Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: A mixed methods study
Open accessAbstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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 regarding factors affecting satisfaction, adherence and potential improvements of the intervention emerged: (i) experienced health benefits; (ii) increased self-efficacy and independence; and (iii) emotional safety due to regular meetings and access to special competence; (iv) maintenance of motivation. Participants were generally highly satisfied with the technical components of the telerehabilitation intervention. CONCLUSIONS: Long-term adherence to telerehabilitation in COPD was maintained for a two-year period. Satisfaction was supported by experienced health benefits, self-efficacy, and emotional safety. Maintenance of motivation was a challenge and might have affected long-term adherence. Four key factors of potential improvements in long-term telerehabilitation were identified: (i) adherence to different components of the telerehabilitation intervention is dependent on the level of focus provided by the health personnel involved; (ii) the potential for regularity that lies within the technology should be exploited to avoid relapses after vacation; (iii) motivation might be increased by tailoring individual consultations to support experiences of good health and meet individual goals and motivational strategies; (iv) interactive functionalities or gaming tools might provide peer-support, peer-modelling and enhance motivation.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Previous research has found that telerehabilitation may result in lower patient adherence or confidence, which may decrease the treatment's effectiveness.
“In addition, previous research has found that telerehabilitation may result in lower patient adherence or confidence, which may decrease the treatment’s effectiveness [24].”
From Behavior Modification Techniques on Patients with Chronic Pain in the Context of COVID-19 Telerehabilitation: An Umbrella Review (2022) · cites this paper as [24]
The Discussion > Adherence reports that participants averaged 1.7 training sessions per week, below the recommended three, and says this was probably too low to maintain their health benefits and physical performance. That supports a possible adherence-related reduction in effectiveness, but the paper does not establish that telerehabilitation lowers adherence relative to conventional rehabilitation; it reports increased self-efficacy rather than lower confidence. No page number is available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · cited 1× · see citing works
“Analysis of the qualitative data focused on identifying topics rather than on differences and similarities between individual respondents, thus confirming to a thematic analysis technique [38].”
BackgroundSelf-efficacy: The exercise of control
Bandura, A., Freeman, W. H., & Lightsey, R. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.2.158 · Cited by 46,835 · see citing works
Self-efficacy: the exercise of control
(1997) · Choice Reviews Online · doi:10.5860/choice.35-1826 · Cited by 24,409 · see citing works
Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A., Barnes, P. J., Fabbri, L. M., Martinez, F. J., Nishimura, M., et al. (2013) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201204-0596pp · Cited by 15,983 · see citing works
Strategies for ensuring trustworthiness in qualitative research projects
Shenton, A. K. (2004) · Education for Information · doi:10.3233/efi-2004-22201 · Cited by 9,748 · see citing works
SUS: A 'Quick and Dirty' Usability Scale
(1996) · Usability Evaluation In Industry · doi:10.1201/9781498710411-35 · Cited by 8,989 · see citing works
Adherence to Long-Term Therapies: Evidence for Action
Geest, S. D., & Sabate, E. J. (2003) · European Journal of Cardiovascular Nursing · doi:10.1016/s1474-5151(03)00091-4 · Cited by 6,274 · see citing works
The generalizability of the psychoanalytic concept of the working alliance.
Bordin, E. S. (1979) · Psychotherapy: Theory, Research & Practice · doi:10.1037/h0085885 · Cited by 5,238 · cited 1× · see citing works
“An agreement of goals and methods between the patient and the helper is seen as an important key to the change process [30].”
BackgroundQualitative research: standards, challenges, and guidelines
Malterud, K. (2001) · The Lancet · doi:10.1016/s0140-6736(01)05627-6 · Cited by 5,014 · see citing works
Usability Evaluation In Industry
(1996) · CRC Press eBooks · doi:10.1201/9781498710411 · Cited by 4,400 · see citing works
Spruit, M. A., Singh, S. J., Garvey, C., ZuWallack, R., Nici, L., Rochester, C., Hill, K., Holland, A. E., Lareau, S. C., Man, W. D.-C., et al. (2013) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201309-1634st · Cited by 3,938 · see citing works
Promotion and Prevention: Regulatory Focus as A Motivational Principle
Higgins, E. T. (1998) · Advances in Experimental Social Psychology · doi:10.1016/s0065-2601(08)60381-0 · Cited by 3,511 · see citing works
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
Rahman, M. M., & Siddiqui, M. M. R. (2017) · Anwer Khan Modern Medical College Journal · doi:10.3329/akmmcj.v7i1.31596 · Cited by 3,105 · see citing works
McCambridge, J., Witton, J., & Elbourne, D. R. (2014) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2013.08.015 · Cited by 2,748 · cited 2× · see citing works
“Being observed might change research participants’ behaviour or answers to what they think is expected [54].”
BackgroundThe salutogenic model as a theory to guide health promotion
ANTONOVSKY, A. (1996) · Health Promotion International · doi:10.1093/heapro/11.1.11 · Cited by 2,647 · cited 1× · see citing works
“of health is also in line with Antonovsky’s salutogenic theory [29].”
ResultHuber, M., Knottnerus, J. A., Green, L., van der Horst, H. E., Jadad, A. R., Kromhout, D., Leonard, B. E., Lorig, K. R., Loureiro, I., Meer, J. W. M. V. D., et al. (2011) · BMJ · doi:10.1136/bmj.d4163 · Cited by 2,644 · cited 1× · see citing works
“Further, our analysis was based on a view of health as “the ability to adapt and self-manage in the face of social, physical, and emotional challenges” [28].”
MethodAdherence to Long‐Term Therapies: Evidence for Action
Burkhart, P. V., & Sabaté, E. (2003) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2003.tb00001.x · Cited by 2,526 · see citing works
Rochester, C., Vogiatzis, I., Holland, A., Lareau, S., Marciniuk, D., Puhan, M., Spruit, M., Masefield, S., Casaburi, R., Clini, E., et al. (2015) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201510-1966st · Cited by 808 · cited 1× · see citing works
“A travel time greater than 30 min is a known barrier for attending PR and exercise programs for patients with COPD [41].”
