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Kaasgaard M, Andersen IC, Rasmussen DB, Hilberg O, Løkke A, Vuust P, Bodtger U. Heterogeneity in Danish lung choirs and their singing leaders: delivery, approach, and experiences: a survey-based study. BMJ Open 2020; 10:e041700. [PMID: 33257493 PMCID: PMC7705518 DOI: 10.1136/bmjopen-2020-041700] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Revised: 09/30/2020] [Accepted: 11/05/2020] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Singing is considered a beneficial leisure time intervention for people with respiratory diseases, and lung choirs have gained increasing attention. However, there is no available guideline on preferred methodology, and hence, outcomes, delivery, and benefits are unclear. The present study investigated for the first time ever emerged delivery, approach, and experiences in Danish lung choirs and their singing leaders, hypothesising the array to be heterogeneous, without disease-specific approach, and a challenging field to navigate for the singing leaders. SETTING An online survey comprising 25 questions was performed individually, May 2017, in Denmark. PARTICIPANTS Current singing leaders of Danish lung choirs, identified by hand searches on the internet. In total, 33 singing leaders in formal and informal settings were identified and 20 (67%) responded. PRIMARY AND SECONDARY OUTCOME MEASURES Distribution in content, delivery, and approach; level of disease-specific knowledge and modification; experience of challenges and benefits. Quantitative variables were counted, and an inductive content analysis approach was used for the qualitative study component. RESULTS The lung choirs were heterogeneous concerning setting, duration, and content. The approach was traditional without disease-specific content or physical activity. Most singing leaders held various academic degrees in music, but lacked skills in lung diseases. However, they experienced lung choirs as a highly meaningful activity, and reported that participants benefited both musically, psychosocially, and physically. Singing leaders were enthusiastic regarding potentials in the 'arts-and-health' cross-field and experienced an expansion of their role and overall purpose, professionally as well as personally. However, they also experienced insecurity, inadequacy, and isolation, and requested methodological guidelines, formal support, and peer network. CONCLUSION Danish lung choirs are led without any disease-specific guideline or methodological approach. Further studies are needed to develop and distribute a preferred methodological approach. TRIAL REGISTRATION NUMBER This study is linked to clinical trial number NCT03280355 and was performed prior to data collection and results of the clinical trial.
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Affiliation(s)
- Mette Kaasgaard
- Pulmonary Research Unit Region Zealand (PLUZ), Department of Respiratory Medicine, Naestved and Slagelse Hospital, Naestved and Slagelse, Denmark
- Center for Music in the Brain, Department of Clinical Medicine, Faculty of Health Sciences, Aarhus University & The Royal Academy of Music, Aalborg/Aarhus, Aarhus, Denmark
| | - Ingrid Charlotte Andersen
- Pulmonary Research Unit Region Zealand (PLUZ), Department of Respiratory Medicine, Naestved and Slagelse Hospital, Naestved and Slagelse, Denmark
- Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
| | - Daniel Bech Rasmussen
- Pulmonary Research Unit Region Zealand (PLUZ), Department of Respiratory Medicine, Naestved and Slagelse Hospital, Naestved and Slagelse, Denmark
- Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
| | - Ole Hilberg
- Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
- Department of Respiratory Medicine, Hospital Lillebaelt, Vejle, Denmark
| | - Anders Løkke
- Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
- Department of Respiratory Medicine, Hospital Lillebaelt, Vejle, Denmark
| | - Peter Vuust
- Center for Music in the Brain, Department of Clinical Medicine, Faculty of Health Sciences, Aarhus University & The Royal Academy of Music, Aalborg/Aarhus, Aarhus, Denmark
| | - Uffe Bodtger
- Pulmonary Research Unit Region Zealand (PLUZ), Department of Respiratory Medicine, Naestved and Slagelse Hospital, Naestved and Slagelse, Denmark
- Department of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
- Department of Medicine, Zealand University Hospital, Roskilde, Denmark
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Simonÿ C, Andersen IC, Bodtger U, Nyberg M, Birkelund R. Raised illness mastering – a phenomenological hermeneutic study of chronic obstructive pulmonary disease patients’ experiences while participating in a long-term telerehabilitation programme. Disabil Rehabil Assist Technol 2020; 17:594-601. [DOI: 10.1080/17483107.2020.1804630] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Charlotte Simonÿ
- Institute of the Regional Health, University of Southern Denmark, Odense, Denmark
- Department of Physiotherapy and Occupational Therapy, Slagelse Hospital, Slagelse, Denmark
| | - Ingrid Charlotte Andersen
- Institute of the Regional Health, University of Southern Denmark, Odense, Denmark
- Department of Medicine, Naestved and Slagelse Hospitals, Slagelse, Denmark
| | - Uffe Bodtger
- Institute of the Regional Health, University of Southern Denmark, Odense, Denmark
- Department of Respiratory Medicine, Naestved Hospital, Naestved, Denmark
- Department of Respiratory Medicine, Roskilde Hospital, Roskilde, Denmark
| | - Mette Nyberg
- Department of Physiotherapy and Occupational Therapy, Slagelse Hospital, Slagelse, Denmark
