A self-management programme for COPD: A randomised controlled trial

K.E. Mitchell, V. Johnson-Warrington, L.D. Apps, J. Bankart, Louise Sewell, J.E. Williams, K. Rees, K. Jolly, M. Steiner, M. Morgan, Sally J. Singh

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85 Citations (Scopus)


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.
Original languageEnglish
Pages (from-to)1538-1547
JournalEuropean Respiratory Journal
Issue number6
Publication statusPublished - 2014

Bibliographical note

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This is an author-submitted, peer-reviewed version of a manuscript that has been accepted for publication in the European Respiratory Journal, prior to copy-editing, formatting and typesetting. This version of the manuscript may not be duplicated or reproduced without prior permission from the copyright owner, the European Respiratory Society. The publisher is not responsible or liable for any errors or omissions in this version of the manuscript or in any version derived from it by any other parties. The final, copy-edited, published article, which is the version of record, is available without a subscription 18 months after the date of issue publication.


  • beta adrenergic receptor stimulating agent
  • corticosteroid
  • long acting drug
  • muscarinic receptor blocking agent
  • short acting drug
  • aged
  • anxiety
  • Article
  • chronic obstructive lung disease
  • Chronic Respiratory Questionnaire
  • clinical effectiveness
  • controlled study
  • depression
  • dyspnea
  • exercise test
  • fatigue
  • female
  • health care utilization
  • health program
  • human
  • lifestyle
  • major clinical study
  • male
  • motivation
  • outcome assessment
  • patient education
  • physiotherapist
  • primary medical care
  • randomized controlled trial
  • self care
  • self concept
  • self management program of activity
  • coping and education
  • self report
  • single blind procedure
  • smoking


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