BackgroundHealth Education: Effectiveness, Efficiency And Equity
Tones, K., & Tilford, S. (2001) · Medical Entomology and Zoology · Cited by 529 · see citing works
Determining what individual SUS scores mean
(2009) · Journal of Usability Studies archive · doi:10.5555/2835587.2835589 · Cited by 412 · see citing works
Pinnock, H., Kendall, M., Murray, S. A., Worth, A., Levack, P., Porter, M., MacNee, W., & Sheikh, A. (2011) · BMJ · doi:10.1136/bmj.d142 · Cited by 343 · see citing works
The concepts of health and illness revisited
Nordenfelt, L. (2006) · Medicine Health Care and Philosophy · doi:10.1007/s11019-006-9017-3 · Cited by 327 · cited 1× · see citing works
“Good health is often seen as medicine’s main goal [42].”
BackgroundBarriers to pulmonary rehabilitation: Characteristics that predict patient attendance and adherence
Hayton, C., Clark, A., Olive, S., Browne, P., Galey, P., Knights, E., Staunton, L., Jones, A., Coombes, E. G., & Wilson, A. M. (2012) · Respiratory Medicine · doi:10.1016/j.rmed.2012.11.016 · Cited by 283 · cited 1× · see citing works
“The study concluded that age, smoking status, availability of social support, travel distance, and markers of disease severity, in particular use of long-term oxygen therapy, were strong predictors of attendance and adherence to PR [11].”
BackgroundTelehealthcare in COPD: a systematic review and meta-analysis on physical outcomes and dyspnea.
Lundell, S., Holmner, Å., Rehn, B., Nyberg, A., & Wadell, K. (2015) · Respiratory Medicine · doi:10.1016/j.rmed.2014.10.008 · Cited by 203 · cited 2× · see citing works
“A recent review showed that telerehabilitation may lead to increased physical activity level, but no effect was detected on exercise capacity and dyspnoea [19].”
BackgroundTabak, M., VanderValk, P., Hermens, H., Vollenbroek-Hutten, M., & Brusse-Keizer, M. (2014) · International Journal of Chronic Obstructive Pulmonary Disease · doi:10.2147/copd.s60179 · Cited by 196 · cited 4× · see citing works
“Telemedicine can easily support peer-modelling processes through interactive interaction or gaming tools [15].”
BackgroundInfluentialAdherence to pulmonary rehabilitation: A qualitative study
Arnold, E., Bruton, A., & Ellis‐Hill, C. (2006) · Respiratory Medicine · doi:10.1016/j.rmed.2006.02.007 · Cited by 171 · cited 1× · see citing works
“Barriers, which prevent patients from attending PR, include disruption of their everyday routine, travel or transportation difficulties, inconvenient timing of the program, lack of perceived benefit, lack of social support, low self-confidence, and fear of being breathless or exacerbating existing medical problems [2,…”
BackgroundKeating, A., Lee, A. L., & Holland, A. E. (2011) · Journal of Physiotherapy · doi:10.1016/s1836-9553(11)70040-6 · Cited by 159 · cited 1× · see citing works
“Barriers, which prevent patients from attending PR, include disruption of their everyday routine, travel or transportation difficulties, inconvenient timing of the program, lack of perceived benefit, lack of social support, low self-confidence, and fear of being breathless or exacerbating existing medical problems [2,…”
BackgroundHome telemonitoring in COPD: a systematic review of methodologies and patients’ adherence.
Cruz, J., Brooks, D., & Marques, A. (2014) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2014.01.008 · Cited by 144 · cited 1× · see citing works
“In addition, a telemonitoring component, which focuses on disease management and monitoring of symptoms, for example after an exacerbation or hospitalisation, may be included [18].”
BackgroundAntypas, K., & Wangberg, S. C. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3132 · Cited by 141 · see citing works
Tabak, M., Vollenbroek-Hutten, M. M. R., van der Valk, P. D. L. P. M., van der Palen, J. A. M., & Hermens, H. J. (2013) · Clinical Rehabilitation · doi:10.1177/0269215513512495 · Cited by 137 · see citing works
Holland, A. E., Hill, C. J., Rochford, P. D., Fiore, J. F., Berlowitz, D. J., & McDonald, C. F. (2013) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x13487100 · Cited by 117 · cited 2× · see citing works
“Dropout rates vary greatly between these studies, ranging from 0 % to 45 % [14–16, 19–22].”
BackgroundResultIs Telerehabilitation a Safe and Viable Option for Patients with COPD? A Feasibility Study
Paneroni, M., Colombo, F., Papalia, A., Colitta, A., Borghi, G., Saleri, M., Cabiaglia, A., Azzalini, E., & Vitacca, M. (2014) · COPD Journal of Chronic Obstructive Pulmonary Disease · doi:10.3109/15412555.2014.933794 · Cited by 107 · see citing works
Improving the uptake of pulmonary rehabilitation in patients with COPD:
Harris, D., Hayter, M., & Allender, S. E. (2008) · British Journal of General Practice · doi:10.3399/bjgp08x342363 · Cited by 105 · see citing works
Long-term exercise maintenance in COPD via telerehabilitation: a two-year pilot study
Zanaboni, P., Hoaas, H., Lien, L. A., Hjalmarsen, A., & Wootton, R. (2016) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x15625545 · Cited by 79 · see citing works
Burkow, T. M., Vognild, L. K., Johnsen, E., Risberg, M. J., Bratvold, A., Breivik, E., Krogstad, T., & Hjalmarsen, A. (2015) · BMC Research Notes · doi:10.1186/s13104-015-1713-8 · Cited by 73 · cited 1× · see citing works
“Online group exercise sessions for patients with COPD have been piloted successfully [50].”
MethodSelf-citationRosen, M. J. (1999) · Neurorehabilitation · doi:10.3233/nre-1999-12103 · Cited by 58 · see citing works
Guo, S., & Bruce, A. (2014) · PLoS ONE · doi:10.1371/journal.pone.0110835 · Cited by 56 · cited 2× · see citing works
“Further, patients with COPD might need support to define visible results and appraise their newly acquired competences to be able to implement them in everyday life [12, 47].”
BackgroundBurkow, T. M., Vognild, L. K., Østengen, G., Johnsen, E., Risberg, M. J., Bratvold, A., Hagen, T., Brattvoll, M., Krogstad, T., & Hjalmarsen, A. (2013) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-13-33 · Cited by 53 · cited 1× · see citing works
“Telerehabilitation for patients with COPD often includes exercise and/or self-management education [14–17].”
