A self-management programme for COPD: a randomised controlled trial
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 effective...
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| Veröffentlicht in: | The European respiratory journal 2014-12, Vol.44 (6), p.1538-1547 |
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| creator | MITCHELL, Katy E JOHNSON-WARRINGTON, Vicki SINGH, Sally J APPS, Lindsay D BANKART, John SEWELL, Louise WILLIAMS, Johanna E REES, Karen JOLLY, Kate STEINER, Michael MORGAN, Mike |
| description | 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. |
| doi_str_mv | 10.1183/09031936.00047814 |
| format | Article |
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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.</description><identifier>ISSN: 0903-1936</identifier><identifier>EISSN: 1399-3003</identifier><identifier>DOI: 10.1183/09031936.00047814</identifier><identifier>PMID: 25186259</identifier><language>eng</language><publisher>Leeds: Maney</publisher><subject>Aged ; Anxiety - psychology ; Biological and medical sciences ; Chronic obstructive pulmonary disease, asthma ; Depression - psychology ; Dyspnea - etiology ; Dyspnea - therapy ; Exercise Test ; Female ; Health Knowledge, Attitudes, Practice ; Health Services - statistics & numerical data ; Humans ; Male ; Medical sciences ; Middle Aged ; Patient Education as Topic ; Pneumology ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - psychology ; Pulmonary Disease, Chronic Obstructive - therapy ; Resistance Training ; Risk Reduction Behavior ; Self Care - methods ; Self Efficacy ; Severity of Illness Index ; Single-Blind Method ; Smoking ; Surveys and Questionnaires</subject><ispartof>The European respiratory journal, 2014-12, Vol.44 (6), p.1538-1547</ispartof><rights>2015 INIST-CNRS</rights><rights>ERS 2014.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c374t-264cf3c9ad087039a7ab955fe556aea6f307413abcc1960d639279e35f585e093</citedby><cites>FETCH-LOGICAL-c374t-264cf3c9ad087039a7ab955fe556aea6f307413abcc1960d639279e35f585e093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=29009793$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25186259$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MITCHELL, Katy E</creatorcontrib><creatorcontrib>JOHNSON-WARRINGTON, Vicki</creatorcontrib><creatorcontrib>SINGH, Sally J</creatorcontrib><creatorcontrib>APPS, Lindsay D</creatorcontrib><creatorcontrib>BANKART, John</creatorcontrib><creatorcontrib>SEWELL, Louise</creatorcontrib><creatorcontrib>WILLIAMS, Johanna E</creatorcontrib><creatorcontrib>REES, Karen</creatorcontrib><creatorcontrib>JOLLY, Kate</creatorcontrib><creatorcontrib>STEINER, Michael</creatorcontrib><creatorcontrib>MORGAN, Mike</creatorcontrib><title>A self-management programme for COPD: a randomised controlled trial</title><title>The European respiratory journal</title><addtitle>Eur Respir J</addtitle><description>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.</description><subject>Aged</subject><subject>Anxiety - psychology</subject><subject>Biological and medical sciences</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Depression - psychology</subject><subject>Dyspnea - etiology</subject><subject>Dyspnea - therapy</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Education as Topic</subject><subject>Pneumology</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - psychology</subject><subject>Pulmonary Disease, Chronic Obstructive - therapy</subject><subject>Resistance Training</subject><subject>Risk Reduction Behavior</subject><subject>Self Care - methods</subject><subject>Self Efficacy</subject><subject>Severity of Illness Index</subject><subject>Single-Blind Method</subject><subject>Smoking</subject><subject>Surveys and Questionnaires</subject><issn>0903-1936</issn><issn>1399-3003</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAQhi0EoqXwA1hQFiSWlHMudmK2KnxKlcoAc3R17CrISYqdDvx7ErWF6U665311ehi75jDnPMd7UIBcoZwDQJrlPD1hU45KxQiAp2w63uMRmLCLEL4AuEyRn7NJInguE6GmrFhEwTgbN9TSxjSm7aOt7zaemsZEtvNRsXp_fIgo8tRWXVMHU0W6a3vfOTesva_JXbIzSy6Yq8Ocsc_np4_iNV6uXt6KxTLWmKV9nMhUW9SKKsgzQEUZrZUQ1gghyZC0CFnKkdZacyWhkqiSTBkUVuTCgMIZu9v3Dh9-70zoy-EfbZyj1nS7UPJ8LE44pgPK96j2XQje2HLr64b8T8mhHN2VR3fl0d2QuTnU79aNqf4SR1kDcHsAKGhydlCi6_DPKQCVKcRfnFl0VQ</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>MITCHELL, Katy