Is a Collective Person-centered Dialogue Intervention for Hospitalised COPD Patients Feasible?

Feasibility Assessment of a Collective Person-centered Dialogue (COPE-D) Intervention for Patients Hospitalised with COPD Exacerbation

The aim of this mixed methods trial is to investigate the feasibility of a collective person-centred dialogue (COPE-D) intervention delivered by an interdisciplinary team for a population of patients hospitalised and diagnosed with COPD and their relatives.

The main questions it aims to answer are:

• The clinical uncertainties: What components of the COPE-D intervention are delivered to the included patients? (The data will be collected from the patient's journal record)
• The clinical uncertainties: How acceptable is the COPE-D intervention for the patients, relatives, and the interdisciplinary team? (Answered by patient and relative interviews with a structured interview guide before discharge and 14 days after hospitalisation, and by the interdisciplinary team using focus-group interviews after the intervention enrolment).
• The procedural uncertainties: Are the patients willing to engage in the trial? (Estimated by the inclusion rate).

The interdisciplinary team will be instructed to deliver and document the COPE-D intervention. The primary focus of COPE-D intervention is to prepare and enhance the patient's and relative's ability to regain their everyday life after discharge. The COPE-D intervention includes a dialogue tool based on a needs assessment, an action plan template, and a patient guide that prepares for discharge.

The interdisciplinary team will collaborate with COPD patients and their relatives to:

1. Assess the patient's need for nutrition and physical activity support, both during and after hospitalisation using the dialogue tool.
2. Develop an action plan for nutrition and physical activity support using the action plan template.
3. The interdisciplinary team will provide, adjust, and document the nutritional and physical activity support provided by the action plan.
4. Prior to discharge, patients and their relatives are given a discharge guide with pre-defined questions to ask healthcare professionals, a contact telephone number to the outpatient clinic for follow-up if needed, and information about prescriptions for oral nutritional supplementation.

Inclusion Criteria:

• Diagnosed with COPD
• Speak and understand Danish.

Exclusion Criteria:

• Patients in the end-of-life phase.
• Patients living in nursing homes.
• Patients with cognitive impairments avoiding participation.