Purpose: Both exercise and self-management are advocated in pulmonary rehabilitation for
people with chronic obstructive pulmonary disease (COPD). The widely used 6-week, group-
based Chronic Disease Self-Management Program (CDSMP) increases self-reported exercise,
despite supervised exercise not being a program component. This has been little explored in
COPD. Whether adding supervised exercise to the CDSMP would add benefit is unknown. We
investigated the CDSMP in COPD, with and without a formal supervised exercise component,
to address this question.