ARTICLE - CANDIDATE TRANSITION VARIABLES

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Id 830
Author Lord V.M., Hume V.J., Kelly J.L., Cave P., Silver J., Waldman M., White C., Smith C., Tanner R., Sanchez M., Man W.D.-C., Polkey M.I., Hopkinson N.S.
Title Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial
Reference
Lord V.M., Hume V.J., Kelly J.L., Cave P., Silver J., Waldman M., White C., Smith C., Tanner R., Sanchez M., Man W.D.-C., Polkey M.I., Hopkinson N.S.; Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial ;BMC Pulmonary Medicine vol:12 issue: page:

Link to article https://www.scopus.com/inward/record.uri?eid=2-s2.0-84868668799&doi=10.1186%2f1471-2466-12-69&partnerID=40&md5=e2c8ac6fd1a3987acffdd319c64a921a
Abstract Background: There is some evidence that singing lessons may be of benefit to patients with chronic obstructive pulmonary disease (COPD). It is not clear how much of this benefit is specific to singing and how much relates to the classes being a group activity that addresses social isolation.Methods: Patients were randomised to either singing classes or a film club for eight weeks. Response was assessed quantitatively through health status questionnaires, measures of breathing control, exercise capacity and physical activity and qualitatively, through structured interviews with a clinical psychologist.Results: The singing group (n=13 mean(SD) FEV1 44.4(14.4)% predicted) and film group (n=11 FEV1 63.5(25.5)%predicted) did not differ significantly at baseline. There was a significant difference between the response of the physical component score of the SF-36, favouring the singing group +12.9(19.0) vs -0.25(11.9) (p=0.02), but no difference in response of the mental component score of the SF-36, breathing control measures, exercise capacity or daily physical activity. In the qualitative element, positive effects on physical well-being were reported in the singing group but not the film group.Conclusion: Singing classes have an impact on health status distinct from that achieved simply by taking part in a group activity.Trials registration: Registration Current Controlled Trials - ISRCTN17544114. © 2012 Lord et al.; licensee BioMed Central Ltd.


Results:

Candidate transition variables
Patients who had participated in the trial reported benefits in their physical performance and general well-being as well as a sense of achievement and self-efficacy. .
mixing and meeting different people Good discussions Sense of social support Felt supported by peers in group. .
There is evidence that singing can have beneficial effects on wellbeing in healthy 11 and chronic disease populations 12,13 . .
All participants in the singing group reported positive physical effects in relation to their breathing following attendance at the singing group. .
The singing group participants reported multiple benefits in terms of their general wellbeing. .
The findings highlighted how enjoyable the participants found the singing group. .
Translating this into clinical practice, singing is more likely to be of benefit to patients who believe it will be helpful. .
The present data suggest that singing does produce specific benefits and that participation in singing classes should be encouraged where these are available. .
Conclusion The present data suggest that singing has specific effects of physical wellbeing and taken together with other small studies support the concept that participation in singing lessons may be a useful activity for patients with COPD..
Participants in an open program of singing classes were also overwhelmingly positive about the experience. .
Although singing practice produced an acute improvement in inspiratory capacity, SGRQ improved equally in both groups. .