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2012•European Respiratory JournalRequires access

A self-management programme of activity coping and education (SPACE) for COPD: 6 week results from a randomised controlled trial

Katy Wagg, Vicki Warrington, Lindsay D. Apps, Louise Sewell, John Bankart, MICHAEL C. STEINER, Mike D. Morgan, Sally J. Singh

Open publisher page 2 citations

Abstract

Introduction: SPACE for COPD is a self-management programme which individuals follow independently with telephone support. Objective: To test the effectiveness of SPACE on health related quality of life (HRQoL) and exercise capacity compared with usual GP care at 6 weeks. Methods: 184 patients with COPD [101male; mean (SD) age 69(9.19) yrs; FEV 1 1.45(0.56) l; BMI 27.56(5.2)] were recruited from primary care and randomised to SPACE or usual care. Blinded measurements were taken at baseline and 6 weeks and included Chronic Respiratory Questionnaire-SR [CRQ-dyspnoea (primary outcome)], Incremental Shuttle Walk Test (ISWT), Endurance Shuttle Walk Test (ESWT), and the Hospital Anxiety Depression Scale (HADS). Results: See Table1 Conclusion: SPACE is effective in improving HRQoL and exercise capacity, when compared with usual care. SPACE could be used to facilitate self-management of patients with COPD in primary care.

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What this paper is about

Introduction: SPACE for COPD is a self-management programme which individuals follow independently with telephone support. Objective: To test the effectiveness of SPACE on health related quality of life (HRQoL) and exercise capacity compared with usual GP care at 6 weeks. Methods: 184 patients with COPD [101male; mean (SD) age 69(9.19) yrs; FEV 1 1.45(0.56) l; BMI 27.56(5.2)] were recruited from primary care and randomised to SPACE or usual care. Blinded measurements were taken at baseline and 6 weeks and included Chronic Respiratory Questionnaire-SR [CRQ-dyspnoea (primary outcome)], Incremental Shuttle Walk Test (ISWT), Endurance Shuttle Walk Test (ESWT), and the Hospital Anxiety Depression Scale (HADS). Results: See Table1 Conclusion: SPACE is effective in improving HRQoL and exercise capacity, when compared with usual care. SPACE could be used to facilitate self-management of patients with COPD in primary care.

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Available abstract

Introduction: SPACE for COPD is a self-management programme which individuals follow independently with telephone support. Objective: To test the effectiveness of SPACE on health related quality of life (HRQoL) and exercise capacity compared with usual GP care at 6 weeks. Methods: 184 patients with COPD [101male; mean (SD) age 69(9.19) yrs; FEV 1 1.45(0.56) l; BMI 27.56(5.2)] were recruited from primary care and randomised to SPACE or usual care. Blinded measurements were taken at baseline and 6 weeks and included Chronic Respiratory Questionnaire-SR [CRQ-dyspnoea (primary outcome)], Incremental Shuttle Walk Test (ISWT), Endurance Shuttle Walk Test (ESWT), and the Hospital Anxiety Depression Scale (HADS). Results: See Table1 Conclusion: SPACE is effective in improving HRQoL and exercise capacity, when compared with usual care. SPACE could be used to facilitate self-management of patients with COPD in primary care.

Key concepts: Medicine, COPD, Physical therapy, Quality of life (healthcare), Hospital Anxiety and Depression Scale, Primary care, Randomized controlled trial, Coping (psychology)

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