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Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial by Helen Cameron-Tucker; Richard Wood-Baker; Christine Owen; Lyn Joseph; Eugene Walters is a Medicine article available to read on EtoBox.

What is Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial about?

## Purpose Both exercise and self-management are advocated in pulmonary rehabilitation for people with chronic obstructive pulmonary disease (COPD). The widely used 6-week, group-based Chronic Disease Self-Management Program (CDSMP) increases self-reported exercise, despite supervised exercise not being a program component. This has been little explored in COPD. Whether adding supervised exercise to the CDSMP would add benefit is unknown. We investigated the CDSMP in COPD, with and without a formal supervised exercise component, to address this question. ## Patients and methods Adult outpatients with COPD were randomized to the CDSMP with or without one hour of weekly supervised exercise over 6 weeks. The primary outcome measure was 6-minute walk test distance (6MWD). Secondary outcomes included self-reported exercise, exercise stage of change, exercise self-efficacy, breathlessness, quality of life, and self-management behaviors. Within- and between-group differences were analyzed on an intention-to-treat basis. ## Results Of 84 subjects recruited, 15 withdrew. 6MWD increased similarly in both groups: CDSMP-plus-exercise (intervention group) by 18.6±46.2 m; CDSMP-alone (control gr

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Author

Helen Cameron-Tucker; Richard Wood-Baker; Christine Owen; Lyn Joseph; Eugene Walters

Publisher

Informa UK Limited

Published

2014

Language

EN

Field

Medicine (Health Sciences)