{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:58:55Z","timestamp":1785427135782,"version":"3.56.0"},"reference-count":47,"publisher":"Canadian Society of Respiratory Therapists","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"introduction\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Group singing (GS) programs have emerged as a promising option to address both the respiratory and psychological needs of patients with breathing limitations. No study has documented a hybrid delivery mode that simultaneously combines in-person and online modalities. This study aims to explore participants\u2019 experiences and the effects on respiratory control, quality of life, and social inclusion of a hybrid GS program that includes in-person and online groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using a mixed-method convergent design, we recruited twenty individuals with breathing limitations. The GS program was delivered weekly over 12 weeks, with sessions lasting two hours. Participants joined either in person (\n                      <jats:italic>n<\/jats:italic>\n                      = 12) or online (\n                      <jats:italic>n<\/jats:italic>\n                      = 8). Pulmonary health, quality of life, and social inclusion were assessed using questionnaires at baseline, post-intervention, and 3 months post-intervention. Semi-structured interviews explored participants\u2019 experiences and perceived effects, analyzed thematically and inductively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants primarily attended either in person or online. Both groups reported a sense of connection with the other participants but expressed concerns about using the technology. Online participants valued the opportunity to engage despite mobility or health limitations, though technological challenges affected feedback and group cohesion. Quantitative and qualitative findings revealed perceived improvements in pulmonary health and social inclusion, despite mixed outcomes regarding overall quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hybrid GS programs are well-received and beneficial for individuals with breathing limitations. They offer a promising complement to traditional pulmonary rehabilitation by enhancing accessibility and supporting long-term engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.29390\/001c.161383","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T16:22:41Z","timestamp":1778170961000},"source":"Crossref","is-referenced-by-count":0,"title":["A hybrid in-person and online group singing program for older adults with breathing limitations: A pilot mixed-methods study"],"prefix":"10.29390","volume":"62","author":[{"given":"Nicole","family":"Marquis","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00kybxq39","id-type":"ROR","asserted-by":"publisher"}],"name":"Universit\u00e9 de Sherbrooke","department":["Facult\u00e9 de m\u00e9decine et des sciences de la sant\u00e9"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2248-0282","authenticated-orcid":true,"given":"Pamela","family":"Tanguay","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00kybxq39","id-type":"ROR","asserted-by":"publisher"}],"name":"Universit\u00e9 de Sherbrooke","department":["Facult\u00e9 de m\u00e9decine et des sciences de la sant\u00e9"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Drouin","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00kybxq39","id-type":"ROR","asserted-by":"publisher"}],"name":"Universit\u00e9 de Sherbrooke","department":["Facult\u00e9 de m\u00e9decine et des sciences de la sant\u00e9"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Gosine","sequence":"additional","affiliation":[{"name":"Memorial University","department":["Faculty of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Couturier","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00kybxq39","id-type":"ROR","asserted-by":"publisher"}],"name":"Universit\u00e9 de Sherbrooke","department":["Facult\u00e9 de m\u00e9decine et des sciences de la sant\u00e9"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Martel-Sauvageau","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04sjchr03","id-type":"ROR","asserted-by":"publisher"}],"name":"Laval University","department":["School of Rehabilitation sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"Provencher","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00kybxq39","id-type":"ROR","asserted-by":"publisher"}],"name":"Universit\u00e9 de Sherbrooke","department":["Facult\u00e9 de m\u00e9decine et des sciences de la sant\u00e9"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11956","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.1513\/AnnalsATS.202102-146ST","article-title":"Defining Modern Pulmonary Rehabilitation. 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