Chronic Obstructive Pulmonary Disease
Conditions
Keywords
Health literacy
Brief summary
Health literacy refers to personal and relational factors affecting a person's ability to acquire, understand and use information about health and health services. In a need assessment study it was found that, the health services need to focus on health literacy factors in the follow up of patients with chronic obstructive pulmonary disease (COPD). Thus, this project evaluate the effect a of a health literacy partnership health promotion intervention (hospital, municipalities, university) after discharge from hospital with the use of motivational interviewing and tailored follow-ups on re-admission, health literacy, self-management quality of life and cost in people with COPD compared with usual care.
Interventions
BEHAVIORALHealth literacy intervention group
In the health literacy intervention group all patients will receive self-management help using a motivating interviewing (MI) technique delivered by two MI and COPD trained nurses once a week for eight weeks after hospitalization. Subsequently, the contact between the patients and the nurses will be by follow up motivational telephone calls once a month or more if needed for four months (i.a a total of six months intervention period).
Sponsors
University of Oslo
Norwegian Extra Foundation for Health and Rehabilitation
Lovisenberg Diakonale Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Diagnosed with COPD, * Above 18 years, * Admitted to a medical department at the main intervention hospital, l * Live in the sites belonging to the intervention hospital.
Exclusion criteria
* Not diagnosed with COPD, * Not above 18 years, * Not admitted to a medical department at the main intervention hospital, and * Not living in the sites belonging to the intervention hospital. * Cognitive failure * Patients that are investigated or treated for cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of admissions | Eight weeks, six months and one year | Number of re-admissions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of disease specific quality of life | Eight weeks, six months and one year | Questionnaire |
| Change of e-Health | Eight weeks, six months and one year | Questionnaire |
| Change of physical function | Eight weeks, six months and one year | Questionnaire |
| Change of health literacy | Eight weeks, six months and one year | Questionnaire |
| Change of psychological stress | Eight weeks, six months and one year | Questionnaire |
| Change of self-efficacy | Eight weeks, six months and one year | Questionnaire |
| Change of self-management | Eight weeks, six months and one year | Questionnaire |
Countries
Norway
Outcome results
None listed