Inclusion Criteria:  Willingness to participate and signed informed consent form Diagnosis of COPD FEV1/FVC (post bronchodilator) <0.7 GOLD severity grade B/D FEV, < 80% predicted Cognitive ability relevant for the studies as judged by the investigator Living in their own home and able to manage their activities of daily living  Exclusion Criteria:  Rapidly progressing severe disease other than COPD and COPD-related diseases. Influencing the HRQOL during the study time as judged by the investigator, e.g. long-term stay (>2 weeks) away from home during the study period. Inability to communicate in Swedish. Any condition that may interfere with the possibility for the subject to comply with the study protocol. Already participating in the pulmonary rehabilitation training group 2 times a week.