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Despite an increased interest in interventions aiming to reduce re-hospitalisation rates, there is yet no best evidence on how to support patients in being active participants in their self-management postdischarge. The aim of this paper is to describe the study protocol for an upcoming randomised controlled trial (RCT) of the Supporting Patient in Activation to Home (sPATH) intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\/analysis<\/jats:title>\n                    <jats:p>The described study is a randomised, controlled, analysis-blinded, two-site trial, with primary outcome re-hospitalisation within 90 days. In total, 290 participants aged 18 years or older with chronic obstructive pulmonary disease or congestive heart failure who are admitted to hospital and who are living in an own home will be eligible for inclusion into an intervention (n=145) or control group (n=145). Patients who need an interpreter to communicate in Swedish, or who have a diagnosis of dementia or cognitive impairment, will be excluded from inclusion. The sPATH intervention, developed with a theoretical base in the self-determination theory, consists of five postdischarge motivational interviewing sessions (face to face or by phone). The intervention covers the self-management areas medication management, follow-up\/care plan, symptoms\/signs of worsening condition and relations\/contacts with healthcare providers. This RCT will add to the literature on evidence to support patient activation in postdischarge self-management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study is approved by the Regional Research Ethics Committee (No. 2014\/1498-31\/2) in Stockholm, Sweden. The results of the study will be published in peer-reviewed journals and presented at international and national scientific conferences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>NCT02823795; Pre-results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-014178","type":"journal-article","created":{"date-parts":[[2017,7,11]],"date-time":"2017-07-11T20:10:16Z","timestamp":1499803816000},"page":"e014178","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["The Supporting Patient Activation in Transition to Home (sPATH) intervention: a study protocol of a randomised controlled trial using motivational interviewing to decrease re-hospitalisation for patients with COPD or heart failure"],"prefix":"10.1136","volume":"7","author":[{"given":"Maria","family":"Flink","sequence":"first","affiliation":[{"name":"Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Social Work, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marl\u00e9ne","family":"Lindblad","sequence":"additional","affiliation":[{"name":"Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden"},{"name":"School of technology and Health, KTH, Royal Institute of technology, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Frykholm","sequence":"additional","affiliation":[{"name":"Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c5sa","family":"Kneck","sequence":"additional","affiliation":[{"name":"Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per","family":"Nilsen","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences, Division of Community Medicine, Link\u00f6ping University, Link\u00f6ping, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristofer","family":"\u00c5restedt","sequence":"additional","affiliation":[{"name":"School of Health and Caring Sciences, Faculty of Health and Life Sciences Linnaeus University, Kalmar, Sweden"},{"name":"Kalmar County Hospital, Kalmar, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam","family":"Ekstedt","sequence":"additional","affiliation":[{"name":"Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm, Sweden"},{"name":"School of technology and Health, KTH, Royal Institute of technology, Stockholm, Sweden"},{"name":"School of Health and Caring Sciences, Faculty of Health and Life Sciences Linnaeus University, Kalmar, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,7,10]]},"reference":[{"key":"2025121408104439000_7.7.e014178.1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.668"},{"key":"2025121408104439000_7.7.e014178.2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-3-200302040-00007"},{"key":"2025121408104439000_7.7.e014178.3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2003.20722.x"},{"key":"2025121408104439000_7.7.e014178.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"2025121408104439000_7.7.e014178.5","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.3746"},{"key":"2025121408104439000_7.7.e014178.6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.216219"},{"key":"2025121408104439000_7.7.e014178.7","first-page":"2211","article-title":"[The risk of acute readmission can be predicted. former care consumption patterns and certain diagnoses are strongly predictive]","volume":"109","author":"St\u00e4ck","year":"2012","journal-title":"Lakartidningen"},{"key":"2025121408104439000_7.7.e014178.8","unstructured":"Sveriges Kommuner och landsting. fyra omr\u00e5den f\u00f6r att undvika on\u00f6diga sjukhusvistelser. 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