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]
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/
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 Type:||Refereed Article|
|Keywords:||supervised exercise, physical capacity, 6-minute walk distance|
|Research Division:||Medical and Health Sciences|
|Research Group:||Cardiorespiratory Medicine and Haematology|
|Research Field:||Respiratory Diseases|
|Objective Group:||Clinical Health (Organs, Diseases and Abnormal Conditions)|
|Objective Field:||Respiratory System and Diseases (incl. Asthma)|
|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)|
|Web of Science® Times Cited:||9|
|Downloads:||304 View Download Statistics|
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