E</creator><creator>JOHNSON-WARRINGTON, Vicki</creator><creator>SINGH, Sally J</creator><creator>APPS, Lindsay D</creator><creator>BANKART, John</creator><creator>SEWELL, Louise</creator><creator>WILLIAMS, Johanna E</creator><creator>REES, Karen</creator><creator>JOLLY, Kate</creator><creator>STEINER, Michael</creator><creator>MORGAN, Mike</creator><general>Maney</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20141201</creationdate><title>A self-management programme for COPD: a randomised controlled trial</title><author>MITCHELL, Katy E ; JOHNSON-WARRINGTON, Vicki ; SINGH, Sally J ; APPS, Lindsay D ; BANKART, John ; SEWELL, Louise ; WILLIAMS, Johanna E ; REES, Karen ; JOLLY, Kate ; STEINER, Michael ; MORGAN, Mike</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c374t-264cf3c9ad087039a7ab955fe556aea6f307413abcc1960d639279e35f585e093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Anxiety - psychology</topic><topic>Biological and medical sciences</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Depression - psychology</topic><topic>Dyspnea - etiology</topic><topic>Dyspnea - therapy</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Services - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Education as Topic</topic><topic>Pneumology</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - psychology</topic><topic>Pulmonary Disease, Chronic Obstructive - therapy</topic><topic>Resistance Training</topic><topic>Risk Reduction Behavior</topic><topic>Self Care - methods</topic><topic>Self Efficacy</topic><topic>Severity of Illness Index</topic><topic>Single-Blind Method</topic><topic>Smoking</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MITCHELL, Katy E</creatorcontrib><creatorcontrib>JOHNSON-WARRINGTON, Vicki</creatorcontrib><creatorcontrib>SINGH, Sally J</creatorcontrib><creatorcontrib>APPS, Lindsay D</creatorcontrib><creatorcontrib>BANKART, John</creatorcontrib><creatorcontrib>SEWELL, Louise</creatorcontrib><creatorcontrib>WILLIAMS, Johanna E</creatorcontrib><creatorcontrib>REES, Karen</creatorcontrib><creatorcontrib>JOLLY, Kate</creatorcontrib><creatorcontrib>STEINER, Michael</creatorcontrib><creatorcontrib>MORGAN, Mike</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>The European respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MITCHELL, Katy E</au><au>JOHNSON-WARRINGTON, Vicki</au><au>SINGH, Sally J</au><au>APPS, Lindsay D</au><au>BANKART, John</au><au>SEWELL, Louise</au><au>WILLIAMS, Johanna E</au><au>REES, Karen</au><au>JOLLY, Kate</au><au>STEINER, Michael</au><au>MORGAN, Mike</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A self-management programme for COPD: a randomised controlled trial</atitle><jtitle>The European respiratory journal</jtitle><addtitle>Eur Respir J</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>44</volume><issue>6</issue><spage>1538</spage><epage>1547</epage><pages>1538-1547</pages><issn>0903-1936</issn><eissn>1399-3003</eissn><abstract>Studies of programmes of self-management support for chronic obstructive pulmonary disease (COPD) have been inconclusive. 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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.</abstract><cop>Leeds</cop><pub>Maney</pub><pmid>25186259</pmid><doi>10.1183/09031936.00047814</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The European respiratory journal, 2014-12, Vol.44 (6), p.1538-1547 |
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| subjects | Aged Anxiety - psychology Biological and medical sciences Chronic obstructive pulmonary disease, asthma Depression - psychology Dyspnea - etiology Dyspnea - therapy Exercise Test Female Health Knowledge, Attitudes, Practice Health Services - statistics & numerical data Humans Male Medical sciences Middle Aged Patient Education as Topic Pneumology Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - psychology Pulmonary Disease, Chronic Obstructive - therapy Resistance Training Risk Reduction Behavior Self Care - methods Self Efficacy Severity of Illness Index Single-Blind Method Smoking Surveys and Questionnaires |
| title | A self-management programme for COPD: a randomised controlled trial |
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