PMID- 31695862 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220411 IS - 2040-6223 (Print) IS - 2040-6231 (Electronic) IS - 2040-6223 (Linking) VI - 10 DP - 2019 TI - The responsiveness of the Manchester Chronic Obstructive Pulmonary Disease Fatigue Scale to pulmonary rehabilitation. PG - 2040622319882206 LID - 10.1177/2040622319882206 [doi] LID - 2040622319882206 AB - BACKGROUND: We examined the responsiveness of the Manchester Chronic Obstructive Pulmonary Disease (COPD) Fatigue Scale (MCFS) in patients with COPD following 8 weeks of pulmonary rehabilitation (PR). METHODS: Patients (n = 273) with clinically stable COPD completed 8 weeks of outpatient multidisciplinary PR, comprising 2 h (1 h exercise and 1 h education) weekly. Anxiety, exercise capacity, quality of life, dyspnea, fatigue were measured pre- and post-PR, utilizing the Anxiety Inventory for Respiratory Disease (AIR), Incremental Shuttle Walk Test (ISWT), St. George's Respiratory Questionnaire (SGRQ), and modified Medical Research Council (mMRC) scale and MCFS, respectively. RESULTS: The mean (SD) age of participants was 72 (8) years, and 50% were women. Total MCFS score fell after PR mean (95% confidence interval) -4.89 (-7.90 to -3.79) as did domain scores: physical -1.89 (-2.33 to -1.46), cognition -1.37 (-1.65 to -1.09), and psychosocial -1.62 (-2.00 to -1.62). Total MCFS effect size (ES) was 0.55; and for domains, physical was 0.52, cognition was 0.59, and psychosocial was 0.51. The ES for AIR was 0.30, mMRC was 0.38, SGRQ was 0.66, and ISWT was 1.19. MCFS changes correlated with changes in both SGRQ (p < 0.002) and AIR (p < 0.004), but not ISWT (p = 0.30) or mMRC (p = 0.18). The AIR, SGRQ, mMRC, and ISWT all improved after PR (all, p < 0.001). CONCLUSION: The MCFS scale is a valid and responsive scale to measure fatigue in patients with COPD after pulmonary rehabilitation. CI - (c) The Author(s), 2019. FAU - Yohannes, Abebaw Mengistu AU - Yohannes AM AUID- ORCID: 0000-0002-8341-270X AD - Department of Physiotherapy, School of Behavioral and Applied Sciences, Azusa Pacific University, 701 East Foothill Boulevard, Azusa, CA 91702-7000, USA. FAU - Dryden, Sheila AU - Dryden S AD - Lytham St. Annes Primary Care Center, Lancashire, UK. FAU - Hanania, Nicola Alexander AU - Hanania NA AUID- ORCID: 0000-0003-3087-9530 AD - Section of Pulmonary and Critical Care Medicine, Baylor College of Medicine, Houston, TX, USA. LA - eng PT - Journal Article DEP - 20191029 PL - United States TA - Ther Adv Chronic Dis JT - Therapeutic advances in chronic disease JID - 101532140 PMC - PMC6820178 OTO - NOTNLM OT - COPD OT - anxiety OT - dyspnea OT - fatigue OT - pulmonary rehabilitation OT - quality of life COIS- Conflict of interest statement: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: AMY and SD have no conflicts of interest. NAH has received consultation fees and expenses paid for serving on advisory boards or as a consultant from Astra Zeneca, GSK, Boehringer Ingelheim, Mylan, Sunovion, Sanofi Genzyme, and Novartis. His institution received research grant support on his behalf from Astra Zeneca, GSK, and Boehringer Ingelheim. EDAT- 2019/11/07 06:00 MHDA- 2019/11/07 06:01 PMCR- 2019/10/29 CRDT- 2019/11/08 06:00 PHST- 2019/02/15 00:00 [received] PHST- 2019/09/04 00:00 [accepted] PHST- 2019/11/08 06:00 [entrez] PHST- 2019/11/07 06:00 [pubmed] PHST- 2019/11/07 06:01 [medline] PHST- 2019/10/29 00:00 [pmc-release] AID - 10.1177_2040622319882206 [pii] AID - 10.1177/2040622319882206 [doi] PST - epublish SO - Ther Adv Chronic Dis. 2019 Oct 29;10:2040622319882206. doi: 10.1177/2040622319882206. eCollection 2019.