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The Supporting Patient Activation in Transition to Home (sPATH) intervention: a study protocol of a randomised
Maria Flink1,2, Marléne Lindblad1,3, Oscar Frykholm1
1Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden.
BMJ Open
|July 13, 2017
Summary
This study protocol outlines the Supporting Patient in Activation to Home (sPATH) intervention, a randomized controlled trial designed to reduce re-hospitalisation rates by enhancing patient self-management skills post-discharge.
Area of Science:
- Health Services Research
- Patient Self-Management
- Chronic Disease Management
Background:
- High re-hospitalisation rates are linked to poor hospital discharge processes and challenges in post-discharge self-management.
- Existing interventions lack robust evidence for effectively supporting patient activation in self-management after hospital discharge.
- The Supporting Patient in Activation to Home (sPATH) intervention aims to address this gap.
Purpose of the Study:
- To describe the study protocol for an upcoming randomized controlled trial (RCT) evaluating the sPATH intervention.
- To investigate the effectiveness of the sPATH intervention in reducing re-hospitalisation rates.
Main Methods:
- A randomized, controlled, analysis-blinded, two-site trial involving 290 participants (145 per group) aged 18+ with COPD or CHF.
- The sPATH intervention includes five post-discharge motivational interviewing sessions covering medication, follow-up, symptom monitoring, and healthcare communication.
- Exclusion criteria include need for a Swedish interpreter or diagnosis of dementia/cognitive impairment.
Main Results:
- Primary outcome is re-hospitalisation within 90 days post-discharge.
- The study is registered under NCT02823795 and is currently in the pre-results phase.
- Results will be disseminated through peer-reviewed publications and scientific conferences.
Conclusions:
- This RCT will provide crucial evidence on supporting patient activation for improved post-discharge self-management.
- Findings are expected to inform future interventions aimed at reducing hospital readmissions for chronic conditions.
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