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Title: A home based self-management rehabilitation programme for chronic obstructive pulmonary disease : is it a feasible alternative to conventional rehabilitation?
Author: Horton, E.
ISNI:       0000 0004 5351 9164
Awarding Body: Coventry University
Current Institution: Coventry University
Date of Award: 2014
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Introduction: Patients with COPD are characterised by symptoms of dyspnoea, limited exercise tolerance and low levels of physical activity which can lead to reduced quality of life. Pulmonary rehabilitation (PR) is recommended, however, not all are able to participate and there is a large dropout rate from this service. Home-based programmes aiming to enhance self-management skills can potentially provide an alternative model of delivery, allowing increased options for treatment. As one of the key components of PR is to enhance exercise endurance and physical activity, valid and reliable measures are needed to determine programme effectiveness. Therefore, the first aim of this thesis is to determine the validity, reproducibility and sensitivity of the SenseWear Pro 2 Armband, activity monitor (SWM) to be used in the main trial. The primary aim of this thesis is to describe the noninferiority randomised control trial of the effectiveness of the home based Self-management Programme of Activity Coping and Education (SPACE for COPD) in comparison to PR in patients with COPD. Methods: Validation of methods; One subject (EH) completed a battery of repeated walking tests using the speeds from the endurance shuttle walk test. Minute by minute energy expenditure (EE) and step counts were recorded from 9 SWM and indirect calorimetry was used as the criterion measure to determine the validity of EE output from the monitor.
Supervisor: Not available Sponsor: University Hospitals of Leicester NHS Trust
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available