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A self-management programme for COPD : a randomised controlled trial
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Mitchell, K. E., Johnson-Warrington, V., Apps, L. D., Bankart, J., Sewell, L., Williams, J. E., Rees, Karen, Jolly, K., Steiner, M., Morgan, M. and Singh, S. J. (2014) A self-management programme for COPD : a randomised controlled trial. European Respiratory Journal, 44 (6). pp. 1538-1547. doi:10.1183/09031936.00047814 ISSN 0903-1936.
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Official URL: http://dx.doi.org/10.1183/09031936.00047814
Abstract
Studies of programmes of self-management support for chronic obstructive pulmonary disease (COPD) have been inconclusive. The Self-Management Programme of Activity, Coping and Education (SPACE) FOR COPD is a 6-week self-management intervention for COPD, and this study aimed to evaluate the effectiveness of this intervention in primary care. A single-blind randomised controlled trial recruited people with COPD from primary care and randomised participants to receive usual care or SPACE FOR COPD. Outcome measures were performed at baseline, 6 weeks and 6 months. The primary outcome was symptom burden, measured by the self-reported Chronic Respiratory Questionnaire (CRQ-SR) dyspnoea domain. Secondary outcomes included other domains of the CRQ-SR, shuttle walking tests, disease knowledge, anxiety, depression, self-efficacy, smoking status and healthcare utilisation. 184 people with COPD were recruited and randomised. At 6 weeks, there were significant differences between groups in CRQ-SR dyspnoea, fatigue and emotion scores, exercise performance, anxiety, and disease knowledge. At 6 months, there was no between-group difference in change in CRQ-SR dyspnoea. Exercise performance, anxiety and smoking status were significantly different between groups at 6 months, in favour of the intervention. This brief self-management intervention did not improve dyspnoea over and above usual care at 6 months; however, there were gains in anxiety, exercise performance, and disease knowledge.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Statistics and Epidemiology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | European Respiratory Journal | ||||||
Publisher: | European Respiratory Society | ||||||
ISSN: | 0903-1936 | ||||||
Official Date: | 1 December 2014 | ||||||
Dates: |
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Volume: | 44 | ||||||
Number: | 6 | ||||||
Page Range: | pp. 1538-1547 | ||||||
DOI: | 10.1183/09031936.00047814 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access |
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