Self-reported Dyspnea and Interest in a Respiratory Muscle Training Program among Callers to the New

Ray AD, Carl EM, Hyland AJ, Reid ME, Mahoney MC, Sheffer CE.
Self-reported Dyspnea and Interest in a Respiratory Muscle Training Program among Callers to the New York State Quitline
Tob Induc Dis. 2025 Jan 29;23. doi: 10.18332/tid/196755. PMID: 39882033; PMCID: PMC11776376.

Introduction: Cigarette smoking is an important risk factor in the development of dyspnea. Programs designed to strengthen the respiratory muscles can improve dyspnea in people with or without lung disease. As a first step in understanding the feasibility of offering a respiratory muscle training (RMT) program to people who are seeking help to try to quit smoking, we asked callers who contacted the New York State Quitline about their dyspnea and potential interest in a home-based RMT program.

Methods: Consecutive callers who contacted the New York State Quitline (n=1019) between 19 May and 9 June 2023 completed the Modified Medical Research Council (mMRC) dyspnea scale and reported their level of interest in RMT. Participants were categorized as: high breathlessness (HB: 0-1), or low breathlessness (LB: 2-4). We examined characteristic differences between participants who reported HB versus LB and examined differences in level of interest in home-based RMT.

Results: Those with HB were older [mean (SD): 61.3 (12.5) vs 53.6 (15.0) years, p<0.001], had more cumulative years of smoking [38.8 (15.1) vs 28.8 (15.4) years, p<0.001], smoked more cigarettes per day [19.3 (10.5) vs 17.3 (8.8), p<0.01], reported more disability (p<0.001) and chronic health conditions (78.5% vs 53.9%, p<0.001). Those with HB also expressed greater interest in RMT [7.8 (3.3) vs 6.2 (4.1), p<0.001].

Conclusions: These preliminary findings suggest that about 20% of quitline callers report clinically significant levels of breathlessness and most respondents, regardless of their level of breathlessness, report interest in a home-based RMT program, underscoring a potential opportunity to offer this program along with cessation support.