Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/19496
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dc.contributor.authorLewis, A-
dc.contributor.authorDullaghan, D-
dc.contributor.authorTownes, H-
dc.contributor.authorGreen, A-
dc.contributor.authorPotts, J-
dc.contributor.authorQuint, JK-
dc.date.accessioned2019-11-05T15:46:00Z-
dc.date.available2019-04-16-
dc.date.available2019-11-05T15:46:00Z-
dc.date.issued2019-04-16-
dc.identifier.citationChronic Respiratory Disease, 2019, 16: (12)en_US
dc.identifier.issn1479-9723-
dc.identifier.urihttps://bura.brunel.ac.uk/handle/2438/19496-
dc.description.abstractChronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality. Pulmonary rehabilitation (PR) is offered to patients with functional breathlessness. However, access to PR is limited. The objective of this study was to evaluate whether a 4-week education and exercise programme offered to COPD patients with Medical Research Council (MRC) dyspnoea 1–2 improves disease self-management. Patients were recruited by their GP to attend four weekly 2-h sessions provided by a multidisciplinary team. Patients completed outcome measures before and after the program. Forty-two patients entered the programme and 26 out of 42 (61.9%) completed all sessions. The Bristol COPD Knowledge Questionnaire and Patient Activation Measure improved (both p ≤ 0.001). Disease burden was not reduced according to the COPD assessment test. All patients accepted a referral for ongoing exercise. Fourteen current smokers (81.3%) accepted a referral for smoking cessation, three patients with anxiety or depression (37.5%) accepted a psychological therapies referral. The programme improved COPD disease knowledge, patient activation and stimulated referrals to further services supporting disease management. Randomised controlled trials are warranted for similar interventions for COPD patients with early stage disease.en_US
dc.language.isoenen_US
dc.publisherSAGE Publicationsen_US
dc.subjectCOPDen_US
dc.subjectpulmonary rehabilitationen_US
dc.subjectself-managementen_US
dc.subjectpreventative careen_US
dc.subjectprimary careen_US
dc.titleAn observational cohort study of exercise and education for people with chronic obstructive pulmonary disease not meeting criteria for formal pulmonary rehabilitation programmesen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1177/1479973119838283-
dc.relation.isPartOfChronic Respiratory Disease-
pubs.publication-statusPublished-
pubs.volume16-
Appears in Collections:Dept of Clinical Sciences Research Papers

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