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Singing for lung health in COPD: a multicentre randomised controlled trial of online delivery

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  • معلومة اضافية
    • بيانات النشر:
      BMJ Publishing Group
    • الموضوع:
      2024
    • Collection:
      Brunel University London: Brunel University Research Archive (BURA)
    • نبذة مختصرة :
      Data availability statement: Data are available upon reasonable request. Individual participant data that underlie the results in the article, after de-identification (text, tables, figures and appendices) will be available on reasonable application to the corresponding author. Data will be made immediately available following publication, no end date. Data will be available to anyone who wishes to access the data, for any purpose. Data will be available indefinitely. ; Supplementary materials: Supplementary Data are available online at: https://bmjopenrespres.bmj.com/content/11/1/e002365.info . ; 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 ...
    • File Description:
      1 - 12; Electronic
    • Relation:
      BMJ Open Respiratory Research; e002365; https://bura.brunel.ac.uk/handle/2438/28996
    • الرقم المعرف:
      10.1136/bmjresp-2024-002365
    • الدخول الالكتروني :
      https://bura.brunel.ac.uk/handle/2438/28996
      https://doi.org/10.1136/bmjresp-2024-002365
    • Rights:
      Copyright information: © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. ; https://creativecommons.org/licenses/by/4.0/ ; https://creativecommons.org/licenses/by/4.0/legalcode.en ; Author(s) (or their employer(s))
    • الرقم المعرف:
      edsbas.C995207