Singing for Wellness: Is Singing a Useful Way of Supporting People in South Devon to Self-manage Aspects of Their COPD

Study Overview
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Brief Summary
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The aim of this study is to explore whether singing is a useful way of supporting people in South Devon to self manage aspects of their COPD and associated social isolation. It will also investigate whether a model of bespoke respiratory community choirs provides a useful service for our local community. The study will look at the impact of singing on breathing, wellbeing, frailty and engagement.

Official Title
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Singing for Wellness: Is Singing a Useful Way of Supporting People in South Devon to Self-manage Aspects of Their COPD: Does a Bespoke Respiratory Choir Provide a Non-medical Intervention for Those With COPD in Our Local Community

Conditions
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COPD

Intervention / Treatment
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* Other: singing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed with COPD Evidence of airflow obstruction as measured by spirometry Being independently mobile and able to get to location Being able to give permission to participate Over 18 years old Awaiting pulmonary rehabilitation or have completed pulmonary rehabilitation Exclusion Criteria: Lacking capacity to give permission to participate e.g. severe dementia Other health issues which preclude participation e.g. psychosis, unstable physical health Under 18 years of age Not diagnosed with COPD

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Interventional Model Description: Singing for Wellness will use an uncontrolled observational study design. Two mixed-cohort, 12-week community choirs will be delivered by experienced vocal practitioners in South Devon localities: Newton Abbott and Torquay.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: singing arm<br>Singing for Wellness will use an uncontrolled observational study design. Two mixed-cohort, 12-week community choirs will be delivered by experienced vocal practitioners in South Devon localities: Newton Abbott and Torquay. Lung function, frailty and health-related quality of life will be assessed by Spirometry, CRQ (chronic respiratory questionnaire), MRC breathlessness scale, Rockwood frailty and Warwick-Edinburgh Mental Well-being Scale (WEMWBS). Participants will be assessed at baseline and then again at completion of the 12-week course. Written feedback from participants to capture qualitative experience using narrative and Patient Reported Outcome Measures (PROMs). The attrition and attendance rate will also be recorded for later review. | Other: singing<br>* Singing for Wellness will use an uncontrolled observational study design. Two mixed-cohort, 12-week community choirs will be delivered by experienced vocal practitioners in South Devon localities:<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Lung function | Lung function will be assessed by Spirometry (FVC and FEV1) | 12 weeks | 
| Lung function | Lung function will be assessed by Medical Research Council (MRC) breathlessness scale (Scores 1-5, good to worse) | 12 weeks | 
| Lung function | Lung function will be assessed by Chronic Respiratory Questionnaire (CRQ), Likert scale 1-7, higher scores indicate better health related quality of life | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mental Wellbeing | Warwick-Edinburgh Mental Wellbeing Scale which assesses the mental wellbeing (positive mental health) of a person.(scores 1-5 experiences from none of the time to all of the time) | 12 weeks | 
| Frailty | Rockwood Frailty Scale to categories a patient into one of nine general frailty classifications. | 12 weeks |