Evidence map›Paper›PMID 33239406›Full record

Trial reportBMJ open respiratory research2020

Moving singing for lung health online in response to COVID-19: experience from a randomised controlled trial.

Keir Ej Philip, Adam Lewis, Edmund Jeffery, Sara Buttery, Phoene Cave, Daniele Cristiano, Adam Lound, Karen Taylor, William D-C Man, Daisy Fancourt and 2 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open respiratory research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05350436 naunknown statusnot on this mapstarted 2022, after this paper: background citation

More Singing, Less Swinging - Is Singing Related to Improved Postural Control?

TypeinterventionalSponsorBrunel UniversityRan2022 to 2023Enrolled160ConditionsHealthy Aging, Balance, Distorted, SingingArmsBalance Conditions, Singing
NCT07460999 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effects and Mechanisms of Online Delivered Singing Training vs Usual Care in Patients With Persistent Symptoms 6-18 Months After Surgical Resection for Non-small Cell Lung Cancer (NSCLC) - a Multi-centre RCT

TypeinterventionalSponsorZealand University HospitalRan2026 to 2027Enrolled100ConditionsNon-Small Cell Lung Cancer, Chronic Obstructive Lung DiseaseArmsSinging training (Singing for Lung Health (SLH)), Control group: Usual care
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Singing for adults with chronic respiratory disease.The Cochrane database of systematic reviews · 2026
    Article
  8. Review
  9. A hybrid in-person and online group singing program for older adults with breathing limitations: A pilot mixed-methods study.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Singing Interventions in Pulmonary Rehabilitation: A Scoping Review.International journal of environmental research and public health · 2023
    Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Keir Ej PhilipNational Heart and Lung Institute, Imperial College London, London, UK k.philip@imperial.ac.uk.ORCID http://orcid.org/0000-0001-9614-3580
Adam LewisBrunel University London, London, UK.
Edmund JefferyRespiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
Sara ButteryNational Heart and Lung Institute, Imperial College London, London, UK.
Phoene CaveNational Heart and Lung Institute, Imperial College London, London, UK.
Daniele CristianoRespiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
Adam LoundRespiratory Medicine, Imperial College Healthcare NHS Trust, London, UK.
Karen TaylorRespiratory Medicine, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
William D-C ManNational Heart and Lung Institute, Imperial College London, London, UK.
Daisy FancourtDepartment of Behavioural Science and Health, University College London, London, UK.
Michael I PolkeyNational Heart and Lung Institute, Imperial College London, London, UK.
Nicholas S HopkinsonNational Heart and Lung Institute, Imperial College London, London, UK.
Royal Brompton & Harefield NHS Foundation Trust · GBBrunel University of London · GBImperial College Healthcare NHS Trust · GBImperial College London · GBUniversity College London · GB

Funding

Department of Health PB-PG-1014-35051Wellcome Trust
6 · The paper itself

Abstract

introductionSinging for lung health (SLH) is a popular arts-in-health activity for people with long-term respiratory conditions. Participants report biopsychosocial benefits, however, research on impact is limited. The 'SLH: Improving Experiences of Lung Disease trial', a randomised controlled, single (assessor) blind, trial of 12 weeks SLH versus usual care for people with chronic obstructive pulmonary disease (COPD) (n=120) was setup to help to address this. The first group (n=18, nine singing and nine controls) started face-to-face (five sessions) before changing to online delivery (seven sessions) due to COVID-19-related physical distancing measures. As such, the experience of this group is here reported as a pilot study to inform further research in this area.

methodsWe conducted semistructured interviews and thematic analysis regarding barriers, facilitators and key considerations for transitioning from face-to-face to online delivery. Pilot quantitative outcomes include attendance, premeasures and postmeasures of quality of life and disease impact (Short Form 36 Health Survey, COPD Assessment Test score), breathlessness (Medical Research Council breathlessness scale, Dyspnoea-12), depression (Patient Health Questionnaire-9, PHQ-9), anxiety (Generalised Anxiety Disorder-7), balance confidence (Activity specific Balance Confidence, ABC scale) and physical activity (clinical visit PROactive physical activity in COPD tool, combining subjective rating and actigraphy).

resultsAttendance was 69% overall, (90% of the face-to-face sessions, 53% online sessions). Analysis of semistructured interviews identified three themes regarding participation in SLH delivered face to face and online, these where (1) perceived benefits; (2) digital barriers (online) and (3) digital facilitators (online). Findings were summarised into key considerations for optimising transitioning singing groups from face-to-face to online delivery. Pilot quantitative data suggested possible improvements in depression (treatment effect -4.78 PHQ-9 points, p<0.05, MCID 5) and balance confidence (treatment effect +17.21 ABC scale points, p=0.04, MCID 14.2). DISCUSSION: This study identifies key considerations regarding the adaptation of SLH from face-to-face to online delivery. Pilot data suggest online group singing for people with COPD may deliver benefits related to reducing depression and improved balance confidence.

Indexed as

AgedCOVID-19DepressionFemaleHumansInternetInterviews as TopicLungMalePilot ProjectsProspective StudiesPulmonary Disease, Chronic ObstructiveQuality of LifeSingingTelemedicinecomplementary medicineexerciseinfection controlviral infection

Identifiers

PMID33239406
PMCPMC7689537
OpenAlexW3107709374

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.