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

IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Arts & Health Pub Date : 2022-02-01 Epub Date: 2020-10-16 DOI:10.1080/17533015.2020.1827277
Mackenzie McGrath, Joseph Smith, Nicholas A Rattray, Aimee Lillie, Shannon Crow, Laura J Myers, Jennifer Myers, Anthony J Perkins, Sally Wasmuth, Debra S Burns, Ariel J Cheatham, Himalaya Patel, Dawn M Bravata
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引用次数: 1

Abstract

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.

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通过音乐来教授抿嘴呼吸:MELodica Orchestra治疗呼吸困难(MELODY)试验的原理和方案。
背景:慢性阻塞性肺疾病(COPD)患者通常经历呼吸困难,这可能限制日常生活活动。闭口呼吸改善慢性阻塞性肺病患者呼吸困难;然而,获得闭口呼吸训练的机会是有限的。方法:MELodica Orchestra治疗呼吸困难(MELODY)研究将是一项单点试点研究,旨在评估以音乐为基础的闭口呼吸教学方法的安全性、可行性和有效性。慢性阻塞性肺病和中重度呼吸困难患者随机分为干预组、教育对照组或常规护理对照组。干预患者每周会面两次,为期八周,进行旋律指导、团体音乐制作和COPD教育。对安全性、可行性和有效性进行定性和定量评估。结果:本文描述了MELODY试点项目的基本原理和方法。结论:如果试点数据证明有效,那么将进行多地点随机对照试验来评估项目的有效性和实施情况。
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来源期刊
Arts & Health
Arts & Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.80
自引率
14.30%
发文量
12
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