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

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 (MELOD...

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Bibliographic Details
Published in:Arts & health 2022-01, Vol.14 (1), p.49-65
Main Authors: McGrath, Mackenzie, Smith, Joseph, Rattray, Nicholas A., Lillie, Aimee, Crow, Shannon, Myers, Laura J., Myers, Jennifer, Perkins, Anthony J., Wasmuth, Sally, Burns, Debra S., Cheatham, Ariel J., Patel, Himalaya, Bravata, Dawn M.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Chronic obstructive pulmonary disease
dyspnea
Dyspnea - therapy
Humans
Lip
Multicenter Studies as Topic
Music
music therapy
Pilot Projects
Pulmonary Disease, Chronic Obstructive - therapy
pursed-lip breathing
Randomized Controlled Trials as Topic
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Summary: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.
ISSN:1753-3015
1753-3023
DOI:10.1080/17533015.2020.1827277