BackgroundSelf-citationZanaboni, P., Lien, L. A., Hjalmarsen, A., & Wootton, R. (2013) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x13506514 · Cited by 52 · cited 2× · see citing works
“Clinical and other patient-reported outcomes have been reported elsewhere [14, 25].”
MethodResultCost-Utility Analysis of a Telerehabilitation Program: A Case Study of COPD Patients
Hæsum, L. K. E., Sørensen, N., Dinesen, B., Nielsen, C., Grann, O., Hejlesen, O. K., Toft, E. S., & Ehlers, L. H. (2012) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2011.0250 · Cited by 52 · cited 2× · see citing works
“Dropout rates vary greatly between these studies, ranging from 0 % to 45 % [14–16, 19–22].”
BackgroundResultAttitudes of COPD Patients towards Tele-Rehabilitation: A Cross-Sector Case Study
Dinesen, B., Huniche, L., & Toft, E. S. (2013) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph10116184 · Cited by 43 · see citing works
Exercise Training in Pulmonary Rehabilitation
Andrianopoulos, V., Klijn, P. H. C., Franssen, F. M. E., & Spruit, M. A. (2014) · Clinics in Chest Medicine · doi:10.1016/j.ccm.2014.02.013 · Cited by 43 · cited 1× · see citing works
“Exercise training is a cornerstone of a PR program [2, 3].”
BackgroundTang, J. E., Mandrusiak, A., & Russell, T. G. (2012) · International Journal of Telemedicine and Applications · doi:10.1155/2012/798791 · Cited by 35 · cited 1× · see citing works
“Patients living in rural areas especially suffer from poor availability of PR programs [5, 6].”
BackgroundRasekaba, T. M., Williams, E., & Hsu-Hage, B. H. (2009) · Chronic Respiratory Disease · doi:10.1177/1479972309104419 · Cited by 33 · cited 1× · see citing works
“Patients living in rural areas especially suffer from poor availability of PR programs [5, 6].”
BackgroundAntypas, K., & Wangberg, S. C. (2014) · JMIR Research Protocols · doi:10.2196/resprot.2725 · Cited by 32 · cited 1× · see citing works
“We see a potential in using the technology to include tailored motivational messages based on the individuals’ promotion or prevention-goal orientation on the webpage or via mobile text messages [31, 48].”
BackgroundHellem, E., Bruusgaard, K. A., & Bergland, A. (2011) · Physiotherapy Theory and Practice · doi:10.3109/09593985.2011.587502 · Cited by 32 · see citing works
Managing Patient Factors in the Assessment of Swallowing via Telerehabilitation
Ward, E. C., Sharma, S., Burns, C. L., Theodoros, D., & Russell, T. G. (2012) · International Journal of Telemedicine and Applications · doi:10.1155/2012/132719 · Cited by 31 · see citing works
Mousing, C. A., & Lomborg, K. E. (2012) · Patient Preference and Adherence · doi:10.2147/ppa.s28466 · Cited by 18 · cited 1× · see citing works
“Further, patients with COPD might need support to define visible results and appraise their newly acquired competences to be able to implement them in everyday life [12, 47].”
BackgroundSalutogenese og empowerment i allmennmedisinsk perspektiv
Walseth, L. T., & Malterud, K. (2004) · Research at the University of Copenhagen (University of Copenhagen) · Cited by 14 · see citing works
[Salutogenesis and empowerment in the perspective of general practice].
Walseth, L. T., & Malterud, K. (2004) · PubMed · Cited by 9 · see citing works
Ability-based notions of health and disease in the Norwegian social security system
Solli, H. M. (2011) · Tidsskrift for Den norske legeforening · doi:10.4045/tidsskr.10.1178 · Cited by 3 · cited 1× · see citing works
“Patients’ goals and resources are often assessed against their specific context and opportunities in the environment [46].”
Backgroundde Carvalho, D. R., Vidotto, L. S., Merli, M. F., Felcar, J. M., Pitta, F. D. O., Fujisawa, D. S., & Probst, V. S. (2014) · European Respiratory Journal · doi:10.1183/13993003/erj.44.suppl_58.p3349 · Cited by 1 · cited 1× · see citing works
“Adherence to conventional rehabilitation programs and telemedicine interventions may be influenced by patients’ satisfaction [19, 23].”
Background
Flagged first, then by citations
1 of the 53 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- [33]Borg G, Borg E. A new generation of scaling methods: Level-anchored ratio scaling. Psychologia. 2001;28:15–45.
- [35]Flick U An introduction to qualitative reserach 2009 4 London SAGE Publications Ltd
- [49]Bandura A. Self-efficacy. In: Ramachaudran VS, editor. Encyclopedia of human behavior. 4. New York: Academic Press; 1994. p. 71–81.
Cited by
Sorted by citations
Telehealth and patient satisfaction: a systematic review and narrative analysis
Kruse, C. S., Krowski, N., Rodriguez, B., Tran, L., Vela, J., & Brooks, M. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016242 · Cited by 1,350 · see citing works
Rochester, C. L., Alison, J. A., Carlin, B. W., Jenkins, A. R., Cox, N. S., Bauldoff, G. S., Bhatt, S. P., Bourbeau, J., Burtin, C., Camp, P. G., et al. (2023) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202306-1066st · Cited by 475 · see citing works
“A high degree of satisfaction is reported with the technological components for those telerehabilitation models making use of more sophisticated equipment (149).”
BackgroundTelerehabilitation for chronic respiratory disease
Cox, N. S., Corso, S. D., Hansen, H., McDonald, C. F., Hill, C. J., Zanaboni, P., Alison, J. A., O’Halloran, P., Macdonald, H., & Holland, A. E. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013040.pub2 · Cited by 438 · see citing works
Vasilopoulou, M., Papaioannou, A. Ι., Kaltsakas, G., Louvaris, Z., Chynkiamis, N., Spetsioti, S., Kortianou, E. A., Gennimata, S. A., Palamidas, A. F., Κostikas, Κ., et al. (2017) · European Respiratory Journal · doi:10.1183/13993003.02129-2016 · Cited by 221 · see citing works
Morton, K., Dennison, L., May, C., Murray, E., Little, P., McManus, R., & Yardley, L. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.10.019 · Cited by 181 · see citing works
“Hoaas [34] 2 1 1 2 1 1 1 1 1 1 1 1 1 1 1 ++ Jones [35] 1 1 1 1 3 1 1 3 1 1 1 1 1 1 1 ++ Jones [36] 1 1 1 1 3 2 2 1 1 2 1 1 1 1 1 ++ Kerr [37] 1 1 1 1 3 1 1 1 1 1 1 1 1 1 1 ++ Koopman [38] 1 1 1 2 3 1 1 1 1 1 1 1 1 2 1 ++”
BackgroundInfluentialKruse, C. S., & Beane, A. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.8793 · Cited by 188 · see citing works
“It lists the descriptive title of the study, the HIT intervention, the measures of efficiency or effectiveness, and any bias observed that could limit the applicability of the results [15-51].”
