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      Effectiveness and cost-effectiveness of community singing on mental health-related quality of life of older people: randomised controlled trial.

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          Abstract

          As the population ages, older people account for a greater proportion of the health and social care budget. Whereas some research has been conducted on the use of music therapy for specific clinical populations, little rigorous research has been conducted looking at the value of community singing on the mental health-related quality of life of older people.

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          Singing teaching as a therapy for chronic respiratory disease - a randomised controlled trial and qualitative evaluation

          Background Despite optimal pharmacological therapy and pulmonary rehabilitation, patients with COPD continue to be breathless. There is a need to develop additional strategies to alleviate symptoms. Learning to sing requires control of breathing and posture and might have benefits that translate into daily life. Methods To test this hypothesis we performed a randomised controlled trial, comparing a six week course of twice weekly singing classes to usual care, in 28 COPD patients. The experience of singing was assessed in a qualitative fashion, through interviews with a psychologist. In addition, we surveyed patients with chronic respiratory conditions who participated in a series of open singing workshops. Results In the RCT, the physical component score of the SF36 improved in the singers (n = 15) compared to the controls (n = 13); +7.5(14.6) vs. -3.8(8.4) p = 0.02. Singers also had a significant fall in HAD anxiety score; -1.1(2.7) vs. +0.8(1.7) p = 0.03. Singing did not improve single breath counting, breath hold time or shuttle walk distance. In the qualitative element, 8 patients from the singing group were interviewed. Positive effects on physical sensation, general well-being, community/social support and achievement/efficacy emerged as common themes. 150 participants in open workshops completed a questionnaire. 96% rated the workshops as "very enjoyable" and 98% thought the workshop had taught them something about breathing in a different way. 81% of attendees felt a "marked physical difference" after the workshop. Conclusion Singing classes can improve quality of life measures and anxiety and are viewed as a very positive experience by patients with respiratory disease; no adverse consequences of participation were observed. Trial Registration Current Controlled Trials - ISRCTN17544114.
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            Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial

            Background There is some evidence that singing lessons may be of benefit to patients with chronic obstructive pulmonary disease (COPD). It is not clear how much of this benefit is specific to singing and how much relates to the classes being a group activity that addresses social isolation. Methods Patients were randomised to either singing classes or a film club for eight weeks. Response was assessed quantitatively through health status questionnaires, measures of breathing control, exercise capacity and physical activity and qualitatively, through structured interviews with a clinical psychologist. Results The singing group (n=13 mean(SD) FEV1 44.4(14.4)% predicted) and film group (n=11 FEV1 63.5(25.5)%predicted) did not differ significantly at baseline. There was a significant difference between the response of the physical component score of the SF-36, favouring the singing group +12.9(19.0) vs -0.25(11.9) (p=0.02), but no difference in response of the mental component score of the SF-36, breathing control measures, exercise capacity or daily physical activity. In the qualitative element, positive effects on physical well-being were reported in the singing group but not the film group. Conclusion Singing classes have an impact on health status distinct from that achieved simply by taking part in a group activity. Trials registration Registration Current Controlled Trials - ISRCTN17544114
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              Singing, health and well-being: A health psychologist’s review.

              Mary Gick (2011)
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                Author and article information

                Journal
                Br J Psychiatry
                The British journal of psychiatry : the journal of mental science
                Royal College of Psychiatrists
                1472-1465
                0007-1250
                Sep 2015
                : 207
                : 3
                Affiliations
                [1 ] Simon Coulton, MSc, Centre for Health Service Studies, University of Kent, Canterbury; Stephen Clift, PhD, FRSPH, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury; Ann Skingley, PhD, RN, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury; John Rodriguez, MBMA, MRCP, MFPM, FFPH, NHS Kent and Medway, Ashford, UK s.coulton@kent.ac.uk.
                [2 ] Simon Coulton, MSc, Centre for Health Service Studies, University of Kent, Canterbury; Stephen Clift, PhD, FRSPH, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury; Ann Skingley, PhD, RN, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury; John Rodriguez, MBMA, MRCP, MFPM, FFPH, NHS Kent and Medway, Ashford, UK.
                Article
                bjp.bp.113.129908
                10.1192/bjp.bp.113.129908
                26089304
                3ff6dcf2-4801-44a4-8cee-86b8471f89fd
                History

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