BibTex format
@article{Philip:2026:10.1016/j.landig.2026.100988,
author = {Philip, KEJ and Owles, H and McVey, S and Pagnuco, T and Bruce, K and Warnock, B and Chomacki, A and Brunjes, H and Mollica, J and Lound, A and Zumpe, S and Abrahams, AM and Padmanaban, V and Hardy, TH and Lewis, A and Lalvani, A and Elkin, SL and Hopkinson, NS},
doi = {10.1016/j.landig.2026.100988},
journal = {The Lancet Digital Health},
pages = {10098--10098},
title = {An online singing-based breathing and wellbeing programme (ENO Breathe) in people with long COVID breathlessness in the UK: a cohort study},
url = {http://dx.doi.org/10.1016/j.landig.2026.100988},
year = {2026}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - BackgroundPost-COVID-19 condition (also known as long COVID) breathlessness is a common, complex, and frequently debilitating problem for which few evidence-based interventions exist. A previous randomised trial found that participation in an online 6-week breathing and wellbeing programme (ENO Breathe), using singing techniques, was associated with improvements in health-related quality of life (HRQOL) and breathlessness. We aimed to assess the impact of this intervention outside a trial setting.MethodsIn this cohort study, participants were referred from 51 UK-based National Health Service (NHS) long COVID clinics, where they had been diagnosed with breathlessness due to long COVID. The eligibility criteria of ENO Breathe were age 18 years or older, having long COVID with associated breathlessness, diagnosis and referral from a specialist collaborating NHS long COVID clinic, and access and ability to engage with the online programme. We compared baseline and post-intervention data to assess the effect of the ENO Breathe programme on HRQOL assessed using the RAND-36 Mental and Physical Health Composite (MHC and PHC) primary outcome, with an estimated minimally clinically important difference of 3; breathlessness (assessed using Dyspnoea-12 scores and visual analogue scales [VAS] for breathlessness at rest, walking, using stairs, and running); anxiety (assessed using the Generalised Anxiety Disorder-7 questionnaire [GAD-7]); and respiratory symptoms (assessed using the COPD Assessment Test [CAT]).Findings1413 programme participants were included in this analysis (mean age 49 years [SD 11·9], BMI 28 kg/m2 [7·2]). 1130 (80%) participants were female, 273 (19%) were male, and ten (1%) did not disclose their gender. 1165 (82%) participants were White, 87 (6%) were Asian, 47 (3%) were Black, 48 (3%) were of mixed or multiple ethnic backgrounds, 31 (2%) reported their ethnicity or race as other (ie, not one of the categories specified), and 35 (2%) did not d
AU - Philip,KEJ
AU - Owles,H
AU - McVey,S
AU - Pagnuco,T
AU - Bruce,K
AU - Warnock,B
AU - Chomacki,A
AU - Brunjes,H
AU - Mollica,J
AU - Lound,A
AU - Zumpe,S
AU - Abrahams,AM
AU - Padmanaban,V
AU - Hardy,TH
AU - Lewis,A
AU - Lalvani,A
AU - Elkin,SL
AU - Hopkinson,NS
DO - 10.1016/j.landig.2026.100988
EP - 10098
PY - 2026///
SN - 2589-7500
SP - 10098
TI - An online singing-based breathing and wellbeing programme (ENO Breathe) in people with long COVID breathlessness in the UK: a cohort study
T2 - The Lancet Digital Health
UR - http://dx.doi.org/10.1016/j.landig.2026.100988
UR - https://doi.org/10.1016/j.landig.2026.100988
ER -