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Updated: Jan 1, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Shared decision-making and patient engagement program during acute exacerbation of COPD hospitalization: A randomized
María Granados-Santiago1, Marie Carmen Valenza1, Laura López-López1
1Faculty of Health Sciences, University of Granada, Granada, Spain.
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.
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