title: A self-management programme for COPD: a randomised controlled trial.
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.
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK katy.mitchell@uhl-tr.nhs.uk.
authors.forename: Katy E
authors.initials: KE
authors.lastname: Mitchell
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK.
authors.forename: Vicki
authors.initials: V
authors.lastname: Johnson-Warrington
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK.
authors.forename: Lindsay D
authors.initials: LD
authors.lastname: Apps
authors.affiliation: Keele University, Keele, UK.
authors.forename: John
authors.initials: J
authors.lastname: Bankart
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK.
authors.forename: Louise
authors.initials: L
authors.lastname: Sewell
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK.
authors.forename: Johanna E
authors.initials: JE
authors.lastname: Williams
authors.affiliation: Warwick Medical School, University of Warwick, Coventry, UK.
authors.forename: Karen
authors.initials: K
authors.lastname: Rees
authors.affiliation: School of Health and Population Sciences, University of Birmingham, Edgbaston, UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Jolly
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK.
authors.forename: Michael
authors.initials: M
authors.lastname: Steiner
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK.
authors.forename: Mike
authors.initials: M
authors.lastname: Morgan
authors.affiliation: Centre for Exercise and Rehabilitation Science, Leicester Respiratory Biomedical Research Unit, University Hospitals Leicester NHS Trust, Leicester, UK Coventry University, Coventry, UK.
authors.forename: Sally J
authors.initials: SJ
authors.lastname: Singh
mesh_terms: D000368:Aged; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D004417:Dyspnea / Q000209:etiology / Q000628:therapy*; D005080:Exercise Test; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000523:psychology / Q000628:therapy*; D055070:Resistance Training; D040242:Risk Reduction Behavior; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D012720:Severity of Illness Index; D016037:Single-Blind Method; D012907:Smoking; D011795:Surveys and Questionnaires