Evidence map›Paper›PMID 41651516›Full record

Trial reportBMJ open2026

Patient perspectives on harmonica playing as an intervention for chronic obstructive pulmonary disease: a qualitative study.

Wenli Chen, Jingye Huang, Qiuxuan Zeng, Zeng Jie Ye, Junxin Li, Jiaying Li

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05995847 (The Effectiveness of Harmonica Playing in Improving Lung Function Among In-home Patients With Chronic Obstructive Pulmonary Disease), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05995847 naunknown statusnot on this map

The Effectiveness of Harmonica Playing in Improving Lung Function Among In-home Patients With Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorThe First Affiliated Hospital of Guangzhou Medical UniversityRan2023 to 2024Enrolled248ConditionsCOPDArmsHarmonica playing program plus basic PR care with routine follow-up, Basic PR care with routine follow-up
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

6 authors.

Wenli Chen *Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.ORCID http://orcid.org/0009-0000-6713-4853
Jingye Huang *Nursing Department, Hengqin Hospital, The First Affiliated Hospital of Guangzhou Medical University, Zhuhai, Guangdong, People's Republic of China.
Qiuxuan ZengGuangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.ORCID http://orcid.org/0009-0008-4566-4667
Zeng Jie YeSchool of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, People's Republic of China.ORCID http://orcid.org/0000-0002-4437-3947
Junxin LiSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Jiaying LiThe Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China jiayingli1@cuhk.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo qualitatively explore the lived experiences and perceptions of patients with chronic obstructive pulmonary disease (COPD) using the harmonica as a therapeutic intervention.

designA qualitative study.

settingThe study was conducted at a tertiary hospital in Guangzhou, China.

participantsPatients with COPD who had participated in supervised harmonica playing for at least 12 weeks. (clinical trial registration: NCT05995847). PRIMARY AND SECONDARY OUTCOME MEASURES: The study focused on patients' experiences, including perceived facilitators, barriers and needs regarding the intervention.

resultsWe interviewed 19 patients with COPD between September and December 2024, with interviews lasting an average of 54 min (range: 36-77 min). Five primary themes were identified. Participants reported better physical functioning, including better breathing control, enhanced functional capacity and improved sleep quality. Psychological well-being improved with increased relaxation, emotional improvement and mental engagement. Patients also experienced increased social engagement and role shift, such as expanded social connections, family support and restored family roles. Harmonica playing promoted enhanced self-reliance and personal development, with increased self-management confidence, mastery of the harmonica and encouragement for lifelong learning. Barriers and challenges included physical limitations, breathing difficulties, adherence issues and concerns about the sustainability of long-term benefits.

conclusionsOur study indicates that harmonica playing could improve physical health, psychological well-being, social participation and self-reliance, although barriers persist. Tailored programmes could enhance benefits and adherence, and future research should evaluate durability within comprehensive COPD care. TRIAL REGISTRATION NUMBER: NCT05995847.

Indexed as

Breathing ExercisesPulmonary Disease, Chronic ObstructiveAgedChinaFemaleHumansMaleMiddle AgedPsychological Well-BeingQualitative ResearchQuality of LifeNursing researchPerson-Centered CarePulmonary DiseaseQUALITATIVE RESEARCHRespiratory Therapy

Identifiers

PMID41651516
PMCPMC12887467

What OpenQuestion holds

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LicenceCC BY-NC
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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.