Table 1 Inclusion and exclusion criteria

Age 40 years and over

Competent

Diagnosed with at least COPD GOLD I and 10 Pack Years of smoking or grounded susceptibility for COPD

Hospitalised with COPD exacerbation

Completed informed consent on day 3 of admission

Exclusion criteria:

Major uncontrolled comorbidity

Mental disability

Active alcohol abuse and/or drug abuse

Inability to understand the program

Living outside care region of the home care organisation

Indication for admission to intensive care unit or non invasive ventilation

Insufficient availability of informal care at home