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Music Therapy for COPD Rehabilitation (COPDMELODY)

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Integrated training
Rhythm-guided exercise training
Sponsored by
China-Japan Friendship Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring COPD, music therapy, pulmonary rehabilitation

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Participants with a clinical diagnosis of COPD and meeting the following criteria are eligible: Diagnosis of GOLD II-IV and without acute exacerbation within the last 4 weeks. Motivated for participating in the project (and acceptance of randomization) Sufficient mobility to attend PR Exclusion Criteria: Certain comorbidities (e.g. unstable coronary complications) Severe cognitive disabilities (e.g. dementia) Inability to cope with the program because of severe hearing or visual disorder. No previous singing experience or musical competence is required.

Sites / Locations

  • China-Japan Friendship hospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

No Intervention

Arm Label

Integrated training

Rhythm-guided exercise training

Usual care

Arm Description

Rhythm-guided walking exercise coordinated with singing training as training activity in pulmonary rehabilitation: 12 weeks, three times a week for 1 hour, leading to a total of 36 sessions

Rhythm-guided walking exercise as training activity in pulmonary rehabilitation: 12 weeks, three times a week for 1/2 hour, leading to a total of 36 sessions

The usual care is the comparator in the trial, consisting of standard medical treatment and educational sessions including physical training, smoking cessation and vaccination. And after the trial, the patients in this group will also be offered standard pulmonary rehabilitation according to the national guideline.

Outcomes

Primary Outcome Measures

incremental shuttle walking test(ISWT) distance
incremental shuttle walking test distance

Secondary Outcome Measures

Respiratory muscle strength
maximum inspiratory pressure(MIP), maximum expiratory pressure(MEP)
Spirometry
FEV1, FVC, FEV1/FVC, PEF, IC, RV, FRC, TLC
Short Physical Performance Battery(SPPB)
Test for health-related physical performance
modified British medical research council(mMRC)
It is a self-reported symptom questionnaire ranging from 0-4 score, higher scores mean a worse outcome.
COPD assessment test(CAT)
It is a self-reported quality of life questionnaire ranging from 0-10 score, higher scores mean a worse outcome.
St. George's Respiratory Questionnaire (SGRQ)
It is a self-reported symptom questionnaire ranging from 0-100 score, higher scores mean a worse outcome.
International Physical Activity Questionnaire Short Form (IPAQ-short)
It is a questionnaire evaluating participants' quantity of physical activity in a recent week.
Hospital Anxiety and Depression Scale(HADS)
It is a self-reported psychological status questionnaire ranging from 0-42 score, higher scores mean a worse outcome.
Compliance
Self-produced sheet with registration each time of each participant's attendance or absence (with or without cause). Registered continuously during intervention period.

