Teaching pursed-lip breathing through music: MELodica Orchestra for DYspnea (MELODY) trial rationale and protocol.

Activities of Daily Living Dyspnea / therapy Humans Lip Multicenter Studies as Topic Music Pilot Projects Pulmonary Disease, Chronic Obstructive / therapy Randomized Controlled Trials as Topic
Chronic obstructive pulmonary disease dyspnea music music therapy pursed-lip breathing

Journal

Arts & health
ISSN: 1753-3023
Titre abrégé: Arts Health
Pays: England
ID NLM: 101476585

Informations de publication

Date de publication:
02 2022
Historique:
pubmed: 17 10 2020
medline: 27 4 2022
entrez: 16 10 2020
Statut: ppublish

Résumé

Patients with chronic obstructive pulmonary disease (COPD) commonly experience dyspnea, which may limit activities of daily living. Pursed-lip breathing improves dyspnea for COPD patients; however, access to pursed-lip breathing training is limited. The proposed MELodica Orchestra for DYspnea (MELODY) study will be a single-site pilot study to assess the safety, feasibility, and efficacy of a music-based approach to teach pursed-lip breathing. Patients with COPD and moderate-severe dyspnea are randomized to intervention, education-control, or usual care control groups. Intervention patients meet twice weekly for eight weeks for melodica instruction, group music-making, and COPD education. Safety, feasibility, and efficacy is assessed qualitatively and quantitatively. This manuscript describes the rationale and methods of the MELODY pilot project. If pilot data demonstrate efficacy, then a multi-site randomized control trial will be conducted to evaluate program effectiveness and implementation.

Sections du résumé

BACKGROUND
Patients with chronic obstructive pulmonary disease (COPD) commonly experience dyspnea, which may limit activities of daily living. Pursed-lip breathing improves dyspnea for COPD patients; however, access to pursed-lip breathing training is limited.
METHODS
The proposed MELodica Orchestra for DYspnea (MELODY) study will be a single-site pilot study to assess the safety, feasibility, and efficacy of a music-based approach to teach pursed-lip breathing. Patients with COPD and moderate-severe dyspnea are randomized to intervention, education-control, or usual care control groups. Intervention patients meet twice weekly for eight weeks for melodica instruction, group music-making, and COPD education. Safety, feasibility, and efficacy is assessed qualitatively and quantitatively.
RESULTS
This manuscript describes the rationale and methods of the MELODY pilot project.
CONCLUSIONS
If pilot data demonstrate efficacy, then a multi-site randomized control trial will be conducted to evaluate program effectiveness and implementation.

Identifiants

DOI: 10.1080/17533015.2020.1827277 PMID: 33064621
pubmed: 33064621
doi: 10.1080/17533015.2020.1827277
doi:

Banques de données

ClinicalTrials.gov
['NCT03653104']

Types de publication

Clinical Trial Protocol Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

49-65

Auteurs

Mackenzie McGrath (M)

Indiana University School of Medicine, Indianapolis, IN, USA.

Joseph Smith (J)

Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Medicine Division of Pulmonary, Critical Care, Sleep & Occupational Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.

Nicholas A Rattray (NA)

Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.
VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
Center for Health Services Research, Regenstrief Institute, Indianapolis, IN, USA.
Department of Anthropology, IUPUI, Indianapolis, IN, USA.

Aimee Lillie (A)

Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.
VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.

Shannon Crow (S)

Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.

Laura J Myers (LJ)

Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.
VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.

Jennifer Myers (J)

Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.
VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.

Anthony J Perkins (AJ)

Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.
Department of Biostatistics, Indiana University School of Medicine, IUPUI, Indianapolis, IN, USA.

Sally Wasmuth (S)

School of Occupational Therapy, Indiana University School of Health & Human Sciences, Indianapolis, IN, USA.

Debra S Burns (DS)

Department of Music and Arts Technology, Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA.

Ariel J Cheatham (AJ)

Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.
VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.

Himalaya Patel (H)

VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.

Dawn M Bravata (DM)

Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA.
VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
Center for Health Services Research, Regenstrief Institute, Indianapolis, IN, USA.
Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.

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Classifications MeSH

questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Réadaptation › Activités de la vie quotidienne › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes respiratoires › Dyspnée › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › Système stomatognathique › Bouche › Lèvre › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études multicentriques comme sujet › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › Sciences humaines › Musique › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Projets pilotes › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Broncho-pneumopathie chronique obstructive › Teaching pursed-lip breathing through music:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études cliniques comme sujet › Essais cliniques comme sujet › Essais cliniques contrôlés comme sujet › Essais contrôlés randomisés comme sujet › Teaching pursed-lip breathing through music:...