Is a Collective Person-centered Dialogue Intervention for Hospitalised COPD Patients Feasible?

Primary outcomes

1. Clinical uncertainties - An evaluation of the delivery of the needs assessment and the action plan

   Time frame: Measurements will be taken at one time point for each participant prior to discharge. Measurements will be taken four weeks after the beginning of the intervention.

   Following criteria are considered to evaluate the delivery of the needs assessment and the action plan:

   • If less than 80 % receive the needs assessment based on the dialogue tool or the action plan based on the template, the intervention is considered non-feasible.
   • If 80 to 90 % receive the needs assessment and the action plan, then actions to modify the intervention will be elaborated during the upcoming focus group interview with the interdisciplinary team. Any decision to modify the intervention will be based on the completed analysis of the feasibility.
   • If more than 90 % receive the needs assessment and the action plan, then the delivery is determined as feasible without modifications.

2. Clinical uncertainties - An evaluation of the delivery of the provision actions provided by the action plan

   Time frame: Measurements will be taken at one time point for each participant prior to discharge. Measurements will be taken four weeks after the beginning of the intervention.

   Following criteria are considered to evaluate the delivery of the provision actions from the action plan:

   • If less than 50 % of the actions planned in the action planner are provided, then the COPD support intervention is considered non-feasible.
   • If less than 75 % of the actions planned in the action planner are provided, then actions to modify the intervention will be elaborated during the upcoming focus group interview.

   The modification of the intervention will be based on the completed feasibility test.

   • If 75 % or above of the actions planned in the action planner are provided, then the COPE-D intervention is considered feasible without modifications.

3. Clinical uncertainties - An evaluation of the patients and their relative acceptability of the intervention.

   Time frame: Measurements will be taken at one time point for each participant prior to discharge. Measurements will be taken four weeks after the beginning of the intervention.

   Following criteria are considered to evaluate the patients and their relative acceptability of the intervention.

   • If less than 50 % of the patient responses contain a positive prompt, then the intervention is considered non-feasible.
   • If between 50- 75 % of the patient responses contain a positive prompt, then actions to modify the intervention will be elaborated during the upcoming focus group interview.

   Any decision to modify the intervention will be based on the completed analysis of the feasibility.

   • If 75 % or above of the patient responses contain a positive prompt, then the COPE-D intervention is considered feasible without modifications.

4. Clinical uncertainties - An evaluation of the interdisciplinary team members acceptability of the intervention

   Time frame: The measurement will be assessed after the intervention at week six

   The assessment will be measured qualitatively. Focus group interviews will be conducted using a semi-structured interview guide.

5. Procedural uncertainties - An evaluation of the patients willingness to participate

   Time frame: .Measurement will be taken during recruitment. Measurements will be taken four weeks after the beginning of the intervention.

   Following criteria are considered to evaluate the recruitment for paricipation in the intervention:

   • If less than 30% are willing to participate in the intervention, then the intervention is considered not feasible.
   • If recruitment falls within the range of 30% to 75%, modifications will be considered.

   Determine contextual factors that may influence the recruitment process. Discuss in the focus group interviews with the interdisciplinary team and with the department managers about potential contextual factors that may influence the low recruitment rate.

   • If 75% or more are recruited, the study is deemed feasible without modifications.