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Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial
Citation
Cameron-Tucker, HL and Wood-Baker, R and Owen, C and Joseph, L and Walters, EH, Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial, The International Journal of Chronic Obstructive Pulmonary Disease, 9, (1) pp. 513-523. ISSN 1176-9106 (2014) [Refereed Article]
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Copyright Statement
Licensed under Creative Commons Attribution-NonCommercial 3.0 United States (CC BY-NC 3.0 US) http://creativecommons.org/licenses/by-nc/3.0/us/
Abstract
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.
Item Details
Item Type: | Refereed Article |
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Keywords: | supervised exercise, physical capacity, 6-minute walk distance |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Cardiovascular medicine and haematology |
Research Field: | Respiratory diseases |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Cameron-Tucker, HL (Dr Helen Cameron-Tucker) |
UTAS Author: | Wood-Baker, R (Professor Richard Wood-Baker) |
UTAS Author: | Owen, C (Dr Christine Owen) |
UTAS Author: | Walters, EH (Professor Haydn Walters) |
ID Code: | 96587 |
Year Published: | 2014 |
Web of Science® Times Cited: | 18 |
Deposited By: | Medicine |
Deposited On: | 2014-11-12 |
Last Modified: | 2017-11-01 |
Downloads: | 349 View Download Statistics |
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