ArticleBMC health services research2018
Perceptions of patients with chronic obstructive pulmonary disease and their health care providers towards using mHealth for self-management of exacerbations: a qualitative study.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 3 of them syntheses that pooled it.
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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
54 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Experiences and Perceptions of Telehealth in Patients Living With Advanced Chronic Obstructive Pulmonary Disease: A Qualitative Evidence Synthesis.Journal of advanced nursing · 2025Pooled it
- Benefits and Challenges of Remote Patient Monitoring as Perceived by Health Care Practitioners: A Systematic Review.The Permanente journal · 2023Pooled it
- Sociotechnical Factors Affecting Patients' Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis.JMIR mHealth and uHealth · 2022Pooled it
- Patients' and GPs' views and expectations of home monitoring with a pulse oximeter: a mixed-methods process evaluation of a pilot randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Trial
- Development and Preliminary Evaluation of the Effects of an mHealth Web-Based Platform (HappyAir) on Adherence to a Maintenance Program After Pulmonary Rehabilitation in Patients With Chronic Obstructive Pulmonary Disease: Randomized Controlled Trial.JMIR mHealth and uHealth · 2020Trial
- Integrating remote patient monitoring into pulmonary rehabilitation: a feasibility randomised controlled trial.ERJ open research · 2026Article
- Perspectives Regarding the Privacy, Security, and Confidentiality of Data Collected via mHealth Apps in Saudi Arabia: Qualitative Analysis.Journal of medical Internet research · 2026Article
- Patients' and Health Care Professionals' Experiences of a Digital Self-Management System for Asthma: Qualitative Study.JMIR human factors · 2026Article
- Identifying self-care needs of patients with chronic obstructive pulmonary disease to design a mobile phone application-based self-care program.Journal of education and health promotion · 2026Article
- Identifying the Challenges in Self-Management and Preferences for Digital Health Technologies Use Among COPD Patients Based on the CeHRes Roadmap: A Formative Qualitative Study.International journal of chronic obstructive pulmonary disease · 2026Article
- Co-Creating a Digital Resource to Support Smartwatch Use in COPD Self-Management: An Inclusive and Pragmatic Participatory Approach.Healthcare (Basel, Switzerland) · 2025Article
- Clinical Provider Perspectives on Remote Spirometry and mHealth for COPD.Nursing reports (Pavia, Italy) · 2025Article
- Sustainability Evaluation of mHealth Apps and Wearables: Protocol for a Systematic Review.JMIR research protocols · 2025Article
- Caregiver experiences of an integrative patient-centered digital health application for pediatric type 1 diabetes care: Findings from a pilot clinical trial.PLOS digital health · 2025Article
- Nurse-Assisted Remote Patient Monitoring for Self-Management Support to Patients With Long-Term Illness-A Qualitative Multimethod Study.Journal of advanced nursing · 2025Article
- Patients' and Health Care Professionals' Perspectives on Remote Patient Monitoring in Chronic Obstructive Pulmonary Disease Exacerbation Management: Initiating Cocreation.Journal of medical Internet research · 2025Article
- Factors Associated With the Intention to Use mHealth Among Thai Middle-Aged Adults and Older Adults: Cross-Sectional Study.JMIR human factors · 2025Article
- Telemedicine and Mortality Reduction During COVID-19: Telemonitoring as a Key Strategy for Emergency Health care Preparedness.Telemedicine reports · 2025Article
- Personalizing Self-Management Interventions in COPD - Looking Beyond One-Size-Fits-All.International journal of chronic obstructive pulmonary disease · 2025Article
- Rehabilitation clinicians' use of mainstream wireless technologies in practice: a scoping review.Disability and rehabilitation. Assistive technology · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-management of exacerbations in COPD patients is important to reduce exacerbation impact. There is a need for more comprehensive and individualized interventions to improve exacerbation-related self-management behavior. The use of mobile health (mHealth) could help to achieve a wide variety of behavioral goals. Understanding of patients and health care providers perspectives towards using mHealth in promoting self-management will greatly enhance the development of solutions with optimal usability and feasibility. Therefore, the aim of this study was to explore perceptions of COPD patients and their health care providers towards using mHealth for self-management of exacerbations.
methodsA qualitative study using focus group interviews with COPD patients (n = 13) and health care providers (HCPs) (n = 6) was performed to explore perceptions towards using mHealth to support exacerbation-related self-management. Data were analyzed by a thematic analysis.
resultsCOPD patients and HCPs perceived mostly similar benefits and barriers of using mHealth for exacerbation-related self-management. These perceived benefits and barriers seem to be important drivers in the willingness to use mHealth. Both patients and HCPs strengthen the need for a multi-component and tailored mHealth intervention that improves patients' exacerbation-related self-management by determining their health status and providing adequate information, decision support and feedback on self-management behavior. Most importantly, patients and HCPs considered an mHealth intervention as support to improve self-management and emphasized that it should never replace patients' own feelings nor undermine their own decisions. In addition, the intervention should be complementary to regular contact with HCPs, as personal contact with a HCP was considered to be very important. To optimize engagement with mHealth, patients should have a positive attitude toward using mHealth and an mHealth intervention should be attractive, rewarding and safe.
conclusionsThis study provided insight into perceptions of COPD patients and their HCPs towards using mHealth for self-management of exacerbations. This study points out that future mHealth interventions should focus on developing self-management skills over time by providing adequate information, decision support and feedback on self-management behavior and that mHealth should complement regular care. To optimize engagement, mHealth interventions should be attractive, rewarding, safe and tailored to the patient needs.
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