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Why patients decline participation in an intervention to reduce re-hospitalization through patient activation: whom are we missing?
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet;Karolinska University Hospital.ORCID iD: 0000-0003-0536-0024
Karolinska Institutet.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Karolinska Institutet.ORCID iD: 0000-0002-4108-391x
2019 (English)In: Trials, ISSN 1745-6215, E-ISSN 1745-6215, Vol. 20, p. 1-7, article id 82Article in journal (Refereed) Published
Abstract [en]

BackgroundDespite worldwide interest in reducing re-hospitalization, there is limited knowledge regarding characteristics of patients who chose to decline participation in such efforts and why. The aim is to explore reasons to decline participation in an intervention using motivational interviewing to reduce re-hospitalization through patient activation for persons with chronic obstructive pulmonary disease or heart failure.MethodsThis study uses data from 385 patients who were asked about participating in a randomized controlled trial; of these, 232 declined participation. Data on age, gender, and diagnosis were collected for those who agreed to participate and those who declined. Reasons to decline participation were collected for those who were asked to participate but refused. The stated reasons to decline were analyzed using content analysis, and the categories identified were used for the statistical analysis.ResultsThe main reasons for declining participation were having sufficient support (17.5%), no need for support (16%), being too ill (14.6%), and lack of time for illness-related activities (14.2%). A statistically significant negative association between age and willingness to participate was found (odds ratio=-0.03, 95% confidence interval 0.95-0.99).ConclusionsThose who agreed to participate were younger than non-participants, and non-participants either lacked time for illness-related activities or did not have the energy needed to become involved in the intervention.Trial registrationClinicalTrials.gov, NCT02823795. Registered on 1 July 2016.

Place, publisher, year, edition, pages
BioMed Central, 2019. Vol. 20, p. 1-7, article id 82
Keywords [en]
Self-care, Re-hospitalization, Randomized controlled trial, COPD, Heart failure, Patient activation intervention
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-80561DOI: 10.1186/s13063-019-3187-9ISI: 000456783400004PubMedID: 30683140Scopus ID: 2-s2.0-85060533955OAI: oai:DiVA.org:lnu-80561DiVA, id: diva2:1289987
Available from: 2019-02-19 Created: 2019-02-19 Last updated: 2019-08-29Bibliographically approved

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Flink, MariaEkstedt, Mirjam

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