@misc{10481/111191, year = {2020}, month = {4}, url = {https://hdl.handle.net/10481/111191}, abstract = {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.}, organization = {This research was financed jointly by Fundación Progreso y Salud (FPS), Boehringer Ingelheim España, S.A. (project code: PI-0370-2014), and Oximesa, Praxair. The authors JRT and LPP received financial support through grants for the training of university lecturers (grant numbers FPU: 16/01531 and FPU: 17/00408 respectively) of the Spanish Ministry of Education.}, keywords = {Pulmonary disease, chronic obstructive}, keywords = {decision making}, keywords = {hospital medicine}, keywords = {patient participation}, title = {Shared decision-making and patient engagement program during acute exacerbation of COPD hospitalization: A randomized control trial}, doi = {https://doi.org/10.1016/j.pec.2019.12.004}, author = {Granados Santiago, María and Valenza, Marie Carmen and López López, Laura and Prados Román, Esther and Rodríguez Torres, Janet and Cabrera Martos, Irene}, }