BackgroundBennell, K. L., Lawford, B. J., Metcalf, B., Mackenzie, D., Russell, T. G., van den Berg, M., Finnin, K., Crowther, S. P., Aiken, J., Fleming, J., et al. (2021) · Journal of physiotherapy · doi:10.1016/j.jphys.2021.06.009 · Cited by 154 · see citing works
“40 to 49 60 (15) 50 to 59 88 (22) 60 to 69 87 (22) 70 to 79 40 (10) 80 8 (2) Confidence using technology, n (%) not at all confident 1 (0)”
BackgroundRobinson, H., Williams, V., Curtis, F., Bridle, C., & Jones, A. W. (2018) · npj Primary Care Respiratory Medicine · doi:10.1038/s41533-018-0085-7 · Cited by 128 · see citing works
“they believed that the exercises were not worthwhile or helpful.(27,43) Theme: social support Other people played a significant role in individuals’ journeys following PR.”
BackgroundInfluentialJanjua, S., Carter, D. R., Threapleton, C. J., Prigmore, S., & Disler, R. T. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013196.pub2 · Cited by 120 · see citing works
Dalbosco-Salas, M., Torres‐Castro, R., Leyton, A. R., Zapata, F. M., Salazar, E. H., Bastías, G. E., Díaz, M. E. B., Allers, K. T., Fonseca, D. M., & Vilaró, J. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10194428 · Cited by 104 · see citing works
Rao, S. S., Loeb, A. E., Amin, R. M., Golladay, G. J., Levin, A. S., & Thakkar, S. C. (2020) · Arthroplasty Today · doi:10.1016/j.artd.2020.04.014 · Cited by 83 · see citing works
“[36] Additionally, patients report be ter provider communication and access, 19 better medication adherence, [28] and overall high satisfaction scores with telemedicine clinical 20 outcomes.”
Effectiveness of home-based pulmonary rehabilitation: systematic review and meta-analysis
Uzzaman, N., Agarwal, D. M., Chan, S. C., Engkasan, J. P., Habib, G. M., Hanafi, N. S., Jackson, T., Jebaraj, P., Khoo, E. M., Mirza, F. T., et al. (2022) · European Respiratory Review · doi:10.1183/16000617.0076-2022 · Cited by 80 · see citing works
Niknejad, N., Ismail, W., Bahari, M., & Nazari, B. (2021) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2020.12.014 · Cited by 80 · see citing works
Rutkowski, S. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10061261 · Cited by 79 · see citing works
Burkow, T. M., Vognild, L. K., Johnsen, E., Bratvold, A., & Risberg, M. J. (2018) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-018-0721-8 · Cited by 78 · see citing works
“behaviour [34, 47, 48, 50], and/or the use of activity sensors and step counters [46, 50, 51].”
BackgroundZanaboni, P., Dinesen, B., Hoaas, H., Wootton, R., Burge, A. T., Philp, R., Oliveira, C. C., Bondarenko, J., Jensen, T. T., Miller, B., et al. (2022) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202204-0643oc · Cited by 76 · see citing works
“It was expected that participants in the telerehabilitation group would gain additional bene fi ts because of the remote supervision by a physiotherapist (39).”
BackgroundBarriers and enablers of COPD telerehabilitation – a frontline staff perspective
Damhus, C. S., Emme, C., & Hansen, H. (2018) · International Journal of COPD · doi:10.2147/copd.s167501 · Cited by 68 · see citing works
“In general, most of these studies have focused on the satisfaction, adherence, and acceptability of telecare interventions from the perspective of the patients resulting in conclusions, which support an increased use of telecare.(21,23) Studies taking the health professionals’ perspective have on the other hand identi…”
Hwang, R., Mandrusiak, A., Morris, N. R., Peters, R., Korczyk, D., Bruning, J., & Russell, T. G. (2017) · Heart & Lung · doi:10.1016/j.hrtlng.2017.03.004 · Cited by 66 · see citing works
Tsai, L. L. Y., McNamara, R. J., Dennis, S. M., Moddel, C., Alison, J. A., McKenzie, D. K., & McKeough, Z. J. (2016) · International Journal of Telerehabilitation · doi:10.5195/ijt.2016.6213 · Cited by 66 · see citing works
“This finding is consistent with another study where participants were happy with the availability of training facilities at home (Hoaas et al., 2016).”
BackgroundResultInfluentialYan, M., & Or, C. K. (2017) · Health Informatics Journal · doi:10.1177/1460458217724580 · Cited by 60 · see citing works
“A more recent study 8 used semi-structured focus groups and individual interviews to explore factors influencing patients’ use of a telerehabilitation intervention over 2 years.”
MethodBonnevie, T., Smondack, P., Elkins, M. R., Gouel, B., Médrinal, C., Combret, Y., Muir, J., Cuvelier, A., Prieur, G., & Gravier, F. (2020) · Journal of physiotherapy · doi:10.1016/j.jphys.2020.12.006 · Cited by 61 · see citing works
Inskip, J. A., Lauscher, H. N., LI, L. C., Dumont, G. A., Garde, A., Ho, K., Hoens, A. M., ROAD, J. D., Ryerson, C. J., & Camp, P. G. (2017) · Chronic Respiratory Disease · doi:10.1177/1479972317709643 · Cited by 60 · see citing works
Vélez, C. M., Lugo‐Agudelo, L. H., Patiño-Lugo, D. F., Glenton, C., Posada, A. M., Franco, L. F. M., Négrini, S., Kiekens, C., Brunal, M. A. S., Røberg, A.-S. B., et al. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd014823 · Cited by 59 · see citing works
Capin, J. J., Jolley, S. E., Morrow, M., Connors, M., Hare, K., MaWhinney, S., Nordon‐Craft, A., Rauzi, M. R., Flynn, S. M., Stevens‐Lapsley, J. E., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-061285 · Cited by 57 · see citing works
Home-based telerehabilitation software systems for remote supervising: a systematic review
Hosseiniravandi, M., Kahlaee, A. H., Karim, H., Ghamkhar, L., & Safdari, R. (2020) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462320000021 · Cited by 56 · see citing works
“35 2016 (49) 17 COPD Usability study N/A 10 Satisfaction; patient adherence Qualitative data analysis”
BackgroundBrown, R. C. C., Coombes, J. S., Rodriguez, K. J., Hickman, I. J., & Keating, S. E. (2022) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-105118 · Cited by 56 · see citing works
Bell, K. M., Onyeukwu, C., McClincy, M. P., Allen, M., Bechard, L., Mukherjee, A., Hartman, R. A., Smith, C., Lynch, A. D., & Irrgang, J. J. (2019) · Sensors · doi:10.3390/s19051021 · Cited by 56 · see citing works
“Remote rehabilitation utilizing mobile health (mHealth) technologies has emerged as a potential method for improving adherence and promoting effective execution of home exercise [11,12].”
