ArticleInternational journal of chronic obstructive pulmonary disease2018
Barriers and enablers of COPD telerehabilitation - a frontline staff perspective.
Article in International journal of chronic obstructive pulmonary disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
41 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Impact of Digital Health on Patient-Provider Relationships in Respiratory Secondary Care Based on Qualitative and Quantitative Evidence: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Telerehabilitation in Physical Therapist Practice: A Clinical Practice Guideline From the American Physical Therapy Association.Physical therapy · 2024Guideline
- [Efficacy of tele-rehabilitation in patients with chronic obstructive pulmonary disease: a systematic review].Anales del sistema sanitario de Navarra · 2022Pooled it
- Effect of counselling during pulmonary rehabilitation on self-determined motivation to be physically active for people with chronic obstructive pulmonary disease: a pragmatic RCT.BMC pulmonary medicine · 2021Trial
- Article
- Using Theory-Based Frameworks to Identify Barriers and Enablers of Physicians' Telemedicine Adoption and Develop Intervention Strategies in China: Multicenter Qualitative Study.Journal of medical Internet research · 2025Article
- Article
- Pulmonary Telerehabilitation in COPD Patients: A Systematic Review to Analyse Patients' Adherence.Healthcare (Basel, Switzerland) · 2025Review
- Article
- Creating home-based pulmonary rehabilitation programs for patients with asthma: insights from practice.Journal of Yeungnam medical science · 2025Article
- Physiotherapy Professionals: A Questionnaire for the Evaluation of Telerehabilitation Services in Egypt.International journal of telerehabilitation · 2025Article
- Digital health technologies for improving the management of people with chronic obstructive pulmonary disease.Frontiers in digital health · 2025Review
- Use of Remote Consultations by Chiropractors in the United Kingdom During the COVID-19 Pandemic: A Cross-Sectional Survey.Journal of chiropractic medicine · 2025Article
- Self-determination Theory as a Lens to Explore the Implementation Challenges of Telehealth.International journal of telerehabilitation · 2025Article
- Current Implementation of Digital Health in Chronic Disease Management: Scoping Review.Journal of medical Internet research · 2024Article
- Healthcare professionals' beliefs, attitudes, and thoughts toward cardiopulmonary telerehabilitation: A mixed-methods study.Heliyon · 2024Article
- Usage, Attitudes, Facilitators, and Barriers Toward Digital Health Technologies in Musculoskeletal Care: Survey Among Primary Care Physiotherapists in Norway.JMIR rehabilitation and assistive technologies · 2024Article
- Barriers to Pulmonary Rehabilitation.Respiratory care · 2024Article
- Commentary on Schertzer et al.Physiotherapy Canada. Physiotherapie Canada · 2024Article
- Factors Facilitating and Inhibiting the Implementation of Telerehabilitation-A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Telerehabilitation (TR) aimed at patients with COPD has shown promising effects on symptoms, physical function, and quality of life, but little research has been conducted to understand the impact of implementation on frontline health professionals. Therefore, the aim of this study was to examine the barriers and enablers of health professionals to online exercise-based TR in patients with COPD, to support a successful implementation process. Methods: Semistructured individual and focus group interviews were conducted with 25 health professionals working with conventional COPD rehabilitation or TR. Interviews were audio-taped and transcribed verbatim. Investigator triangulation was applied during data generation. The Theoretical Domains Framework directed the interview guide and was used as a coding framework in the analysis. Results: We identified six predominant domains essential in understanding the enablers and barriers of TR from a staff perspective: 1) skills, 2) professional role and identity, 3) beliefs about capabilities, 4) beliefs about consequences, 5) environmental context and resources, and 6) social influences. We found that health professionals held both enablers and barriers important for the implementation process of TR. TR introduces new work tasks and new ways for the health professionals to communicate and exercise with the patients, which influence their professional role and self-perceived capability. Conclusion: Specific attention toward involvement of the health professionals in the decision process combined with sufficient education and skill training is highly essential to support a successful implementation of TR in clinical practice.
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Registered trials
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