Evidence map›Paper›PMID 42413924›Full record

Trial reportRespirology (Carlton, Vic.)2026

The SINFONIA Study: A Randomised Controlled Trial to Determine Feasibility and Effectiveness of Online Group Singing for People With COPD or ILD and Breathlessness.

Natasha Smallwood, Amy Pascoe, Nicole Goh, Stefanie Zappino, Sara Vogrin, Lena Ly, Catherine Buchan, Anna Spathis, Jennifer Philip

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Respirology (Carlton, Vic.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

9 authors.

Natasha SmallwoodChronic Respiratory Disease Research at The Alfred, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Amy PascoeChronic Respiratory Disease Research at The Alfred, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-3555-6856
Nicole GohAustin Health, Heidelberg, Victoria, Australia.
Stefanie ZappinoChronic Respiratory Disease Research at The Alfred, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Sara VogrinUniversity of Melbourne, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-1597-9421
Lena LyChronic Respiratory Disease Research at The Alfred, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Catherine BuchanChronic Respiratory Disease Research at The Alfred, School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-4071-2187
Anna SpathisUniversity of Cambridge, Cambridge, UK.
Jennifer PhilipCentre for Palliative Care, St Vincent's Hospital and the University of Melbourne, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-3312-0645

Funding

Windermere Foundation
6 · The paper itself

Abstract

BACKGROUND AND

objectivePeople with chronic obstructive pulmonary disease (COPD) and interstitial lung disease (ILD) experience chronic breathlessness and reduced quality of life (QOL). Specialised singing programs for people with lung disease may improve QOL and symptoms.

methodsA randomised controlled trial conducted in Australia to determine the feasibility and effectiveness of 12 weeks of online, guided group singing on QOL (primary outcome, as measured by SF36), as compared to usual care in people with COPD or ILD. SECONDARY OUTCOMES: anxiety, depression, dyspnoea and loneliness. Intervention effectiveness was assessed using mixed effects linear regression.

resultsOne hundred and one participants were randomised (50 singing, 51 control; 64 COPD, 37 ILD; mean age 69.6 years; 74% women; 42% mMRC = 2, 58% mMRC ≥ 3). The results of the primary endpoint were a mean treatment effect (MTE) of singing of 2.5 points (95% CI -1.9 to 6.8; p = 0.266) on SF-36 mental health score (MCS) and 2.6 points (95% CI -0.9 to 6.1; p = 0.138) on the physical component score (PCS), neither of which were statistically or clinically significant. In the per-protocol analysis, significant improvement in MCS was detected in participants who attended 8 or more sessions (MTE:4.8; 95% CI 0.1 to 9.5; p = 0.047). No significant effects on secondary outcomes were detected. No adverse events were reported.

conclusionsThis RCT demonstrated that online group singing is a feasible intervention for people with COPD or ILD and breathlessness. Although the intention-to-treat analysis did not demonstrate effectiveness, per-protocol analyses suggest that singing may improve mental health components of QOL in people with COPD or ILD.

Indexed as

DyspneaPulmonary Disease, Chronic ObstructiveQuality of LifeSingingAgedAnxietyAustraliaDepressionFeasibility StudiesFemaleHumansLonelinessMaleMiddle AgedTreatment Outcomeclinical endpointlonelinessmental healthphysical therapyquality of liferandomised controlled trial

Identifiers

PMID42413924
PMCPMC13634686

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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.