SHAPER (Melodies for Mums)

Investigating the impact of singing for postnatal depression, via a randomised controlled trial and an implementation science study.

Partnership with King’s College London and Breathe Arts Health Research

With a multidisciplinary team of researchers, artists, scientists and clinicians, SHAPER is an ambitious, large-scale clinical trial and implementation science study, in which we are testing and scaling three arts projects within NHS settings.

SHAPER moves beyond just assessing impact of the arts on health and looks at how programmes with proven impact at a local level in the short term can become national programmes commissioned by the health sector long term. Working with three arts organisations to first embed projects into NHS hospitals, clinics and in the community, the research team will then assess whether and how they might improve the health and wellbeing of greater numbers of patients.

Here at UCL we are leading the qualitative evaluation of the Breathe Arts Health Research’s ‘Melodies for Mums’ programme. This programme brings together new mothers – referred by GPs, midwives, and other health professionals – in singing and music sessions with their babies, aiming to reduce symptoms of postnatal depression (PND). This builds on the previous Music and Motherhood study, which demonstrated the effectiveness of the sessions in reducing symptoms of PND faster than usual care or social groups.

Note: the COVID-19 pandemic meant that the Melodies for Mums programme was delivered online for a period. Since this method of delivery was new, and not yet tested, we have conducted an initial evaluation of its effectiveness. We found that Melodies for Mums online was feasible to mothers who partook in the programme and supports the mental health and well-being of new mothers experiencing PND, especially when barriers to in-person treatment are present. You can read more about its online feasibility in our paper here. The main trial (using in-person delivery) resumed in Autumn 2021.

Find out more about Melodies for Mums and SHAPER, as well as our work supporting and evaluating the European roll-out of singing sessions for postpartum depression.

Media

Read the press release from Breathe Arts Health Research, which shares the latest research evaluating the clinical and cost effectiveness of group singing sessions for mothers experiencing postnatal depression.

Watch When Science Finds a Way. the podcast by Wellcome Trust, where Professor Daisy Fancourt speaks about our latest findings from SHAPER.

You can also listen to Daisy Fancourt talking about this trial on BBC Radio 3 for Mental Health Day 2022.

Read Carmine Pariante’s blog: Let’s kick off the world’s largest study into arts and health! Inspire the Mind.

 

Publications

Bind, R. H., Lawrence, A. J., Estevao, C., Hazelgrove, K., Priestley, K., Rebecchini, L., … Pariante, C. M. (2025). Clinical effectiveness, implementation effectiveness and cost-effectiveness of a community singing intervention for postnatal depressive symptoms, SHAPER-PND: randomised controlled trial. The British Journal of Psychiatry. [DOI]

Han, E., Davis, R., Soukup, T., Bradbury, A., Williams, J., Baldellou Lopez, M., … & Burton, A. (2025). Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial. Frontiers in Health Services. [DOI]

Burton, A., Bind, R. H., Davis, R., Greenwood, L., Lee, C. Y., Estevao, C., … & Fancourt, D. (2024). A qualitative exploration of active ingredients and mechanisms of action of an online singing programme with mothers experiencing postnatal depression during the COVID-19 pandemic: SHAPER-PNDO study. BMC Psychology. [DOI]

Bind, R. H., Sawyer, K., Hazelgrove, K., Rebecchini, L., Miller, C., Ahmed, S., … & Estevao, C. (2023). Feasibility, clinical efficacy, and well-being outcomes of an online singing intervention for postnatal depression in the UK: SHAPER-PNDO, a single-arm clinical trial. Pilot and Feasibility Studies. [DOI]

Bind, R. H., Estevao, C., Fancourt, D., Hazelgrove, K., Sawyer, K., Rebecchini, L., … & Pariante, C. M. (2022). Online singing interventions for postnatal depression in times of social isolation: a feasibility study protocol for the SHAPER-PNDO single-arm trial. Pilot and Feasibility Studies. [DOI]

Estevao, C., Bind, R., Fancourt, D., Sawyer, K., Dazzan, P., Sevdalis, N., … & Pariante, C. (2021). SHAPER-PND trial: clinical effectiveness protocol of a community singing intervention for postnatal depression. BMJ Open. [DOI]

Funder

Wellcome Trust

Programme area

Clinical trials and implementation science

Status

Ongoing

Partners

King’s College London
Breathe Arts Health Research (Melodies for Mums)
Guy’s and St Thomas’ NHS Foundation Trust
King’s College Hospital NHS Foundation Trust
South London and Maudsley NHS Foundation Trust
Community centres across Lambeth and Southwark

Investigators

Dr Daisy Fancourt, UCL
Professor Carmine Pariante, Professor of Biological Psychiatry at King’s College London

Research Team

Dr Alexandra Burton, UCL
Full team

Timescale

2020-2024

Key contact (UCL)

a.burton@ucl.ac.uk