report and therefore from the last pulmonary visit conducted as part of routine clinical practice (please note that medical visits paid for by this project are not included).

Trial Locations

Locations (2)

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano

🇮🇹

Milano, Italy

Don Gnocchi Foundation

🇮🇹

Milano, Italy

© Copyright 2025. All Rights Reserved by MedPath