Singing Together: A Practice-Based Study of a Community-Based Choir for Neurodiverse Adults.

The study had a very small sample size (n=7) and used a single-group design without a control, making it impossible to attribute changes to the choir intervention. The adapted quality of life scale produced inconsistent and confusing results, with some participants reporting a worse perception of their disability impact after the program, raising questions about the tool's validity for this population. Participants were already long-standing members of the choir and knew each other prior to the study, which may have influenced the baseline social interaction levels. The study took place during the post-pandemic return to in-person services, which may have affected attendance, motivation, and social dynamics. Interviews with participants who had limited spoken language were difficult, potentially leading to a lack of rich qualitative data from some members.

The authors declare no conflicts of interest.

Do not interpret the choir as an evidence-based intervention for improving quality of life or reducing the perceived impact of disability. The study was a feasibility pilot with a tiny sample, and the primary self-report measure actually showed that some participants felt the impact of their disability on daily life was worse after the program, while qualitative data reflected perceived benefits.