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Did the singing-based program pay proper attention to patients with long COVIDs?

Did the singing-based program pay proper attention to patients with long COVIDs?

 


The English National Opera (ENO) online singing-based program is associated with improved quality of life for adults with long COVIDs, as evidenced by practical randomized trials in the United Kingdom.

6 weeks compared to normal care ENO Breathe program RAND 36 item short form survey instrument (SF-36; regression coefficient 2.42, 95% CI 0.03-4.80, P= 0.047) and a visual analog scale for performing shortness of breath (-10.48, 95% CI -17.23 to -3.73, P= 0.0026), reported by Keir Philip, MRCP, and colleagues at Imperial College London.

However, there was no significant difference in the composite score of physical health (regression factor 0.60, 95% CI -1.33 to 2.52,). P= 0.54)), or either of the individual SF-36 subscales, Lancet Respiratory Medicine.

The ENO Breathe program helps patients recover, as music and song-based activities have been shown to “improve health-related quality of life and are popular with people with long-term respiratory illness and shortness of breath.” From a long COVID developed with medical professionals for, the author explained.

This is the first study investigating song-based interventions for individuals with long COVIDs, and Enya Daynes, MSc, of the University of Leicester Hospital in the United Kingdom, Ancillary editorial.. Research results suggest that “ENO Breathe offers a flexible and appropriate strategy for managing some long COVID symptoms.”

But she also pointed out some caveats. In short, song-based programs may not appeal to all patients, “the benefits and safety of unscreened individuals are unknown.”

Daynes also has significant shortness of breath between groups using the dyspnea-12 questionnaire or the visual analog scale of gait, which may be due to how participants interpreted the dyspnea question. I also mentioned that it didn’t improve.

“Shortness of breath is a complex symptom that is difficult to quantify and is influenced by physiology, psychology, and social conditions,” she writes. “The intervention may be targeting a particular sensation or influencing factor, which may explain the variability of the response to the intervention.”

In this randomized trial, Philip and his team included adults with or without anxiety who were referred from one of the 51 long COVID clinics in the United Kingdom.

Long COVID is defined as a symptom that lasts at least 4 weeks after illness and has been diagnosed by a specialist based on a combination of laboratory and clinical factors.

From April 22nd to May 25th, 2021, 74 participants were randomized to intervention and 76 were randomized to regular care. In both groups, the mean age was 49 years, 81% were female, and the mean from onset of COVID symptoms to randomization was 320 days.

ENO Breathe consisted of an online session focused on “singing techniques and lullaby breathing retraining, delivered online via a video conference application.” Participants received an email with new music and support content and were able to access resources to support learning between sessions, the authors say.

Regular care groups received clinical control from the COVID Clinic, completed the study, and then joined ENO Breathe.

Philip’s group concludes that the program is “safe and effective”, at least in improving the mental health and shortness of breath factors of certain patients with long COVIDs, who may benefit most from the intervention. Said that additional research is needed to determine.

“This study suggests that psychosomatic interventions in health-related quality of life may play a potential role as a complementary addition to long-term COVID management,” they said. Wrote.

  • author['full_name']

    Molly Walker Deputy Editor-in-Chief, covering MedPage Today infectious diseases. She has won the 2020 J2 Achievement Award for her coverage of COVID-19. follow

Disclosure

Philip did not reveal a conflict of interest.

Other co-authors have disclosed employment at the English National Opera.

Daynes did not reveal a conflict of interest.

Sources

1/ https://Google.com/

2/ https://www.medpagetoday.com/infectiousdisease/covid19/98453

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