A self-management programme for COPD: a randomised controlled trial
Katy E. Mitchell,Vicki Johnson-Warrington,Lindsay D. Apps,John Bankart,Louise Sewell,Johanna Williams,Karen Rees,Kate Jolly,Michael C Steiner,Mike Morgan,Sally J Singh +10 more
TLDR
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:
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.read more
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Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention
Jean Bourbeau,Marcel Julien,François Maltais,Michel Rouleau,A Beaupre,Bégin R,P Renzi,Diane Nault,Elizabeth M. Borycki,Kevin Schwartzman,R Singh,Jean-Paul Collet,Susan Tiukinhoy,Carolyn L. Rochester +13 more
TL;DR: A continuum of self-management for COPD patients provided by a trained health professional can significantly reduce the utilization of health care services and improve health status.
Journal ArticleDOI
Self‐management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease
Anke Lenferink,Marjolein Brusse-Keizer,Paul van der Valk,Peter Frith,Peter Frith,Marlies Zwerink,Evelyn M. Monninkhof,Job van der Palen,Tanja Effing,Tanja Effing +9 more
TL;DR: There was a statistically significant beneficial effect of self-management interventions with action plans on HRQoL, as measured by the St. George's Respiratory Questionnaire (SGRQ) total score, and there was no statistically significant difference in the number of all-cause hospitalisation days, emergency department visits, General Practitioner visits, and dyspnoea scores.
Journal ArticleDOI
Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice
TL;DR: An SMS model has been developed which sets the foundation for the design and evaluation of practical strategies for the construct of self-management support interventions in primary healthcare practice and provides primary care professionals with evidence-based strategies and structure to deliver SMS in practice.
Journal ArticleDOI
Comparison of a structured home-based rehabilitation programme with conventional supervised pulmonary rehabilitation: a randomised non-inferiority trial
Elizabeth Horton,Katy E. Mitchell,Vicki Johnson-Warrington,Lindsay D. Apps,Louise Sewell,Mike Morgan,Rod S Taylor,Sally J Singh +7 more
TL;DR: There was inconclusive evidence that home-based PR was non-inferior to PR in dyspnoea (mean group difference, mITT: −0.24), favouring the centre group at 7 weeks, and further evidence is needed to definitively determine if the health benefits of the standardisedHome-based programme are non- inferior or equivalent to supervised centre-based rehabilitation.
Journal ArticleDOI
Interventions for promoting physical activity in people with chronic obstructive pulmonary disease (COPD)
TL;DR: A diverse range of interventions have been assessed, primarily in single studies, but improvements have not been systematically demonstrated following any particular interventions.
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