Gáldiz, J. B., Gómez, A., Rodriguez, D. A., Güell, R., Cebollero, P., Hueto, J., Cejudo, P., Ruiz, F. Ó., Sayago, I., Chic, S., et al. (2020) · Archivos de Bronconeumología · doi:10.1016/j.arbres.2020.03.034 · Cited by 52 · see citing works
Ramachandran, H. J., Oh, J. L., Cheong, Y. K., Jiang, Y., Teo, J. Y. C., Seah, A. C. W., Yu, M., & Wang, W. (2023) · Heart & Lung · doi:10.1016/j.hrtlng.2023.02.004 · Cited by 52 · see citing works
Slevin, P., Kessie, T., Cullen, J., Butler, M. W., Donnelly, S. C., & Caulfield, B. (2019) · ERJ Open Research · doi:10.1183/23120541.00239-2018 · Cited by 48 · see citing works
Zanaboni, P., Dinesen, B., Hjalmarsen, A., Hoaas, H., Holland, A. E., Oliveira, C. C., & Wootton, R. (2016) · BMC Pulmonary Medicine · doi:10.1186/s12890-016-0288-z · Cited by 47 · see citing works
“However, sustaining long-term exercise is generally difficult [17] for many reasons, including professional support, regular supervision [16], emotional safety, and maintenance of motivation [32].”
BackgroundCottrell, E., Foster, N. E., Porcheret, M., Rathod‐Mistry, T., & Roddy, E. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014999 · Cited by 45 · see citing works
“For example, technology enabled care services(66) have shown promise when used to support exercise interventions among patients with cardiac(67) and chronic lung disease.(68)”
BackgroundAlbergoni, A., Hettinga, F. J., La Torre, A., Bonato, M., & Sartor, F. (2019) · Sports Medicine - Open · doi:10.1186/s40798-019-0214-z · Cited by 39 · see citing works
“[44] used a portable finger pulse oximeter (Nonin GO2 LED) to measure SPO2 and heart rate during exercise.”
BackgroundMethodResultInfluentialYan, M., & Or, C. K. (2017) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2017.0064 · Cited by 39 · see citing works
“Hoaas et al. 8 conducted semistructured focus groups and found that patients’ perceived improvement in health benefits, self-efficacy, and emotional safety were the factors that affected their use of a telerehabilitation system to manage their chronic obstructive pulmonary disease.”
Vorrink, S., Huisman, C., Kort, H. S. M., Troosters, T., & Lammers, J. J. (2017) · JMIR Human Factors · doi:10.2196/humanfactors.7196 · Cited by 36 · see citing works
“…training, studies propose several important elements to incorporate in the design of eHealth apps, such as automatic data transfer when possible, motivational and visual user interfaces, peer support, individual tailoring, and considerable health benefits in relation to the effort required [30,35].”
A scoping review of the feasibility, acceptability, and effects of physiotherapy delivered remotely
Hawley-Hague, H., Lasrado, R., Martinez, E., Stanmore, E., & Tyson, S. F. (2022) · Disability and Rehabilitation · doi:10.1080/09638288.2022.2138574 · Cited by 35 · see citing works
“Six were systematic reviews [12,24,25,33,34,45], seven were randomised controlled trials [13,14,26,34,36,37] eight were cohort studies [16,29,38–41 ,45 ,46 ].”
BackgroundDonner, C. F., Raskin, J. M., ZuWallack, R., Nici, L. L., Ambrosino, N., Balbi, B., Blackstock, F. C., Casaburi, R. H., Dreher, M., Effing, T., et al. (2018) · Respiratory Medicine · doi:10.1016/j.rmed.2018.09.003 · Cited by 35 · see citing works
Bonnevie, T., Gravier, F., Elkins, M. R., Dupuis, J., Prieur, G., Combret, Y., Viacroze, C., Debeaumont, D., Robledo-Quesada, A., Quieffin, J., et al. (2018) · Journal of physiotherapy · doi:10.1016/j.jphys.2018.11.002 · Cited by 34 · see citing works
“This more independent approach also facilitates adherence by allowing training to be performed whenever it suits the patient.(41) Moreover, this system informs the therapist of the number and duration of sessions performed.”
BackgroundDonner, C. F., ZuWallack, R., & Nici, L. L. (2021) · Medicina · doi:10.3390/medicina57070726 · Cited by 33 · see citing works
“demonstrated that the utilization of technology to support pulmonary rehabilitation met with high levels of patient satisfaction, possibly explaining the higher levels of adherence associated with its use [60]—at least out to two years [61].”
BackgroundTimmerman, J. G., Weering, M. D.-V., Stuiver, M. M., Groen, W. G., Wouters, M. W. J. M., Tönis, T. M., Hermens, H. J., & Vollenbroek-Hutten, M. M. R. (2017) · Journal of Cancer Survivorship · doi:10.1007/s11764-017-0611-6 · Cited by 33 · see citing works
“Attitude and satisfaction were added, as they are hypothesized to influence intention to use and actual use [24, 18, 25].”
