$2500 Grant Through Western Region American Music Therapy Association Given to Leanne Wade

Name of Activity/Project:

A feasibility study of pursed lip breathing, singing, and kazoo playing on lung functioning of people who smoke

A description of the professional activity/project including where the activity/project will occur. Individuals who smoke are at an increased risk of developing chronic obstructive pulmonary disease (COPD). Many individuals have damaged their lungs through smoking but have not yet developed this disease. This project is original research examining the impact of 3 interventions on lung function of people who smoke. This study will use pursed lip breathing, singing and kazoo playing as the interventions. It will take place at a retirement facility. Men who smoke daily and are ages 60-90 will be invited to participate. Each participant will complete all three interventions within an hour and half. There will be a 30 minute break between each intervention to allow the participant's breathing to return to normal. In addition to lung functioning measures, a measure of exertion will be used. Qualitative information information will also be gathered to determine what participants think about the interventions and their willingness to carry out the interventions with and without a music therapist.

What are the intended outcomes of the activity/project? 1. To determine if a 5 minute intervention of pursed lip breathing, singing or kazoo playing has a positive effect on lung functioning. 2. To determine if individuals who smoke have perceived exertion from singing or playing kazoo. 3. To determine if older males are willing to use these interventions and their preferences for when they would engage in the interventions. 4. To begin to build a protocol for music therapists working with individuals with respiratory illness.

Who will be impacted by this activity/project? 1. Individuals with Chronic Obstructive Pulmonary Disease (COPD) will be impacted. This study is the first step in developing appropriate interventions for individuals with (COPD) that can be used before an exacerbation occurs. 2. Music therapists who work with individuals with COPD will have knowledge and research to use to plan evidence based treatment. 3. The individuals participating in the study will be impacted by potentially trying something new (pursed lip breathing, singing and kazoo playing).

An itemized project budget. Budget must disclose whether or not the project will be receiving additional funding sources, and if not, please indicate which portion of your project might be eliminated if funding is not granted or only partial funding is granted. 1 MIR Spirometer with oximeter and blue tooth 1 2150.00 2 nose clips (come in pkg of 100) 1 34.73 3 Flow MIR disposable mouthpieces (100) 1 131.10 total requested 2,315.83

If funding is not granted or only partially granted, the researcher will pay for the equipment. 1. The MIR spirometer will be used to take all respiratory measurements, oximeter reading, peak expiratory flow, forced expiratory volume at 1 second, and forced vital capacity. The spirometer is the best device to use when working with individuals with breathing difficulties (including smokers). It is the gold standard for measurement. 2. The nose clips will assist participants in breathing out through the mouth and not accidentally through the nose. 3. The individually wrapped disposable mouthpieces with turbines will assist in avoiding cross contamination, as each participant will have their own.

What methods will you use to evaluate your activity/project? Statistical analysis (SPSS) will be completed for lung functioning tests (PEF, FEV1, FVC), and Ratings of Perceived Effort to determine if the interventions were effective. Qualitative information from the post questionnaire will be reviewed and reported in the discussion

Provide a projected timeline of the activity/project. February – Currently preparing to submit the proposal to the IRB; after approval will submit to the facility for written approval. Purchase needed equipment (spirometer, nose clips, mouthpieces). Prepare music lyrics. Prepare research binder. March – (mid to late March) Approval from both IRB and facility completed. Make any changes requested from IRB or facility. Reserve rooms for research dates. Begin advertising for participants, screening potential participants and setting up appointments. April – Run sessions with participants. May – Complete statistical analysis and writing of results and discussion sessions. June – Continue writing, editing as necessary. July – Complete paper August – Prepare paper for submission. December - Apply to present to regional conference. Currently, this time line is flexible by a few weeks, IRB and facility approval will determine when participant recruitment can occur. This project will be complete in July.