eprintid: 10192143
rev_number: 6
eprint_status: archive
userid: 699
dir: disk0/10/19/21/43
datestamp: 2024-05-13 13:59:10
lastmod: 2024-05-13 13:59:10
status_changed: 2024-05-13 13:59:10
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Philip, Keir EJ
creators_name: Buttery, Sara C
creators_name: Bowen, Sarah
creators_name: Lewis, Adam
creators_name: Jeffery, Edmund
creators_name: Alghamdi, Saeed M
creators_name: Williams, Parris
creators_name: Alasmari, Ali M
creators_name: Alsulayyim, Abdullah S
creators_name: Orton, Christopher M
creators_name: Conway, Francesca
creators_name: Chan, Ley
creators_name: Vijayakumar, Bavithra
creators_name: Tana, Anand
creators_name: Tonkin, James
creators_name: Perkins, Alexis
creators_name: Garner, Justin L
creators_name: Srikanthan, Karthikan
creators_name: Sadaka, Ahmed
creators_name: Pavitt, Matthew J
creators_name: Banya, Winston
creators_name: Lound, Adam
creators_name: Elkin, Sarah
creators_name: Polkey, Michael I
creators_name: Man, William D-C
creators_name: Lewis, Keir
creators_name: Cave, Phoene
creators_name: Fancourt, Daisy
creators_name: Hopkinson, Nicholas S
title: Singing for lung health in COPD: a multicentre randomised controlled trial of online delivery
ispublished: pub
divisions: UCL
divisions: B02
divisions: D12
divisions: J96
keywords: Complementary Medicine, Emphysema, Exercise, Pulmonary Rehabilitation, Respiratory Muscles, Humans, Pulmonary Disease, Chronic Obstructive, Female, Male, Middle Aged, Quality of Life, Aged, Singing, Treatment Outcome, Lung, Forced Expiratory Volume, Breathing Exercises, Single-Blind Method
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abstract: BACKGROUND: Singing for lung health (SLH) is an arts-based breathing control and movement intervention for people with long-term respiratory conditions, intended to improve symptoms and quality of life. Online, remotely delivered programmes might improve accessibility; however, no previous studies have assessed the effectiveness of this approach. METHODS: We conducted an assessor-blind randomised controlled trial comparing the impact of 12 weeks of once-weekly online SLH sessions against usual care on health-related quality of life, assessed using the RAND 36-Item Short Form Health Survey (SF-36) Mental Health Composite (MHC) and Physical Health Composite (PHC) scores. RESULTS: We enrolled 115 people with stable chronic obstructive pulmonary disease (COPD), median (IQR) age 69 (62-74), 56.5% females, 80% prior pulmonary rehabilitation, Medical Research Council dyspnoea scale 4 (3-4), forced expiratory volume in 1 s % predicted 49 (35-63). 50 participants in each arm completed the study. The intervention arm experienced improvements in physical but not mental health components of RAND SF-36; PHC (regression coefficient (95% CI): 1.77 (95% CI 0.11 to 3.44); p=0.037), but not MHC (0.86 (95% CI -1.68 to 3.40); p=0.504). A prespecified responder analysis based on achieving a 10% improvement from baseline demonstrated a response rate for PHC of 32% in the SLH arm and 12.7% for usual care (p=0.024). A between-group difference in responder rate was not found in relation to the MHC (19.3% vs 25.9%; p=0.403). DISCUSSION AND CONCLUSION: A 12-week online SLH programme can improve the physical component of quality of life for people with COPD, but the overall effect is relatively modest compared with the impact seen in research using face-to-face group sessions. Further work on the content, duration and dose of online interventions may be useful. TRIAL REGISTRATION NUMBER: NCT04034212.
date: 2024-05-02
date_type: published
publisher: BMJ
official_url: http://dx.doi.org/10.1136/bmjresp-2024-002365
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2273908
doi: 10.1136/bmjresp-2024-002365
medium: Electronic
pii: 11/1/e002365
lyricists_name: Fancourt, Daisy
lyricists_id: DFANC73
actors_name: Flynn, Bernadette
actors_id: BFFLY94
actors_role: owner
funding_acknowledgements: [Imperial College London]; DF was supported by the Wellcome Trust (205407/Z/1 [Wellcome Trust]
full_text_status: public
publication: BMJ Open Respiratory Research
volume: 11
number: 1
article_number: e002365
event_location: England
citation:        Philip, Keir EJ;    Buttery, Sara C;    Bowen, Sarah;    Lewis, Adam;    Jeffery, Edmund;    Alghamdi, Saeed M;    Williams, Parris;                                                                                         ... Hopkinson, Nicholas S; + view all <#>        Philip, Keir EJ;  Buttery, Sara C;  Bowen, Sarah;  Lewis, Adam;  Jeffery, Edmund;  Alghamdi, Saeed M;  Williams, Parris;  Alasmari, Ali M;  Alsulayyim, Abdullah S;  Orton, Christopher M;  Conway, Francesca;  Chan, Ley;  Vijayakumar, Bavithra;  Tana, Anand;  Tonkin, James;  Perkins, Alexis;  Garner, Justin L;  Srikanthan, Karthikan;  Sadaka, Ahmed;  Pavitt, Matthew J;  Banya, Winston;  Lound, Adam;  Elkin, Sarah;  Polkey, Michael I;  Man, William D-C;  Lewis, Keir;  Cave, Phoene;  Fancourt, Daisy;  Hopkinson, Nicholas S;   - view fewer <#>    (2024)    Singing for lung health in COPD: a multicentre randomised controlled trial of online delivery.                   BMJ Open Respiratory Research , 11  (1)    , Article e002365.  10.1136/bmjresp-2024-002365 <https://doi.org/10.1136/bmjresp-2024-002365>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10192143/1/e002365.full.pdf