{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T23:09:35Z","timestamp":1783724975604,"version":"3.55.0"},"reference-count":19,"publisher":"BMJ","issue":"1","funder":[{"DOI":"10.13039\/501100000351","name":"British Lung Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000351","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Resp Res"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Singing for Lung Health (SLH) groups are an increasingly popular intervention for people with respiratory disease. There are limited data as to how these groups should be developed and run. We aimed to evaluate the experience of singing leaders both to assess the training provided by the British Lung Foundation (BLF) and to provide information to guide future development of programmes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A convenience sample of 15 leaders who had received BLF SLH training participated in the BLF service evaluation. Fifteen singing groups were observed, and singing leader interviews and questionnaires were collected. Inductive themes from the qualitative data were the primary outcome. The content of observed singing groups was also rated against the training leaders had received.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Singing leaders valued the BLF training but felt that a significant level of expertise is required before joining. Singing leaders often found setting up groups challenging and some found clinician support beneficial. There were important technical aspects of running a lung health group including issues around content, for example, choice of repertoire to suit breathing pattern, and delivery, for example, pace, rhythm and management of group dynamics. Leaders said that group participants reported physical health improvements such as reduced breathlessness on activity. The content and delivery of singing classes observed displayed a good level of fidelity, suggesting that SLH training is effective.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The experience of the leaders highlights the requirements, support and technical skills needed to run SLH groups, which have features distinct from generic community singing groups.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjresp-2017-000216","type":"journal-article","created":{"date-parts":[[2017,7,29]],"date-time":"2017-07-29T20:10:31Z","timestamp":1501359031000},"page":"e000216","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Singing for Lung Health: a qualitative assessment of a British Lung Foundation programme for group leaders"],"prefix":"10.1136","volume":"4","author":[{"given":"Adam","family":"Lewis","sequence":"first","affiliation":[{"name":"NIHR Respiratory Disease, Biomedical Research Unit at the Royal Brompton and Harefield NHS Foundation Trust and Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoene","family":"Cave","sequence":"additional","affiliation":[{"name":"NIHR Respiratory Disease, Biomedical Research Unit at the Royal Brompton and Harefield NHS Foundation Trust and Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas S","family":"Hopkinson","sequence":"additional","affiliation":[{"name":"NIHR Respiratory Disease, Biomedical Research Unit at the Royal Brompton and Harefield NHS Foundation Trust and Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,7,29]]},"reference":[{"key":"2025083110180194000_4.1.e000216.1","doi-asserted-by":"crossref","first-page":"16080","DOI":"10.1038\/npjpcrm.2016.80","article-title":"Singing for lung Health-a systematic review of the literature and consensus statement","volume":"26","author":"Lewis","year":"2016","journal-title":"NPJ Prim Care Respir Med"},{"key":"2025083110180194000_4.1.e000216.2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-012521","article-title":"Sing your lungs out: a qualitative study of a community singing group for people with chronic obstructive pulmonary disease (COPD)","volume":"6","author":"McNaughton","year":"2016","journal-title":"BMJ Open"},{"key":"2025083110180194000_4.1.e000216.3","first-page":"1","volume-title":"UNESCO Observatory Multi-Disciplinary Journal in the Arts","volume":"3","author":"Morrison","year":"2013"},{"key":"2025083110180194000_4.1.e000216.4","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1080\/17533015.2013.840853","article-title":"\u2018Singing for Breathing\u2019: Participants\u2019\u00a0perceptions of a group singing programme for people with COPD","volume":"6","author":"Skingley","year":"2014","journal-title":"Arts Health"},{"key":"2025083110180194000_4.1.e000216.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2466-12-69","article-title":"Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial","volume":"12","author":"Lord","year":"2012","journal-title":"BMC Pulm Med"},{"key":"2025083110180194000_4.1.e000216.6","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2466-10-41"},{"key":"2025083110180194000_4.1.e000216.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61728-0"},{"key":"2025083110180194000_4.1.e000216.8","unstructured":"British Lung Foundation. Estimating the economic burden of respiratory illness in the UK, 2017."},{"key":"2025083110180194000_4.1.e000216.9","unstructured":"National Institute for Clinical Excellence. Management of chronic obstructive pulmonary disease in adults in primary and secondary care (partial update). This guideline partially updates and replaces NICE clinical guideline 2010;12. http:\/\/guidanceniceorguk\/CG101"},{"key":"2025083110180194000_4.1.e000216.10","doi-asserted-by":"crossref","unstructured":"Zoumot Z , Davey C , Jordan S , et al . Endobronchial valves for patients with heterogeneous emphysema and without interlobar collateral ventilation: open label treatment following the BeLieVeR-HIFi study. Thorax 2017;72.doi:10.1136\/thoraxjnl-2016-208865","DOI":"10.1136\/thoraxjnl-2016-208865"},{"key":"2025083110180194000_4.1.e000216.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60001-0"},{"key":"2025083110180194000_4.1.e000216.12","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2014-205667"},{"key":"2025083110180194000_4.1.e000216.13","first-page":"1373","volume-title":"An Official American Thoracic Society\/European Respiratory Society Policy Statement: enhancing implementation, use\u00a0and Delivery of Pulmonary Rehabilitation","volume":"192","author":"Rochester","year":"2015"},{"key":"2025083110180194000_4.1.e000216.14","doi-asserted-by":"crossref","first-page":"305","DOI":"10.2147\/COPD.S90812","article-title":"Self-management of health care behaviors for COPD: a systematic review and meta-analysis","volume":"11","author":"Jolly","year":"2016","journal-title":"Int J Chron Obstruct Pulmon Dis"},{"key":"2025083110180194000_4.1.e000216.15","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2025083110180194000_4.1.e000216.16","unstructured":"Cave P . Singing with one voice?: London Arts in Health Forum Blog, 2017. https:\/\/lahf.wordpress.com\/2017\/03\/22\/singing-with-one-voice\/ (accessed date 16 June 2017)."},{"key":"2025083110180194000_4.1.e000216.17","unstructured":"Steiner M , Holzhauer-Barrie J , Lowe D , et al . Pulmonary\u00a0Rehabilitation: Steps to breathe better National Chronic Obstructive Pulmonary Disease (COPD). Audit programme: clinical audit of pulmonary rehabilitation services in England and Wales 2015, 2016."},{"key":"2025083110180194000_4.1.e000216.18","doi-asserted-by":"crossref","first-page":"7","DOI":"10.7748\/nr2011.01.18.2.7.c8280","article-title":"Phenomenological approaches: challenges and choices","volume":"18","author":"Pringle","year":"2011","journal-title":"Nurse Res"},{"key":"2025083110180194000_4.1.e000216.19","doi-asserted-by":"crossref","unstructured":"Gick ML , Nicol JJ . Singing for respiratory health: theory, evidence and challenges. Health Promot Int 2016;31.doi:10.1093\/heapro\/dav013","DOI":"10.1093\/heapro\/dav013"}],"container-title":["BMJ Open Respiratory Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjresp-2017-000216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T17:18:13Z","timestamp":1756660693000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopenrespres.bmj.com\/lookup\/doi\/10.1136\/bmjresp-2017-000216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,7,29]]},"published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1136\/bmjresp-2017-000216"],"URL":"https:\/\/doi.org\/10.1136\/bmjresp-2017-000216","relation":{},"ISSN":["2052-4439"],"issn-type":[{"value":"2052-4439","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7]]}}}