The DOI matches its Crossref record; 52 of the 53 references it cites were found in a registry or an index.
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.
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“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]
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Telehealth and patient satisfaction: a systematic review and narrative analysis
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BackgroundInfluential
Metadata
- 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
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