Shared decision-making and patient engagement program during acute exacerbation of COPD hospitalization: A randomized control trial

Objective: To evaluate the effectiveness of a shared decision-making and patient engagement (SDM-PE) program concerning in-hospital stay during acute exacerbation of COPD and determine its impact on patients' perceived health status. Methods: Patients were randomly allocated to a control group that received standard treatment or an intervention group that received an individualized SDM-PE program in addition to standard treatment. The SDM-PE program included personalized health care focused on information about the disease, healthcare management, and reinforcement of behaviors regarding nutrition and exercise taking into account patients' preferences. Results: A comparative analysis between groups showed a significant improvement in perceived health status at discharge in patients included in the experimental group compared to those in the control group (60.28 +/- 21.65 vs. 54.13 +/- 22.69, p = 0.036). In addition, perceived health status, COPD knowledge, adherence to pharmacological treatment, general functionality, and healthy lifestyle measures were significantly better at 3-month follow-up in the intervention group. Conclusion: An SDM-PE program significantly enhanced all the clinical measures assessed during hospitalization at 3-month follow-up. Practice implications: COPD patients and professionals need to work together to select the best care and treatment model for patients, taking into account individual values and preferences. (C) 2019 Elsevier B.V. All rights reserved.