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Development and evaluation of the Silvester method Self-Management Program(SSMP) to make breathing easier for patients with chronic obstructive pulmonary disease

Basic Information

Recruitment status	Not Recruiting
Health condition(s) or Problem(s) studied	Chronic Obstructive Pulmonary Disease
Date of first enrollment	02/04/2026
Target sample size	35
Countries of recruitment
Study type	Interventional
Intervention(s)	Silvester's method: 1 set per day (12 repetitions, 2 minutes), multiple times per day if comfortable, for 2 months.

Outcome(s)

Primary Outcome	Patient-Reported Outcomes using the Dyspnoea-12 Japanese version in patients with breathlessness.
Secondary Outcome	1. HRQoL was assessed using the SGRQ Japanese version 2 Patient-Reported Outcomes. 2. Body activity level, measured using an Omron HJ-325 pedometer (Omron) and recorded in the diary. 3. The proportion of patients who continued the Silvester method, calculated from the content of the therape utic diary.

Key inclusion & exclusion criteria

Age minimum	>= 65age old
Age maximum	Not applicable
Gender	Male
Include criteria	1. Home-based care for stable COPD patients undergoing outpatient treatment. 2. 65-year-old male patients. 3. Patients who have given their written consent to participate in the study. 4. Patients who understand the survey content, can implement the Silvester method, complete the self-ad mini stered questionnaire, and are not planning to move or change hospitals within two months. , and who can participate in the two-month study without interruption. 5. Patients who can understand and write in Japanese.
Exclude criteria	1. Patients undergoing ventilation support therapy and surgery. 2. Patients with emphysema-associated interstitial pneumonia. 3. Patients with heart failure that affects their breathing. 4. Patients with a history of shoulder joint disease, or those who experience pain when moving. 5.Patients for whom it is impossible to measure the number of steps taken using a pedometer. 6. Patients diagnosed with depression and experiencing emotional instability. 7. Other patients deemed unsuitable by the attending physician.