Full Information

First Posted
July 31, 2022
Last Updated
October 9, 2023
Sponsor
China-Japan Friendship Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05832814
Brief Title
Music Therapy for COPD Rehabilitation
Acronym
COPDMELODY
Official Title
The Effect of Music Therapy in Pulmonary Rehabilitation of COPD Patients Aged 40-75
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 3, 2023 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
China-Japan Friendship Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Chronic obstructive pulmonary disease(COPD) patients could benefit from pulmonary rehabilitation(PR) in better managing of the disease and its symptoms and in avoiding future relapses and hospitalizations. However, due to a large number of drop outs from PR, lack of professionals, and the COVID-19 epidemic, the PR has been underutilized, leading to a need for investigation of updated forms. Music therapy, such as rhythm-guided endurance training, singing training, listening to melody, may be one such potential relevant and motivating rehabilitation activity. The study aims to investigate the effects of home-based PR program with a rhythm-guided endurance walking exercise and singing training on both physiological and psychological aspects. Effects will be investigated in a randomized controlled trial (RCT) with 12-week intervention period.
Detailed Description
Physiology and psychology of COPD COPD is a syndrome with a progressive pulmonary obstruction leading to increasingly impaired lung function due to chronic inflammation in the respiratory passages and pulmonary tissue. Living with COPD everyday life is a struggle and often marked with reduced physical activity, again leading to progression of disease, by which a vicious circle develops. Declining physical performance is associated with ventilation restriction, insufficient oxygen diffusion, respiratory muscle and peripheral skeletal muscle dysfunction, ventricular dysfunction and so on. On a psychological level COPD patients tend to suffer from comorbidities such as increased stress and anxiety levels e.g. due to dyspnea and dysfunction. In conclusion, COPD often leads to a severe condition that both physically and psychologically can be very difficult to manage and cope with. COPD and rehabilitation Pulmonary rehabilitation (PR) is multidisciplinary and comprehensive intervention that may improve the interrelated physical and psychological consequences of the disease. It is designed to optimize functional status, reduce symptoms, improve health-related quality of life, reduce anxiety and depression, reduce exacerbations and mortality. However, in spite of documented efficacy and strong recommendations, PR is largely underutilized because most programs have been carried out on an inpatient or outpatient basis, relying on high cost, adequate doctors or therapists and regular visits to hospital. Another problem is the long-term maintenance of benefits once the hospital-based PR program has been completed, since gains achieved diminish progressively if training is abandoned. For these reasons, home-based PR has been proposed as an alternative to outpatient rehabilitation. Just like the supervised training, a home-based PR program must include endurance exercise training, e.g. walking. Optimally, a program should also include respiratory muscle training. Reviewing previous relevant researches, the current common home-based PR models have several limitations. The compliance is still pretty poor, both due to fear of dyspnea and fragility during training and tiring of inflexible exercise form. There is also a concern about ensurance of the exercise intensity during a home-based PR. Therefore it is of high importance to develop alternative rehabilitation activities that are motivating and are perceived helpful for the participants. This study aims to investigate music therapy(MT) as a new complementary therapy, since MT has the potential to facilitate exercise training and strengthen motivation of rehabilitation activity, with both physiological and psychological effects. Music therapy and COPD rehabilitation A number of international studies have investigated the effects of MT in relation to COPD patients. Music therapy targeting at COPD patients include offering music during exercise(distractive auditory stimulus therapy) and singing training. Compared with traditional aerobic exercise, rhythm-guided endurance training has the potential to help patients achieve a higher workload through decreasing or delaying the perception of exercise-induced dyspnea and fatigue. In terms of singing training, it could help patients learn how to control the respiratory function, including training and coordination of the related inspiratory and expiratory musculature. Moreover, from a psychology perspective, music in general seems to have an ability to promote motivations, and have a positive impact on well-being, anxiety and depression level. Previous studies differ in methodology, and furthermore sample size and statistical power are not sufficient to conclude on significance and results. Most relevant researches are carried out in hospital or community-based face-to-face monitoring classes. No study has explored the integrated effects of music-facilitated exercise and singing training, although they might benefit COPD patients further through different physiological mechanisms compared with being applied separately. Therefore the present study is of high prevalence. Since it aims to develop alternative, motivating and personalized solutions to supplement standard PR, exploring whether singing training combined with melody-guided endurance exercise confers further benefits in exercise capacity and how music therapy influences patients' exercise performance, respiratory muscle strength, dyspnea, spirometry, quality of life and emotions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease
Keywords
COPD, music therapy, pulmonary rehabilitation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
75 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Integrated training
Arm Type
Experimental
Arm Description
Rhythm-guided walking exercise coordinated with singing training as training activity in pulmonary rehabilitation: 12 weeks, three times a week for 1 hour, leading to a total of 36 sessions
Arm Title
Rhythm-guided exercise training
Arm Type
Experimental
Arm Description
Rhythm-guided walking exercise as training activity in pulmonary rehabilitation: 12 weeks, three times a week for 1/2 hour, leading to a total of 36 sessions
Arm Title
Usual care
Arm Type
No Intervention
Arm Description
The usual care is the comparator in the trial, consisting of standard medical treatment and educational sessions including physical training, smoking cessation and vaccination. And after the trial, the patients in this group will also be offered standard pulmonary rehabilitation according to the national guideline.
Intervention Type
Behavioral
Intervention Name(s)
Integrated training
Intervention Description
For rhythm-guided walking exercise, the home exercise intensity, that is, the walking speed can be prescribed based on the incremental shuttle walking(ISWT) result. A rhythm matching with the walking speed can be calculated. Then patients will be provided a group of melodies identified by the calculated rhythm, which are also popular with the elder. During exercise, the patients are required to walking on a fixed speed identical with the rhythm. For singing training, patients follow the audios and videos to take training at home, which are recorded by singing teachers and physiotherapists prior to the trial. Each session includes technical instructions in order to achieve better respiratory control during singing.
Intervention Type
Behavioral
Intervention Name(s)
Rhythm-guided exercise training
Intervention Description
For rhythm-guided walking exercise, the home exercise intensity, that is, the walking speed can be prescribed based on the incremental shuttle walking test(ISWT) result. A rhythm matching with the walking speed can be calculated. Then patients will be provided a group of melodies identified by the calculated rhythm, which are also popular with the elder. During exercise, the patients are required to walking on a fixed speed identical with the rhythm.
Primary Outcome Measure Information:
Title
incremental shuttle walking test(ISWT) distance
Description
incremental shuttle walking test distance
Time Frame
12 weeks
Secondary Outcome Measure Information:
Title
Respiratory muscle strength
Description
maximum inspiratory pressure(MIP), maximum expiratory pressure(MEP)
Time Frame
12 weeks
Title
Spirometry
Description
FEV1, FVC, FEV1/FVC, PEF, IC, RV, FRC, TLC
Time Frame
12 weeks
Title
Short Physical Performance Battery(SPPB)
Description
Test for health-related physical performance
Time Frame
12 weeks
Title
modified British medical research council(mMRC)
Description
It is a self-reported symptom questionnaire ranging from 0-4 score, higher scores mean a worse outcome.
Time Frame
12 weeks
Title
COPD assessment test(CAT)
Description
It is a self-reported quality of life questionnaire ranging from 0-10 score, higher scores mean a worse outcome.
Time Frame
12 weeks
Title
St. George's Respiratory Questionnaire (SGRQ)
Description
It is a self-reported symptom questionnaire ranging from 0-100 score, higher scores mean a worse outcome.
Time Frame
12 weeks
Title
International Physical Activity Questionnaire Short Form (IPAQ-short)
Description
It is a questionnaire evaluating participants' quantity of physical activity in a recent week.
Time Frame
12 weeks
Title
Hospital Anxiety and Depression Scale(HADS)
Description
It is a self-reported psychological status questionnaire ranging from 0-42 score, higher scores mean a worse outcome.
Time Frame
12 weeks
Title
Compliance
Description
Self-produced sheet with registration each time of each participant's attendance or absence (with or without cause). Registered continuously during intervention period.
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants with a clinical diagnosis of COPD and meeting the following criteria are eligible: Diagnosis of GOLD II-IV and without acute exacerbation within the last 4 weeks. Motivated for participating in the project (and acceptance of randomization) Sufficient mobility to attend PR Exclusion Criteria: Certain comorbidities (e.g. unstable coronary complications) Severe cognitive disabilities (e.g. dementia) Inability to cope with the program because of severe hearing or visual disorder. No previous singing experience or musical competence is required.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ting Yang, MD
Phone
84206272
Email
zryyyangting@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Minghui Shi, MSc
Organizational Affiliation
China-Japan Friendship Hospital
Official's Role
Study Director
Facility Information:
Facility Name
China-Japan Friendship hospital
City
Beijing
State/Province
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Minghui Shi, MSc
Email
sunflower_justdoit@163.com

12. IPD Sharing Statement

Learn more about this trial

Music Therapy for COPD Rehabilitation

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