Lungy: Development of a responsive smartphone application to monitor and improve breathing function & mental well being with generative audio and visual feedback

冠状病毒大流行仍在持续，与COVID相关的长期身心健康后果尚不清楚。呼吸练习和物理治疗被认为对迅速从COVID中恢复至关重要，但也是术后患者、慢性阻塞性肺病、哮喘、镰状细胞病、国际电联术后或呼吸通气的常规适应症，也是减轻焦虑和抑郁症状的一种非常有效的干预措施。大流行对住院患者和社区的肺部康复治疗产生了前所未有的需求，同时也为获得治疗创造了障碍，这意味着面对面评估、治疗和随访既不实际也不安全。需要一种新颖、创新的方法来鼓励和奖励患者的参与，确保平等获得护理，并促进患者的依从性和康复。“Lungy”是一款由Pi-A开发的智能手机应用程序，它鼓励定期进行呼吸锻炼，以治疗呼吸系统疾病，并缓解轻度焦虑、压力、抑郁和失眠的症状。该应用程序将鼓励和指导用户进行一系列放松的呼吸练习，不仅可以促进呼吸功能，还可以提高注意力、用户参与度和正念。该应用程序将能够跟踪用户的进度，通过个性化的呼吸配置文件为每个用户创建用户配置文件和进度，支持和复制一个细心的治疗师的角色。该应用程序旨在让每个人都能访问和参与，但也可以通过定期的呼吸锻炼来改善身心健康。

The coronavirus pandemic is ongoing, and the longer-term physical and mental health consequences associated with COVID are unknown. Breathing exercises, with physical therapy, are considered essential in the swift recovery from COVID, but are also routinely indicated in post-operative patients, chronic obstructive pulmonary disease, asthma, sickle cell disease, post-ITU or respiratory ventilation as well as a highly effective intervention for reducing symptoms of anxiety and depression. The pandemic has created an unprecedented demand for pulmonary rehabilitation therapy for inpatients and in the community, whilst simultaneously creating barriers to access therapy, meaning it is neither practical nor safe for face-to-face assessment, therapy, and follow-up. A novel, innovative approach is needed to encourage and reward patient engagement, ensure equal access to care, and for patient compliance and recovery.'Lungy' is a smartphone application, developed by Pi-A, that encourages regular breathing exercise in the management of both respiratory disease and for relieving symptoms of mild anxiety, stress, depression, and insomnia. The application will encourage and guide users through a range of relaxing breathing exercises, promoting not only breathing function but also focus, user engagement, and mindfulness. The application would enable tracking of user progress, enabling the creation of user-profiles and progression via personalised breathing profiles for every user, supporting and replicating the role of an attentive therapist. The application is intended to be accessible and engaging for everyone, but also to improve both physical and mental health, through regular breathing exercise.