Teaching pursed-lip breathing through music: MELodica Orchestra for DYspnea (MELODY) trial rationale and protocol,Arts & Health

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Teaching pursed-lip breathing through music: MELodica Orchestra for DYspnea (MELODY) trial rationale and protocol
Arts & Health ( IF 1.724 ) Pub Date : 2020-10-16 , DOI: 10.1080/17533015.2020.1827277
Mackenzie McGrath ₁ , Joseph Smith _{1,

2,

3,

4} , Nicholas A Rattray _{5,

6,

7,

8} , Aimee Lillie _{5,

6} , Shannon Crow ₅ , Laura J Myers _{2,

5,

6} , Jennifer Myers _{5,

6} , Anthony J Perkins _{5,

9} , Sally Wasmuth ₁₀ , Debra S Burns ₁₁ , Ariel J Cheatham _{5,

6} , Himalaya Patel ₆ , Dawn M Bravata _{2,

5,

6,

7,

12}

Affiliation

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.
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.
Department of Biostatistics, Indiana University School of Medicine, IUPUI, Indianapolis, IN, USA.
School of Occupational Therapy, Indiana University School of Health & Human Sciences, Indianapolis, IN, USA.
Department of Music and Arts Technology, Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, IN, USA.
Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.

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.

中文翻译：

通过音乐教授缩唇呼吸：针对呼吸困难 (MELODY) 试验的 MELodica Orchestra 试验原理和方案

摘要

背景

慢性阻塞性肺病 (COPD) 患者通常会出现呼吸困难，这可能会限制日常生活活动。噘唇呼吸可改善 COPD 患者的呼吸困难；然而，获得缩唇呼吸训练的机会是有限的。

方法

提议的 MELodica Orchestra for DYspnea (MELODY) 研究将是一项单点试点研究，以评估基于音乐的方法来教授噘唇呼吸的安全性、可行性和有效性。患有 COPD 和中重度呼吸困难的患者被随机分配到干预组、教育控制组或常规护理对照组。干预患者每周会面两次，为期八周，进行口琴教学、团体音乐制作和慢性阻塞性肺病教育。对安全性、可行性和有效性进行定性和定量评估。