Study Protocol for a Hospital-to-Home Transitional Care for Older Adults Hospitalized with Chronic Obstructive Pulmonary Disease in South Korea: A Randomized Controlled Trial

Heui-Sug Jo, Woo-Jin Kim, Yukyung Park, Yu-Seong Hwang, Seon-Sook Han, Yeon-Jeong Heo, Dahye Moon, Su-Kyoung Kim () and Chang-Youl Lee ()
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Heui-Sug Jo: Department of Health Policy and Management, School of Medicine, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon-si 24341, Republic of Korea
Woo-Jin Kim: Department of Internal Medicine, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon-si 24341, Republic of Korea
Yukyung Park: Department of Preventive Medicine, Kangwon National University Hospital, 156, Baengnyeong-ro, Chuncheon-si 24289, Republic of Korea
Yu-Seong Hwang: Department of Health Policy and Management, School of Medicine, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon-si 24341, Republic of Korea
Seon-Sook Han: Department of Internal Medicine, Kangwon National University Hospital, 156, Baengnyeong-ro, Chuncheon-si 24289, Republic of Korea
Yeon-Jeong Heo: Department of Internal Medicine, Kangwon National University Hospital, 156, Baengnyeong-ro, Chuncheon-si 24289, Republic of Korea
Dahye Moon: Department of Internal Medicine, Kangwon National University Hospital, 156, Baengnyeong-ro, Chuncheon-si 24289, Republic of Korea
Su-Kyoung Kim: Department of Health Policy and Management, School of Medicine, Kangwon National University, 1 Kangwondaehak-gil, Chuncheon-si 24341, Republic of Korea
Chang-Youl Lee: Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, 77, Sakju-ro, Chuncheon-si 24253, Republic of Korea

IJERPH, 2023, vol. 20, issue 15, 1-13

Abstract: Chronic obstructive pulmonary disease (COPD) is a progressive respiratory condition characterized by persistent inflammation in the airways, resulting in narrowing and obstruction of the air passages. The development of COPD is primarily attributed to long-term exposure to irritants, such as cigarette smoke and environmental pollutants. Among individuals hospitalized for exacerbations of COPD, approximately one in five is readmitted within 30 days of discharge or encounters immediate post-discharge complications, highlighting a lack of adequate preparedness for self-management. To address this inadequate preparedness, transitional care services (TCS) have emerged as a promising approach. Therefore, this study primarily aims to present a detailed protocol for a multi-site, single-blind, randomized, controlled trial (RCT) aimed at enhancing self-management competency and overall quality of life for patients with COPD through the provision of TCS, facilitated by a proficient Clinical Research Coordinator. The RCT intervention commenced in September 2022 and is set to conclude in December 2024, with a total of 362 COPD patients anticipated to be enrolled in the study. The intervention program encompasses various components, including an initial assessment during hospitalization, comprehensive self-management education, facilitation of social welfare connections, post-discharge home visits, and regular telephone monitoring. Furthermore, follow-up evaluations are conducted at both one month and three months after discharge to assess the effectiveness of the intervention in terms of preventing re-hospitalization, reducing acute exacerbations, and enhancing disease awareness among participants. The results of this study are expected to provide a basis for the development of TCS fee payment policies for future health insurance.

Keywords: older adult; transitional care; chronic obstructive pulmonary disease (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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