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However, the benefits directly attributable to the education component remain unclear. This trial sought to determine whether the addition of education to exercise training resulted in greater improvements in health outcomes than pulmonary rehabilitation where education has been omitted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized trial with allocation concealment, assessor blinded to group allocation and intention\u2010to\u2010treat analysis was conducted. Two hundred and sixty\u2010seven people with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> (mean age 72(9) years, forced expiratory volume in 1\u2009s, 59(23)% predicted) were allocated to receive either 8 weeks of twice weekly group exercise training plus education or exercise training alone. Education was disease specific with a self\u2010management focus. Primary outcome measures included 6\u2010min walk distance and <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hronic <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>espiratory <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire. Secondary outcomes included dyspnoea, health behaviours, generic health\u2010related quality of life, self\u2010efficacy and healthcare usage with measurements taken immediately following completion and at 6 and 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences that indicated greater improvement in any health outcome with the addition of education. The two intervention groups had similar significant improvements immediately following intervention, and these were maintained comparably in the subsequent 12 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results of this investigation suggest that disease\u2010specific group education is not an essential component of pulmonary rehabilitation. Pulmonary rehabilitation based on exercise training is an effective option in the management of patients with <jats:styled-content style=\"fixed-case\">COPD<\/jats:styled-content> if multidisciplinary education cannot be offered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12203","type":"journal-article","created":{"date-parts":[[2013,11,22]],"date-time":"2013-11-22T04:42:19Z","timestamp":1385095339000},"page":"193-202","source":"Crossref","is-referenced-by-count":45,"title":["Comparable improvements achieved in chronic obstructive pulmonary disease through pulmonary rehabilitation with and without a structured educational intervention: A randomized controlled trial"],"prefix":"10.1111","volume":"19","author":[{"given":"Felicity C.","family":"Blackstock","sequence":"first","affiliation":[{"name":"Department of Physiotherapy School of Allied Health La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate E.","family":"Webster","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy School of Allied Health La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine F.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Austin Health  Heidelberg Australia"},{"name":"Institute for Breathing and Sleep  Heidelberg Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine J.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Austin Health  Heidelberg Australia"},{"name":"Institute for Breathing and Sleep  Heidelberg Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,21]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"National Clinical Guideline Centre.Chronic obstructive pulmonary disease: management of chronic obstructive pulmonary disease in primary and secondary care.2010. 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