Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods study

BMC Medical Informatics and Decision Making
Hanne HoaasPaolo Zanaboni

Abstract

Telemedicine may increase accessibility to pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD), thus enhancing long-term exercise maintenance. We aimed to explore COPD patients' adherence and experiences in long-term telerehabilitation to understand factors affecting satisfaction and potential for service improvements. A two-year pilot study with 10 patients with COPD was conducted. The intervention included treadmill exercise training at home and a webpage for telemonitoring and self-management combined with weekly videoconferencing sessions with a physiotherapist. We conducted four separate series of data collection. Adherence was measured in terms of frequency of registrations on the webpage. Factors affecting satisfaction and adherence, together with potential for service improvements, were explored through two semi-structured focus groups and an individual open-ended questionnaire. Qualitative data were analysed by systematic text condensation. User friendliness was measured by the means of a usability questionnaire. On average, participants registered 3.0 symptom reports/week in a web-based diary and 1.7 training sessions/week. Adherence rate decreased during the second year. Four major themes regardi...Continue Reading

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Citations

Jul 25, 2017·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Mian Yan, Calvin Or
Mar 11, 2020·International Journal of Technology Assessment in Health Care·Mohammad HosseiniravandiReza Safdari
Feb 21, 2018·Expert Review of Respiratory Medicine·Manuel Mirón RubioSoledad Alonso-Viteri
Feb 7, 2018·Journal of Medical Internet Research·Clemens Scott Kruse, Amanda Beane
Dec 20, 2018·BMC Medical Informatics and Decision Making·Tatjana M BurkowMarijke Jongsma Risberg
Jan 30, 2021·The Cochrane Database of Systematic Reviews·Narelle S CoxAnne E Holland
May 23, 2020·Archivos de bronconeumología·Juan B GaldizJosé Ignacio Pijoan
Jun 28, 2020·Pulmonology·C JácomeI Sanches
Apr 22, 2017·Heart & Lung : the Journal of Critical Care·Rita HwangTrevor Russell
Aug 31, 2021·Physiotherapy Canada. Physiothérapie Canada·Pamela TanguayNicole Marquis
Oct 26, 2021·The Cochrane Database of Systematic Reviews·Sadia JanjuaRebecca T Disler

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