| | - Regner Birkelund
- Institute of the Regional Health, University of Southern Denmark, Odense, Denmark
- Department of Health Research, Vejle Sygehus, Vejle, Denmark
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Simonÿ C, Andersen IC, Bodtger U, Birkelund R. Breathing through a troubled life - a phenomenological-hermeneutic study of chronic obstructive pulmonary disease patients' lived experiences during the course of pulmonary rehabilitation. Int J Qual Stud Health Well-being 2020; 14:1647401. [PMID: 31432771 PMCID: PMC6713173 DOI: 10.1080/17482631.2019.1647401] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
Purpose: Exploring real-life experiences of Chronic Obstructive Pulmonary Disease (COPD) patients during rehabilitation can contribute with new knowledge of what has significance for their participation and chance for improved health and well-being. Therefore, this study aims to gain in-depth knowledge of COPD patients’ lived experiences while following standard pulmonary out-patient rehabilitation. Methods: Combined participant observations and interviews were conducted among 21 participants in pulmonary rehabilitation. A three-leveled phenomenological-hermeneutic interpretation was applied. Results: Living with COPD was challenging due to dyspnea and other physical troubles. This caused a lack of trust in the body and complicated rehabilitation participation. When improving management of breath during rehabilitation, the patients gained a new sense of trust in the body. This was accompanied by a nascent hope and increased well-being. However, not succeeding in this left patients with a persistent lack of hope. Conclusions: Comprehensive troubles in living with COPD paradoxically prevents patients’ prospect of overcoming a perceived lack of trust in their body during standard pulmonary rehabilitation. Enhancing breath management has a significant impact on COPD patients’ trust in own capabilities to improve well-being and health. Future rehabilitation must accommodate COPD patients’ troubles by longer-lasting, well-coordinated, individually supportive and more easily accessible programmes.
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Affiliation(s)
- Charlotte Simonÿ
- Department of Physiotherapy and Occupational Therapy, Slagelse Hospital , Slagelse , Denmark.,Institute of Regional Health, University of Southern Denmark , Odense , Denmark.,Section of Nursing Science, Institute of Health, Aarhus University , Aarhus , Denmark
| | - Ingrid Charlotte Andersen
- Institute of Regional Health, University of Southern Denmark , Odense , Denmark.,Department of Internal Medicine M1, Slagelse Hospital , Slagelse , Denmark
| | - Uffe Bodtger
- Department of Respiratory Medicine (M1), Naestved Hospital , Naestved , Denmark.,Department of Respiratory Medicine, Zealand University Hospital , Roskilde , Denmark.,Institute of Regional Health Science, University of Southern Denmark , Odense , Denmark
| | - Regner Birkelund
- Department of Health Research , Lillebaelt Hospital , Vejle , Denmark.,Institute of Regional Health Research, University of Southern Denmark , Odense , Denmark
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Hegelund A, Andersen IC, Andersen MN, Bodtger U. The impact of a personalised action plan delivered at discharge to patients with COPD on readmissions: a pilot study. Scand J Caring Sci 2019; 34:909-918. [PMID: 31865631 PMCID: PMC7754430 DOI: 10.1111/scs.12798] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 10/31/2019] [Accepted: 11/13/2019] [Indexed: 12/13/2022]
Abstract
Background Self‐management interventions in COPD, including action plans, have the potential to increase quality of life and to reduce respiratory‐related hospitalisations. However, knowledge is still sparse of the effectiveness of a personally tailored action plan introduced at or right after discharge from hospital. Aim This pilot study aimed to test whether a personalised, stepwise action plan supported with a short instruction provided at or postdischarge after an acute exacerbation in chronic obstructive pulmonary disease admission as an addition to usual care reduces readmissions and symptom burden, including anxiety and depression levels at 3‐month follow‐up. Methods The study was carried out in a randomised controlled design with follow‐up after 3 months. In all, 75 participants were randomly assigned to either an intervention group that received an action plan, including the COPD Assessment Test (CAT), or to a control group that received usual care. The incidence of COPD‐related readmissions was measured as the primary outcome. Results Compared to the control group, the action plan group significantly reduced the incidence of readmissions. The action plan group showed a trend towards a significant decrease in HADS‐depression, but none in HADS‐anxiety. Significant improvements in CAT scores were observed for the participants in the intervention group. Only inferior minor differences were found in use of inhalation therapy. Conclusions A personally tailored action plan introduced at or postdischarge combined with follow‐up support is an effective self‐management tool to support recovery and to reduce unnecessary readmissions. In future follow‐up care, the healthcare professional must initiate the action plan at discharge and immediately after having the opportunity to follow the patient at home. This might require healthcare professionals working across healthcare sectors, who support patients until they have the needed confidence and competence in using the plan.
