Effect of Soham Breathing Technique on Health Related Quality of Life among patients with Interstitial Lung Disease: A Two-Arm Randomized Active-Controlled Trial

INTERVENTION: Intervention1: Soham Breathing Technique: In addition to the standard care the intervention group with under go specifically designed yoga breathing module based on Soham Breathing Technique.The programme will be validated by the department of Ayush , Yoga module is the product of a focus group discussion including experts from Department of Pulmonary Medicine, Physical Medicine and Rehabilitation Group and Yoga experts of Department of Ayush, Nutritionist etc. The intervention will be delivered over a period of 12 consecutive weeks, participants will attend three virtual, on Video call guided sessions per week along with 2 days self paced practice sessions, and where the entire 15‐minute protocol will be supervised and led by a qualified instructor. Participants will engage in the structured SBT protocol for 15 minutes per session. The sessions will follow a specific structure: 5 minutes of gentle loosening exercises then 6 minutes of guided meditation based on the Soham Breathing Technique then 4 minutes of deep relaxation. Control Intervention1: Active Control: In addition to the standard care , a specific active module will be designed based on the Yoga module which includes following practices . Participants will engage in the structured Active protocol for 15 minutes per session. The sessions will follow a specific structure is like 5 minutes of gentle loosening exercises then 6 minutes of breathing without synchronization or mindfulness cues then 4 minutes of relaxation. Duration and Frequency of the module of both the groups will remain same. The same number of practicing days will be given to the patients. It will also be taught by the same person who is training them with yoga. CONDITION: Health Condition 1: J849‐ Interstitial pulmonary disease, unspecified PRIMARY OUTCOME: To determine the effect of a 12‐week practice of the Soham Breathing Technique (SBT) on Health‐Related Quality of Life in Interstitial Lung Disease (ILD) patients, as compared to an Active Control Group.Timepoint: To determine the effect of a 12‐week practice of the Soham Breathing Technique (SBT) on Health‐Related Quality of Life in Interstitial Lung Disease (ILD) patients, as compared to an Active Control Group. SECONDARY OUTCOME: To determine the effect of 12‐week practice of SBT on : ; ; Forced Vital Capacity (FVC) by using Spirometry ; ; 6 Minutes Walk Test Distance ; ; CRP, ESR levels ; ; ; Severity of breathlessness using Modified Medical Research Council (mMRC) scale ; ; Fatigue using Fatigue Severity Scale (FSS) scale ; ; ; Psychological distress using Depression, Anxiety, and Stress Scales (DASS‐21)Timepoint: INCLUSION CRITERIA: Patients must possess a confirmed clinical and radiological diagnosis of Interstitial Lung Disease (ILD) of any etiology based on ERS/ATS 2025 guideline. Age must be within the range of 18 to 65 years (inclusive). Patients must be on a stable medical regimen for ILD for a minimum of 30 days prior to study enrollment. Ability to provide voluntary, written informed consent following a complete explanation of the study protocol. Physical ability to sit and participate in the prescribed intervention schedule throughout the duration of the trial.