Melodica Orchestra for Dyspnea: Safety and Feasibility Pilot

Withdrawn before enrolling · Not applicable

Conditions studied: COPD, Chronic Obstructive Pulmonary Disease, Dyspnea, Breathlessness, Emphysema, Chronic Bronchitis

In brief

This project seeks to pilot-test the feasibility of using a melodica training program to teach pursed lip breathing for Veterans with chronic obstructive pulmonary disease (COPD) with moderate to severe dyspnea (shortness of breath). Dyspnea occurs commonly among COPD patients and can limit activities of daily living. Pursed lip breathing is a strategy that can improve dyspnea and exercise capacity among COPD patients. The melodica is a musical instrument that looks like a keyboard with a mouthpiece on the side. The melodica is played by exhaling through the mouthpiece while pressing the keys. The MELODY pilot project protocol has been grounded on concepts from occupational therapy; specifically, providing participants with a meaningful new activity that is enjoyable, that can be provided across a spectrum of skill levels, that can provide participants with a new sense of self, and that can improve health outcomes (i.e., dyspnea and exercise endurance).

Key facts

Study ID

NCT03653104

Run by

VA Quality Enhancement Research Intiative

People needed

0

Starts

2018-06-12

Expected to finish

2019-12-31

Last updated by the study team

2021-03-15

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• spirometry-confirmed COPD defined as a FEV1/FVC <0.7
• moderate or severe dyspnea defined as a grade ≥3 on the ATS Dyspnea scale

You may not qualify if…

• visual or hearing impairments
• do not speak English
• do not have an intact airway
• have cognitive impairment
• are unable to make a seal with their mouths
• have a history of at least one hospital admission for congestive heart failure in the prior year
• receiving Hospital-Based Home Care (HBHC) or Telehealth care for COPD management

Where it is running

• Veteran Health Indiana, Richard L. Roudebush VA Medical Center — Indianapolis, Indiana, United States

Full record on ClinicalTrials.gov

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