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Affiliation(s)
- Annette Hegelund
- Competence Center for Pulmonary Disease, Department of Medicine, Naestved and Slagelse Hospitals, Naestved, Denmark
| | - Ingrid Charlotte Andersen
- Department of Medicine, Naestved and Slagelse Hospitals, Odense, Denmark.,Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
| | - Marianne N Andersen
- Competence Center for Pulmonary Disease, Department of Medicine, Naestved and Slagelse Hospitals, Naestved, Denmark
| | - Uffe Bodtger
- Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark.,Department of Respiratory Medicine, Naestved Hospital, Odense, Denmark
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Simonÿ C, Riber C, Bodtger U, Birkelund R. Striving for Confidence and Satisfaction in Everyday Life with Chronic Obstructive Pulmonary Disease: Rationale and Content of the Tele-Rehabilitation Programme >C☺PD-Life>>. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16183320. [PMID: 31505861 PMCID: PMC6766220 DOI: 10.3390/ijerph16183320] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 08/29/2019] [Accepted: 09/03/2019] [Indexed: 12/31/2022]
Abstract
Background: More feasible rehabilitation programmes for patients with chronic obstructive pulmonary disease (COPD) are warranted. Even so, still in its infancy, telerehabilitation to COPD patients reveals promising results, wherefore it is anticipated to contribute significant value to the current challenges of rehabilitation to these patients. To expand useful knowledge in the field, more sophisticated telerehabilitation interventions must be developed and appraised, but first and foremost, thoroughly described. Aims and methods: The aim of this article is to give a detailed description of the rationale and content of the >C☺PD-Life>> programme, within the bounds of the checklist of Template for Intervention Description and Replication (TIDieR). Approach:>C☺PD-Life>> is a telerehabilitation programme for COPD patients delivered as a study intervention by an interprofessional team of clinicians collaborating from both the hospital and the municipal healthcare system. Making use of two-way audio and visual communication software, 15 patients participated in the intervention via a tablet computer from their private setting. The programme was a six-month-long empowerment-based rehabilitation that aimed to support COPD patients in leading a satisfactory and confident life with appropriate physical activity and high disease management. Conclusions: A long-term interprofessional cross-sectoral telerehabilitation programme has been justified and described. The intervention was tested in 2017–2018 and the qualitative appraisal, along with an analysis of case-based measurements of development in physical capacity, COPD Assesment Test, and health management, is currently under production.
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Affiliation(s)
- Charlotte Simonÿ
- Department of Physiotherapy and Occupational Therapy, Slagelse Hospital, Faelledvej 7, 4200 Slagelse, Denmark.
- Institute of the Regional Health Services Research, University of Southern Denmark, 5230 Odense, Denmark.
| | - Claus Riber
- Department of Physiotherapy and Occupational Therapy, Slagelse Hospital, Faelledvej 7, 4200 Slagelse, Denmark.
| | - Uffe Bodtger
- Institute of the Regional Health Services Research, University of Southern Denmark, 5230 Odense, Denmark.
- Department of Respiratory Medicine, Naestved Hospital, Ringstedgade 61, 4700 Naestved, Denmark.
- Department of Respiratory Medicine, Zealand University Hospital, Sygehusvej 10, 4000 Roskilde, Denmark.
| | - Regner Birkelund
- Institute of the Regional Health Services Research, University of Southern Denmark, 5230 Odense, Denmark.
- Department of Health Research, Lillebaelt Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.
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