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Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial
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 bei...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4037329/ https://www.ncbi.nlm.nih.gov/pubmed/24876771 http://dx.doi.org/10.2147/COPD.S58478 |
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author | Cameron-Tucker, Helen L Wood-Baker, Richard Owen, Christine Joseph, Lyn Walters, E Haydn |
author_facet | Cameron-Tucker, Helen L Wood-Baker, Richard Owen, Christine Joseph, Lyn Walters, E Haydn |
author_sort | Cameron-Tucker, Helen L |
collection | PubMed |
description | 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 group) by 20.0±46.2 m. There was no significant difference for any secondary outcome. CONCLUSION: The CDSMP produced à small statistically significant increase in 6MWD. The addition of a single supervised exercise session did not further increase exercise capacity. Our findings confirm the efficacy of a behaviorally based intervention in COPD, but this would seem to be less than expected from conventional exercise-based pulmonary rehabilitation, raising the question of how, if at all, the small gains observed in this study may be augmented. |
format | Online Article Text |
id | pubmed-4037329 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-40373292014-05-29 Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial Cameron-Tucker, Helen L Wood-Baker, Richard Owen, Christine Joseph, Lyn Walters, E Haydn Int J Chron Obstruct Pulmon Dis Original Research 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 group) by 20.0±46.2 m. There was no significant difference for any secondary outcome. CONCLUSION: The CDSMP produced à small statistically significant increase in 6MWD. The addition of a single supervised exercise session did not further increase exercise capacity. Our findings confirm the efficacy of a behaviorally based intervention in COPD, but this would seem to be less than expected from conventional exercise-based pulmonary rehabilitation, raising the question of how, if at all, the small gains observed in this study may be augmented. Dove Medical Press 2014-05-19 /pmc/articles/PMC4037329/ /pubmed/24876771 http://dx.doi.org/10.2147/COPD.S58478 Text en © 2014 Cameron-Tucker et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Cameron-Tucker, Helen L Wood-Baker, Richard Owen, Christine Joseph, Lyn Walters, E Haydn Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial |
title | Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial |
title_full | Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial |
title_fullStr | Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial |
title_full_unstemmed | Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial |
title_short | Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial |
title_sort | chronic disease self-management and exercise in copd as pulmonary rehabilitation: a randomized controlled trial |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4037329/ https://www.ncbi.nlm.nih.gov/pubmed/24876771 http://dx.doi.org/10.2147/COPD.S58478 |
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