Experiences of Home-Based Pulmonary Rehabilitation With mHealth and Centre-Based Pulmonary Rehabilitation in People With Chronic Obstructive Pulmonary Disease: A Qualitative Study

被引：0

作者：

Rutherford, Hannah ^{[1
,2
]}

Dale, Marita ^{[1
]}

Wootton, Sally ^{[1
,3
]}

Pithavadian, Rashmi ^{[4
]}

Dennis, Sarah ^{[1
,5
,6
]}

Brown, Sarah ^{[1
,3
,7
]}

Alison, Jennifer A. ^{[1
,8
]}

Chan, Andrew S. L. ^{[3
,9
,10
]}

Yang, Ian A. ^{[11
,12
]}

Mckeough, Zoe ^{[1
]}

机构：

[1] Univ Sydney, Fac Med & Hlth, Sydney Sch Hlth Sci, Sydney, NSW, Australia

[2] South Eastern Sydney Local Hlth Dist, Strategy Innovat & Digital Hlth, Sydney, NSW, Australia

[3] Northern Sydney Local Hlth Dist, Chron Dis Community Rehabil Serv, N Ryde, NSW, Australia

[4] Western Sydney Univ, Sch Hlth Sci, Campbelltown, NSW, Australia

[5] South West Sydney Local Hlth Dist, South West Sydney Allied Hlth Res Collaborat, Liverpool, NSW, Australia

[6] Ingham Inst Appl Med Res, Liverpool, NSW, Australia

[7] Royal North Shore Hosp, Physiotherapy Dept, St Leonards, NSW, Australia

[8] Sydney Local Hlth Dist, Allied Hlth, Camperdown, NSW, Australia

[9] Royal North Shore Hosp, Dept Resp & Sleep Med, St Leonards, NSW, Australia

[10] Univ Sydney, Fac Med & Hlth, Northern Clin Sch, Sydney, NSW, Australia

[11] Univ Queensland, Prince Charles Hosp, Brisbane, Australia

[12] Univ Queensland, Fac Med, Brisbane, Australia

来源：

HEALTH EXPECTATIONS | 2025年 / 28卷 / 02期

关键词：

COPD; mHealth; pulmonary rehabilitation; qualitative study; TELEREHABILITATION; KNOWLEDGE; COPD;

D O I：

10.1111/hex.70181

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundMobile health (mHealth) provides innovative solutions to improve access to pulmonary rehabilitation (PR). This study aimed to explore the experiences of people with chronic obstructive pulmonary disease (COPD) who undertook either an 8-week home-based PR with a mHealth application (app) (m-PR) or centre-based PR (CB-PR). MethodsConvenience then purposive sampling was used to recruit participants enrolled in a randomised controlled trial after completion or withdrawal from either m-PR or CB-PR. Participants undertook individual, semi-structured interviews. Interview transcripts were inductively coded and thematically analysed using a critical realist approach. ResultsThirteen m-PR and 12 CB-PR participants were interviewed (mean age (SD) 75 (8) years, 52% male). Four themes were conceptualised: internal motivators influence uptake and adherence, external motivators influence uptake and adherence, programme structure impacts practicality and experience, and living with and managing COPD and other health issues. Motivators for both programmes included improved fitness levels, feeling accountable to the programme and reinforcement from staff and peers. The m-PR in-app functionalities such as the daily task list were additionally motivational. m-PR participants arranged the programme around their schedule while centred-based participants arranged their schedule around the programme. Multi-morbidity and illness were barriers to adherence in both programmes. The social network, environment and resources available to participants impacted their enjoyment. ConclusionThis study adds important information for service providers considering implementation of mHealth PR models. Patient or Public ContributionConsumers co-designed and user-tested the m-PR app. The qualitative data presented in this manuscript was obtained through interviews with consumers.

引用

页数：12

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