BackgroundLi, Y., Qian, H., Yu, K., & Huang, Y. (2022) · International Journal of COPD · doi:10.2147/copd.s360125 · Cited by 31 · see citing works
Morimoto, Y., Takahashi, T., Sawa, R., Saitoh, M., Morisawa, T., Kagiyama, N., Kasai, T., Dinesen, B., Hollingdal, M., Refsgaard, J. C., et al. (2022) · Journal of Medical Internet Research · doi:10.2196/27759 · Cited by 31 · see citing works
“…conference application, pulse oximeter Monitoring/tracking data, exercise instructions, diary COPD — Portal 9: “A webpage for self-management” Zanaboni et al [38] Hoaas et al [39] Zanaboni et al [40] Telephone call Communication, exercise instructions, diary, PROs (via communication function), news”
BackgroundMethodA new pulmonary rehabilitation maintenance strategy through home-visiting and phone contact in COPD
Li, Y., Feng, J., Li, Y., Jia, W. P., & Qian, H. (2018) · Patient Preference and Adherence · doi:10.2147/ppa.s150679 · Cited by 30 · see citing works
“Meanwhile, home-visit and phone contact help in early recognition of deterioration symptoms, reducing the accident of exacerbation and emergency visiting or frequency of hospitalization.(28) This may be partial reasons for the reduced rate of exacerbation in PRMG.”
BackgroundStavric, V., Kayes, N. M., Rashid, U., & Saywell, N. L. (2022) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2022.925620 · Cited by 28 · see citing works
“They express a desire for specialist knowledge; concern that exercising may exacerbate symptoms; and transport issues (7, 14– 17).”
BackgroundFeeling safe in the context of digitalization in healthcare: a scoping review
Minartz, P., Aumann, C. M., Vondeberg, C., & Kuske, S. (2024) · Systematic Reviews · doi:10.1186/s13643-024-02465-9 · Cited by 31 · see citing works
“Emotional safety can have a decisive influence on attitudes toward change and can thus be a key decision criterion for or against innovation implementation [18].”
BackgroundRassouli, F., Germann, A., Baty, F., Kohler, M., Stolz, D., Thurnheer, R., Brack, T., Kähler, C., Widmer, S., Tschirren, U., et al. (2021) · Journal of Internal Medicine · doi:10.1111/joim.13230 · Cited by 25 · see citing works
Rubio, M. M., Fernández, R. C., Pastor, I. P., Iloro, A. P., Félix, B. M. F., Miralles, J. M., López, E. Z., Pastor, J. G., Lorente, C. A., Hortelano, N. M., et al. (2018) · Expert Review of Respiratory Medicine · doi:10.1080/17476348.2018.1442214 · Cited by 25 · see citing works
“Previous studies underline the importance of user-friendliness and ease of use of the technology for higher adherence levels and overall success of telemonitoring programs [1,28].”
BackgroundPulmonary telerehabilitation: An international call for action
Jácome, C. I. O., Marques, A. S. P. D. D., Oliveira, A., Rodrigues, L. V., & Sanches, I. (2020) · Pulmonology · doi:10.1016/j.pulmoe.2020.05.018 · Cited by 24 · see citing works
Mateo, A. C., Ciuró, A. H., Núñez, J. M., Hernández, S. H., Reychler, G., López‐López, L., & Valenza, M. C. (2023) · Healthcare · doi:10.3390/healthcare11182519 · Cited by 23 · see citing works
“First, remote care allows patients to access rehabilitation services from the comfort of their homes, avoiding unnecessary travel and reducing the risk of exposure to other infections, especially for those with compromised immune systems [55,56].”
BackgroundSimonÿ, C., Riber, C., Bødtger, U. C. S., & Birkelund, R. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16183320 · Cited by 22 · see citing works
Are Physical Activity and Benefits Maintained After Long-Term Telerehabilitation in COPD?
Hoaas, H., Morseth, B., Holland, A. E., & Zanaboni, P. (2016) · International Journal of Telerehabilitation · doi:10.5195/ijt.2016.6200 · Cited by 19 · see citing works
Jafni, T. I., Bahari, M., Ismail, W., & Hanafi, M. H. (2018) · Advances in intelligent systems and computing · doi:10.1007/978-3-319-99007-1_70 · Cited by 20 · see citing works
Chandrasekaran, B., Bairapareddy, K. C., & Agarwal, U. (2018) · Indian Journal of Palliative Care · doi:10.4103/ijpc.ijpc_89_18 · Cited by 19 · see citing works
“or virtual imagery provide the step count, physical activity, and energy expenditure of the COPD patients.[22] Step count”
BackgroundInfluentialSimonÿ, C., Andersen, I., Bødtger, U. C. S., & Birkelund, R. (2019) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2019.1647401 · Cited by 19 · see citing works
Bittner, A. K., Yoshinaga, P. D., Shepherd, J. D., Kaminski, J. E., Malkin, A. G., Chun, M. W., Chan, T. L., Deemer, A. D., Ross, N. C., & for the BeST-AID Study Team (2022) · Translational Vision Science & Technology · doi:10.1167/tvst.11.8.4 · Cited by 18 · see citing works
Evaluation of m‐Health‐rehabilitation for respiratory disorders: A systematic review
Kiani, S., Abasi, S., & Yazdani, A. (2022) · Health Science Reports · doi:10.1002/hsr2.575 · Cited by 17 · see citing works
“Results showed that m‐Health apps improved access to mental health care.(28,35,40,46,47) 3.”
BackgroundRabanifar, N., Hossieni, M. A., & Abdi, K. (2022) · Medical Journal of the Islamic Republic of Iran · doi:10.47176/mjiri.36.157 · Cited by 17 · see citing works
“(38), poor knowledge of using the computer was mentioned as a challenge in implementing remote services.”
BackgroundKhairat, S., Chourasia, P. K., Muellers, K., Andreadis, K., Lin, J. J., & Ancker, J. S. (2023) · Telemedicine Reports · doi:10.1089/tmr.2023.0002 · Cited by 17 · see citing works
Roy, A. L., Duruflé, A., Piette, P., Fraudet, B., L’official, V., & Gallien, P. (2023) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2023.1108087 · Cited by 16 · see citing works
Simonÿ, C., Andersen, I., Bødtger, U. C. S., Nyberg, M., & Birkelund, R. (2020) · Disability and Rehabilitation Assistive Technology · doi:10.1080/17483107.2020.1804630 · Cited by 15 · see citing works
“Smaller studies of longterm exercise-based telerehabilitation solutions in COPD have shown improvement in exercise behaviour and quality of life [1,12,13].”
