Acceptance and Commitment Therapy for Chronic Cough

(FAST-COUGH Trial)

This trial explores whether Acceptance and Commitment Therapy (ACT), which includes breath control techniques, helps people with chronic cough. The goal is to determine if this therapy is feasible, safe, and well-received by participants. It targets individuals with a bothersome cough lasting at least eight weeks, who have ruled out common causes such as untreated lung, stomach, or sinus issues. Participants need internet access for virtual sessions and should be open to learning new ways to manage their cough. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance chronic cough management.

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you are currently using ACE inhibitor medications.

Research has shown that Acceptance and Commitment Therapy (ACT) is generally safe for individuals with long-term health issues. Studies examining ACT for chronic diseases have found improvements in mindfulness and quality of life, with no major safety concerns reported.

One study focused on ACT for chronic airway diseases, such as chronic cough, and found no significant side effects. Participants tolerated the therapy well, indicating its safety.

Unlike traditional treatments for chronic cough, which often rely on medications to suppress cough reflexes or treat underlying conditions, Acceptance and Commitment Therapy (ACT) focuses on psychological and behavioral techniques. ACT helps patients manage their coughing through mindfulness and acceptance strategies, combined with breath control techniques. Researchers are excited about this approach because it targets the psychological aspects of chronic cough, offering a potentially more holistic and sustainable way to manage symptoms without the side effects associated with medication.

Research has shown that Acceptance and Commitment Therapy (ACT), which participants in this trial will receive, might improve symptoms in various long-term health conditions. ACT has enhanced quality of life and reduced symptoms. Studies indicate that ACT can assist in managing chronic pain, although researchers are still exploring its long-term effects. While data on chronic cough is limited, ACT's success with similar conditions suggests it could be helpful.²³⁶⁷⁸