a patient and a health professional with a tablet

A case study on implementing Choice-COPD in Clinical Practice

Choice COPD

Project period


About the project

Patients with Chronic obstructive pulmonary disease (COPD) often experience multiple problems and symptoms from the lungs and respiratory tract, as well as the rest of the body, and COPD leads to many psychosocial challenges for the patient.

The Pulmonary Department at Oslo University Hospital has adapted and rewritten the content in a Choice module for patients with COPD, and are now testing the feasibility of Choice in their clinical practice. Patients report their symptoms and health problems along physical, functional, and psychosocial dimensions, mark their degree of distress, and prioritize their need for care for their symptoms by using Choice. The Choice-system immediately creates an assessment summary that displays the patients’ selected symptoms and distress, in prioritized order of need for care, thus directing the clinician’s attention to the problems that matter most for each patient. The summary is made available for health care providers, who can make use of it in the patient follow up.

Successful implementation of informatics tools – even those found to be effective in clinical practice - is challenging. The aim of this study is to understand factors for successful use of Choice in clinical practice for patients with COPD, and follow the implementation process: how Choice is used and maintained over time. The Consolidated Framework for Implementation Research (CFIR) will guide the study. The study is conducted as a case study with qualitative design, based on individual interviews with health care providers.

Project team members at the pulmonary department: Marit Fønstelien (nurse), Ingvil Berger (chief physician), Sofia Løseth (occupational therapist), Marit Vold Heddan (social worker), Elizabeth W. Eskeland (physiotherapist).