Article Text

Download PDFPDF

The Supporting Patient Activation in Transition to Home (sPATH) intervention: a study protocol of a randomised controlled trial using motivational interviewing to decrease re-hospitalisation for patients with COPD or heart failure
  1. Maria Flink1,2,
  2. Marléne Lindblad1,3,
  3. Oscar Frykholm1,
  4. Åsa Kneck1,
  5. Per Nilsen4,
  6. Kristofer Årestedt5,6,
  7. Mirjam Ekstedt1,3,5
  1. 1 Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden
  2. 2 Department of Social Work, Karolinska University Hospital, Stockholm, Sweden
  3. 3 School of technology and Health, KTH, Royal Institute of technology, Stockholm, Sweden
  4. 4 Department of Medical and Health Sciences, Division of Community Medicine, Linköping University, Linköping, Sweden
  5. 5 School of Health and Caring Sciences, Faculty of Health and Life Sciences Linnaeus University, Kalmar, Sweden
  6. 6 Kalmar County Hospital, Kalmar, Sweden
  1. Correspondence to Dr Maria Flink; maria.flink{at}ki.se

Abstract

Introduction Deficient hospital discharging and patients struggling to handle postdischarge self-management have been identified as potential causes of re-hospitalisation rates. Despite an increased interest in interventions aiming to reduce re-hospitalisation rates, there is yet no best evidence on how to support patients in being active participants in their self-management postdischarge. The aim of this paper is to describe the study protocol for an upcoming randomised controlled trial (RCT) of the Supporting Patient in Activation to Home (sPATH) intervention.

Methods/analysis The described study is a randomised, controlled, analysis-blinded, two-site trial, with primary outcome re-hospitalisation within 90 days. In total, 290 participants aged 18 years or older with chronic obstructive pulmonary disease or congestive heart failure who are admitted to hospital and who are living in an own home will be eligible for inclusion into an intervention (n=145) or control group (n=145). Patients who need an interpreter to communicate in Swedish, or who have a diagnosis of dementia or cognitive impairment, will be excluded from inclusion. The sPATH intervention, developed with a theoretical base in the self-determination theory, consists of five postdischarge motivational interviewing sessions (face to face or by phone). The intervention covers the self-management areas medication management, follow-up/care plan, symptoms/signs of worsening condition and relations/contacts with healthcare providers. This RCT will add to the literature on evidence to support patient activation in postdischarge self-management.

Ethics and dissemination The study is approved by the Regional Research Ethics Committee (No. 2014/1498-31/2) in Stockholm, Sweden. The results of the study will be published in peer-reviewed journals and presented at international and national scientific conferences.

Trial registration number NCT02823795; Pre-results.

  • Heart failure
  • Protocols & guidelines
  • Chronic airways disease
  • motivational interviewing
  • re-hospitalization

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

  • Contributors Study design: MF, ML, PN, KÅ, ME. Writing of draft manuscript: MF, OF, ÅK, ME. Revision of draft/finalising manuscript: MF, ML, OF, ÅK, PN, KÅ, ME.

  • Competing interests None declared.

  • Ethics approval Regional Research Ethics Committee (No. 2014/1498-31/2) in Stockholm, Sweden.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement No additional data are available.