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. 2020 May 8;2020(5):CD012419. doi: 10.1002/14651858.CD012419.pub2

Flink 2016.

Methods RCT
Participants Inclusion: 18 years or older with COPD or congestive heart failure admitted at a short‐term medical ward and living in own private home
Exclusion: diagnosis of dementia, need for an interpreter to communicate in Swedish
Interventions Intervention: included patients' transition to home will be bridged through a telephone call from a patient activation coach 2 days post discharge. Patients will thereafter have motivational interviewing sessions by the same patient activation coach with the goal that patients are motivated to acquire the knowledge, skills, and confidence needed to manage the 4 main activity areas: (1) medication management; (2) adherence to care plan/follow‐up visits according to the discharge plan; (3) recognition of indications (symptoms/signs) that the condition is worsening and how to respond; and (4) contact with and management of relations/encounters with healthcare providers. Patients in control group will receive standard care (i.e. discharge and follow‐up as in normal procedures)
Control: usual care
Outcomes Medication adherence (Morisky), rehospitalisation, healthcare usage, patient activation, health‐related quality of life, basic psychological needs, depression
Notes NCT02823795
Protocol published 2016. Estimated study completion date September 2018
Need to determine mean/median age and number of medications to confirm eligibility
Investigator Dr. Maria Flink (email: maria.flink@ki.se) contacted for more information ‐ no response