Effectiveness of a shared decision making program during hospitalization due to AECOPD

Abstract

Introduction: Shared decision making (SDM) is a process by which patients are involved in their health care decision. SDM in chronic illness has proved to enhance clinical outcomes at medium term reducing health care cost. Those programs have been not much applied on Asthma patients, but with promising results. Aim: The aim of this study was to evaluate the effectiveness of a share decision-making program during Acute Exacerbation of COPD at discharge and 3 months’ follow-up. Methods: The study was designed as a randomized controlled trial. Patients were randomized between two intervention groups, one receiving usual care during hospitalization (control group) and the intervention group received an SDM program plus usual care during hospitalization. Knowledge disease was evaluated with COPD-Q, Test Adherence Inhalers (TAI) was using to adherence treatment, Functionality was measured with Functional Independence Measure (FIM), physical activity levels was evaluated with International Physical Activity Questionnaire (IPAQ), and Euroqol-5D (EQ-5D) was using to perception health status. Results: 42 patients were included. Not significant differences between groups were found at baseline. Both groups showed overall improvements in all outcomes at discharge. Significant differences were found in COPD-Q, TAI, FIM, IPAQ, and EQ-5D (p Conclusion: SDM after 3 months’ hospitalization improved significantly knowledge illness, adherence treatment, functionality, physical activity and health status in COPD patients.