BackgroundHam, Y., Yang, D., Choi, Y., & Shin, J. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.994586 · Cited by 15 · see citing works
“High adherence is affected by increased independence, experience of health benefits, and motivation maintenance, which are essential for long-term home-based rehabilitation (39).”
BackgroundTelerehabilitation in pulmonary diseases
Cox, N. S., & Khor, Y. H. (2023) · Current Opinion in Pulmonary Medicine · doi:10.1097/mcp.0000000000000962 · Cited by 15 · see citing works
Acceptance of telerehabilitation in chronic pain: the patients' perspective
Cranen, K. (2018) · doi:10.3990/1.9789036545556 · Cited by 14 · see citing works
Park, H. Y., Kong, S., Lee, M., Ryu, H., Hamakawa, Y., Luppi, F., & Leung, J. M. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1640585 · Cited by 12 · see citing works
Lim, H., Marjanovic, N., Luciano, C., & Madhavan, S. (2022) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2022.775496 · Cited by 12 · see citing works
“Regular interaction between health professional and patients has shown to enhanced motivation and increase compliance during telerehabilitation (26, 27).”
BackgroundUche-Okoye, D., Ajemba, M. N., Bendall, A., Arene, E. C., Ugo, C. H., Eze, N., Anyadike, I. K., Onuorah, U. M., & Chiwenite, C. M. (2023) · Bulletin of the National Research Centre/Bulletin of the National Research Center · doi:10.1186/s42269-023-00980-8 · Cited by 12 · see citing works
Pleguezuelos, E., Carmen, A. D., Moreno, E., Serra‐Prat, M., Serra‐Payá, N., & Garnacho‐Castaño, M. V. (2024) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.13530 · Cited by 12 · see citing works
“29 The family member had the physiotherapist ’ s telephone number to notify of any setback during the telerehabilitation programme.”
BackgroundCieślik, B., Kuligowski, T., Cacciante, L., & Kiper, P. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20065019 · Cited by 12 · see citing works
Althobiani, M. A., Khan, B., Shah, A., Ranjan, Y., Mendes, R. G., Folarin, A., Mandal, S., Porter, J. C., & Hurst, J. R. (2023) · International Journal of COPD · doi:10.2147/copd.s405386 · Cited by 12 · see citing works
Rutherford, H., Dale, M., Wootton, S. L., Pithavadian, R., Dennis, S. M., Brown, S., Alison, J. A., Chan, A. S. L., Yang, I. A., & McKeough, Z. J. (2025) · Health Expectations · doi:10.1111/hex.70181 · Cited by 12 · see citing works
Chen, J., Yang, T., He, Q., Pang, M., Cao, Y., Liu, Z., Li, L., Liu, H.-I., & Bullen, C. (2025) · JMIR Serious Games · doi:10.2196/69510 · Cited by 11 · see citing works
“%) having <20 participants or lasting only a few weeks [12,15].”
InfluentialCoulibaly, L. P., Poder, T. G., & Tousignant, M. (2021) · International Journal of Health Policy and Management · doi:10.34172/ijhpm.2021.150 · Cited by 11 · see citing works
Nizeyimana, E., Joseph, C., & Louw, Q. A. (2023) · Digital Health · doi:10.1177/20552076231212314 · Cited by 11 · see citing works
Cronin, E., McCallion, M., & Monaghan, K. (2023) · Irish Journal of Medical Science (1971 -) · doi:10.1007/s11845-023-03386-7 · Cited by 10 · see citing works
Braake, E. T., Vaseur, R. M. E., Grünloh, C., & Tabak, M. (2025) · Journal of Medical Internet Research · doi:10.2196/57649 · Cited by 11 · see citing works
Estebanez‐Pérez, M., Martín‐Valero, R., Viñolo-Gil, M. J., & Pastora‐Bernal, J. (2023) · Healthcare · doi:10.3390/healthcare11131970 · Cited by 10 · see citing works
Gáldiz, J. B., Gómez, A., Rodriguez, D. A., Güell, R., Cebollero, P., Hueto, J., Cejudo, P., Ruiz, F. Ó., Sayago, I., Chic, S., et al. (2021) · Archivos de Bronconeumología · doi:10.1016/j.arbr.2020.03.029 · Cited by 10 · see citing works
Videoconferencing interventions and COPD patient outcomes: A systematic review
Bowman, M., Jalink, M., Sharpe, I., Srivastava, S., & Wijeratne, D. T. (2023) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x231158140 · Cited by 9 · see citing works
Özden, F., Güçlü, B., Tümtürk, İ., Doğrukök, Ö. N., İmerci, A., & Tuğay, B. U. (2024) · European Spine Journal · doi:10.1007/s00586-023-08098-1 · Cited by 10 · see citing works
“In this context, ideas that could increase the participation of may be more effective on satisfaction and usability [35].”
Organização e oferta da assistência fisioterapêutica em resposta à pandemia da COVID-19 no Brasil
Souza, T. S., Aleluia, Í. R. S., Pinto, E. B., Pinto, E. P., Pedreira, R. B. S., Fraga-Maia, H., & Pinto, J. M. (2022) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232022276.00752022 · Cited by 8 · see citing works
Gaboury, I., Dostie, R., Corriveau, H., Demoustier, A., & Tousignant, M. (2022) · International Journal of Telerehabilitation · doi:10.5195/ijt.2022.6453 · Cited by 9 · see citing works
“, 2020), safer and more confident (Hoaas et al., 2016).”
ResultRyan, D., Rio, E., O’Donoghue, G., & O'Sullivan, C. M. (2023) · Journal of Foot and Ankle Research · doi:10.1186/s13047-023-00619-x · Cited by 10 · see citing works
“Previously, the regularity of contact has also been described as important factor for maintaining a commitment to exercise in adherence levels in telehealth for patients with chronic pulmonary disease [53] and Achilles Tendinopathy [3].”
BackgroundChapel, B., Alexandre, F., Héraud, N., Ologeanu‐Taddei, R., Cases, A.-S., Bughin, F., & Hayot, M. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08370-y · Cited by 8 · see citing works
“TR is emerging as an innovative approach to providing remote care and to deploying rehabilitation [8–12], to improve accessibility and continuity of care and to educate patients about adherence and long-term maintenance of the beneficial effects of rehabilitation [13, 14].”
