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Trial registered on ANZCTR

Registration number
Ethics application status
Date submitted
Date registered
Date last updated
Type of registration
Prospectively registered

Titles & IDs
Public title
The effects of being part of a weekly singing group on health and wellbeing, for people with chronic lung disease who choose not to attend pulmonary rehabilitation programme.
Scientific title
A cohort study of the effects of a weekly singing group (SYLO) for patients with chronic lung disease who decline standard pulmonary rehabilitation
Secondary ID [1] 289115 0
nil known
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
COPD 298587 0
Chronic lung disease with breathlessness 298588 0
Condition category
Condition code
Respiratory 298663 298663 0 0
Chronic obstructive pulmonary disease
Respiratory 298671 298671 0 0
Other respiratory disorders / diseases

Study type
Patient registry
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
Parallel cohort observational study. SYLO is available to all breathless patients .
We are not assigning singing group participation, but prospectively observing those that choose to do it instead of pulmonary rehabilitation
Participation in a weekly singing group (Sing Your Lungs Out)
1 hour, once a week, with register of attendance. Participants will be monitored for one year after joining the singing group.
Intervention code [1] 294621 0
Not applicable
Comparator / control treatment
Comparator is the people accepting contemporaneous standard pulmonary rehabilitation : 6 to 8 week outpatient programme of individualised exercise and education. 1.5 hours twice a week. With record of attendance.
Control group

Primary outcome [1] 298157 0
Composite of anxiety and depression assessed by total HADS score
Timepoint [1] 298157 0
At enrollment, and at 4 months and at one year post first SYLO enrollment.
At enrollment and at end of Pulmonary rehabilitation for the ' control/ comparator' group
Secondary outcome [1] 323317 0
Six minute walk test ( meters) to assess physical exercise tolerance
Timepoint [1] 323317 0
At enrollment, and at 4 months and at one year post first SYLO session

Key inclusion criteria
People living with COPD or chronic lung disease with breathlessness, referred to standard pulmonary rehabilitation programme, who decline or attend less than 3 sessions who choose to participate in the Sing Your Lungs Out weekly singing sessions.
Minimum age
18 Years
Maximum age
No limit
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
Any conditions that might interfere with the patient's ability to participate in rehabilitation process such as disabling arthritis and unstable angina, or they have active and transmissible respiratory infection eg TB

Study design
Natural history
Convenience sample
Statistical methods / analysis
The sample size for this study is limited by the number of patients who decline or attend less than three sessions of PR, and in turn who are likely to then enrol in the SYLO group. In the 2014/5 audit of PR at CCDHB, 323 patients were referred to the pulmonary rehabilitation programme at Wellington, Kenepuru and Kapiti hospitals. Sixty-seven patients (20%) declined, and forty-four (25%) attended less than 4 sessions. We estimate it is likely that about 30 patients will agree to attend the SYLO intervention. The comparator group of patients attending S-PR is anticipated to be between 250 and 300 patients. The primary outcome variable for this study will be HADS score for which the minimally clinical important difference (MCID) is 1.5 points and standard deviation in our feasibility study was 2.3 points. (35)

The nominated sample size of 30 in SYLO and 250 in S-PR has over 90% power to detect the MCID for the HADS.

Simple data descriptions and plots will be used to characterise the participants. We will compare continuous outcome variables using t tests, sensitivity analyses by ANCOVA, and count variables using Poisson regression.

Recruitment status
Not yet recruiting
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment outside Australia
Country [1] 7845 0
New Zealand
State/province [1] 7845 0

Funding & Sponsors
Funding source category [1] 293488 0
Self funded/Unfunded
Name [1] 293488 0
Amanda McNaughton
Address [1] 293488 0
Medical Research Institute of New Zealand
Wellington Hospital
Riddiford Street
Wellington 6021 NZ
Country [1] 293488 0
New Zealand
Primary sponsor type
Dr Amanda McNaughton
Medical Research Institute of New Zealand
Wellington Hospital
Riddiford Street
Wellington 6021 NZ
New Zealand
Secondary sponsor category [1] 292312 0
Name [1] 292312 0
Address [1] 292312 0
Country [1] 292312 0

Ethics approval
Ethics application status
Ethics committee name [1] 294932 0
Wellington Hospital Clinical Trials Governance Group
Ethics committee address [1] 294932 0
Wellington Hospital
Riddiford Street
Wellington 6021
Ethics committee country [1] 294932 0
New Zealand
Date submitted for ethics approval [1] 294932 0
Approval date [1] 294932 0
Ethics approval number [1] 294932 0
Not applicable

Brief summary
This study will test the effect of a weekly singing group ( Sing Your Lungs Out) as an alternative to the standard pulmonary rehabilitation programme for those people who decline standard PR.
Trial website
Trial related presentations / publications
Public notes

Principal investigator
Name 65534 0
Dr Amanda McNaughton
Address 65534 0
Medical Research Institute of New Zealand
Wellington Hospital
Riddiford Street
Wellington 6021 NZ
Country 65534 0
New Zealand
Phone 65534 0
+64 27 8386925
Fax 65534 0
Email 65534 0
Contact person for public queries
Name 65535 0
Ms Priti Kansara
Address 65535 0
Respiratory Scientist
Department of Respiratory Medicine
Hutt Hospital
High Street
Lower Hutt 5010
Country 65535 0
New Zealand
Phone 65535 0
+64, 4 5666999
Fax 65535 0
Email 65535 0
Contact person for scientific queries
Name 65536 0
Dr Amanda McNaughton
Address 65536 0
Medical Research Institute of New Zealand
Wellington Hospital
Riddiford Street
Wellington 6021 NZ
Country 65536 0
New Zealand
Phone 65536 0
+64,27 8386925
Fax 65536 0
Email 65536 0

No information has been provided regarding IPD availability
Summary results
No Results