Evidence map›Paper›PMID 38697677›Full record

Trial reportBMJ open respiratory research2024

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

Keir E J Philip, Sara C Buttery, Sarah Bowen, Adam Lewis, Edmund Jeffery, Saeed M Alghamdi, Parris Williams, Ali M Alasmari, Abdullah S Alsulayyim, Christopher M Orton and 19 more

2 registry-linked trialsAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open respiratory research, 2024. 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT04034212 nacompletednot on this map

Singing for Health: Improving Experiences of Lung Disease (SHIELD Trial)

TypeinterventionalSponsorImperial College LondonRan2019 to 2022Enrolled120ConditionsCOPDArmsSinging for Lung Health group attendance
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

7 citing papers in PubMed.

  1. Trial
  2. Trial
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  5. Article
  6. Singing for adults with chronic respiratory disease.The Cochrane database of systematic reviews · 2026
    Article
  7. 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
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

29 authors.

Keir E J PhilipNational Heart and Lung Institute, Imperial College London, London, UK k.philip@imperial.ac.uk.ORCID http://orcid.org/0000-0001-9614-3580
Sara C ButteryNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-9410-414X
Sarah BowenHywel Dda University Health Board, Carmarthen, UK.
Adam LewisDepartment of Health Sciences, Brunel University London, Uxbridge, UK.ORCID http://orcid.org/0000-0002-0576-8823
Edmund JefferyRespiratory Medicine, Royal Brompton and Harefield Hospitals, London, UK.
Saeed M AlghamdiNational Heart and Lung Institute, Imperial College London, London, UK.
Parris WilliamsNational Heart and Lung Institute, Imperial College London, London, UK.
Ali M AlasmariNational Heart and Lung Institute, Imperial College London, London, UK.
Abdullah S AlsulayyimNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-3922-0548
Christopher M OrtonNational Heart and Lung Institute, Imperial College London, London, UK.
Francesca ConwayNational Heart and Lung Institute, Imperial College London, London, UK.
Ley ChanNational Heart and Lung Institute, Imperial College London, London, UK.
Bavithra VijayakumarNational Heart and Lung Institute, Imperial College London, London, UK.
Anand TanaNational Heart and Lung Institute, Imperial College London, London, UK.
James TonkinNational Heart and Lung Institute, Imperial College London, London, UK.
Alexis PerkinsNational Heart and Lung Institute, Imperial College London, London, UK.
Justin L GarnerNational Heart and Lung Institute, Imperial College London, London, UK.
Karthikan SrikanthanNational Heart and Lung Institute, Imperial College London, London, UK.
Ahmed SadakaNational Heart and Lung Institute, Imperial College London, London, UK.
Matthew J PavittNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0001-9390-3070
Winston BanyaRespiratory Medicine, Royal Brompton and Harefield Hospitals, London, UK.
Adam LoundPatient Experience Research Centre, Imperial College, London, UK.
Sarah ElkinRespiratory Medicine, Imperial College Healthcare NHS Trust, London, UK.
Michael I PolkeyNational Heart and Lung Institute, Imperial College London, London, UK.
William D-C ManNational Heart and Lung Institute, Imperial College London, London, UK.
Keir LewisHywel Dda University Health Board, Carmarthen, UK.
Phoene CaveNational Heart and Lung Institute, Imperial College London, London, UK.
Daisy FancourtDepartment of Behavioural Science and Health, University College London, London, London, UK.
Nicholas S HopkinsonNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0003-3235-0454

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundSinging 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.

methodsWe 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.

resultsWe 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

conclusionA 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.

Indexed as

Pulmonary Disease, Chronic ObstructiveQuality of LifeSingingAgedBreathing ExercisesFemaleForced Expiratory VolumeHumansLungMaleMiddle AgedSingle-Blind MethodTreatment OutcomeComplementary MedicineEmphysemaExercisePulmonary RehabilitationRespiratory Muscles

Identifiers

PMID38697677
PMCPMC11086531

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.