BackgroundCuenca-Martínez, F., Calatayud, J., Suso-Martí, L., Varangot-Reille, C., Herranz-Gómez, A., Blanco-Díaz, M., & Casaña, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095260 · Cited by 7 · see citing works
“In addition, previous research has found that telerehabilitation may result in lower patient adherence or confidence, which may decrease the treatment’s effectiveness [24].”
BackgroundRich, T. L., Silva, M. A., O’Donnell, F., Theis-Mahon, N. R., Marth, L. A., & Saylor, E. P. (2024) · Disability and Rehabilitation · doi:10.1080/09638288.2024.2417771 · Cited by 8 · see citing works
“One key finding of this exploratory analysis is that social aspects, self-efficacy, emotional safety, and the individual’s autonomy when participating in activities were also important facilitators of effectiveness or improved outcomes [55, 76].”
A home-based hand rehabilitation platform for hemiplegic patients after stroke: A feasibility study
Banihani, J., & Choukou, M.-A. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e35565 · Cited by 7 · see citing works
“The high adherence to the intervention shows that the participant actively engaged, indicating the feasibility of the intervention [27].”
A Review of Success/Failure Factors Influencing Healthcare Personnel for Telerehabilitation
Bahari, M., Jafni, T. I., Miskon, S., & Ismail, W. (2019) · International Conference on Research and Innovation in Information Systems · doi:10.1109/icriis48246.2019.9073677 · Cited by 7 · see citing works
“[24] in their study identified four major factors that affect satisfaction and potential for service improvements.”
BackgroundEmerging models of pulmonary rehabilitation
Hanssen, H., & Nolan, C. M. (2021) · European Respiratory Society eBooks · doi:10.1183/2312508x.10019220 · Cited by 7 · see citing works
O’Loughlin, E. K., Sabiston, C. M., O’Rourke, R. H., Bélanger, M. F., Sylvestre, M., & O’Loughlin, J. L. (2023) · JMIR Serious Games · doi:10.2196/41553 · Cited by 7 · see citing works
“Exergaming can help people cope with mental health issues such as anxiety [9,16,17], and it can support those with chronic disease, such as Parkinson diseases [17,18], poststroke sequelae [19], arthritis [20], and brain injuries [21], in maintaining PA levels in home-based rehabilitation situations during pandemics.”
BackgroundVitale, E., Genovese, V. V., & Allenet, B. (2021) · Education thérapeutique du patient - Therapeutic patient education · doi:10.1051/tpe/2021007 · Cited by 6 · see citing works
Barnes, K., Sveistrup, H., Karimijashni, M., Bayley, M. T., Egan, M. Y., Bilodeau, M., Rathbone, M. P., Taljaard, M., & Marshall, S. (2024) · Journal of Medical Internet Research · doi:10.2196/56158 · Cited by 6 · see citing works
Olsen, M., Nielsen, C., Emme, C., Godtfredsen, N. S., & Hansen, H. (2025) · Patient Preference and Adherence · doi:10.2147/ppa.s549332 · Cited by 5 · see citing works
Otolaryngology Patient Satisfaction with In-Office Appointments and Virtual Visits Due to COVID-19
Arrighi‐Allisan, A. E., Wong, A., Gidumal, S. S., Shah, J., Filip, P., Omorogbe, A., Rosenberg, J., Govindaraj, S., & Iloreta, A. (2022) · Annals of Otology Rhinology & Laryngology · doi:10.1177/00034894221137273 · Cited by 5 · see citing works
Brice, S., & Almond, H. M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20085605 · Cited by 5 · see citing works
Sabahi, A., Hosseini, A., Emami, H., & Almasi, S. (2021) · PubMed Central · Cited by 5 · see citing works
Pulmonary Telerehabilitation in COPD Patients: A Systematic Review to Analyse Patients’ Adherence
Aubrat, P., Albert, E., Perreaux, M., Rossi, V., de Abreu, R. M., & Corbellini, C. (2025) · Healthcare · doi:10.3390/healthcare13151818 · Cited by 4 · see citing works
Zhou, H., Li, C., Niu, F., Liu, W., Qiu, X., Yang, G., Zhang, H., & Yan, J. (2025) · BMC Nursing · doi:10.1186/s12912-025-03940-x · Cited by 4 · see citing works
“In addition, patients’ continued adherence was driven by their perception of symptom improvement; thus, a lack of perceived benefit resulted in reduced adherence [35, 37, 51, 52].”
InfluentialRayce, K., Huniche, L., Kidholm, K., Vestbo, J., Pedersen, C. D., & Minet, L. R. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1921063 · Cited by 4 · see citing works
Nuevo, M., Modrego, A., Rodríguez, D., Jauregui, R., Fabrellas, N., Zabalegui, A., & Prat-Fabregat, S. (2025) · Disability and Rehabilitation · doi:10.1080/09638288.2025.2458191 · Cited by 4 · see citing works
de Souza, A. A., da Silva, S. T., Pondofe, K. D. M., Resqueti, V., de Melo, L. P., Valentim, R. A. D. M., & Ribeiro, T. S. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-056323 · Cited by 4 · see citing works
- Authors
- Hoaas, H., Andreassen, H. K., Lien, L. A., Hjalmarsen, A., & Zanaboni, P.
- Affiliations
- University Hospital of North Norway (NO)
- Corresponding author
- Hoaas, Hanne
- Venue
- BMC Medical Informatics and Decision Making
- Published
- 2016-02-25
- Volume
- 16
- Issue
- 1
- Pages
- 26-26
- ISSN
- 1472-6947 (ISSN-L)
- PMC
- PMC4766676
- OpenAlex
- W2285434670
- Cited by
- 152
- References
- 53
- Citations by year
- 2026: 5 · 2025: 13 · 2024: 13 · 2023: 24 · 2022: 29 · 2021: 18 · 2020: 11 · 2019: 8 · 2018: 12 · 2017: 12 · 2016: 6
- FWCI
- 12.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Funders
- Helse Nord RHF (HST1014-11)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- chronic obstructive pulmonary disease, telerehabilitation, pulmonary rehabilitation, exercise adherence, patient satisfaction, remote patient monitoring, self-management, self-efficacy, motivation, emotional safety, videoconferencing, usability, service improvement
- MeSH terms
- Telerehabilitation, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Patient Compliance, Pilot Projects, Self Care, Patient Satisfaction, Pulmonary Disease, Chronic Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
