Evidence map›Paper›PMID 31893574›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Exploring transitions in care from pulmonary rehabilitation to home for persons with chronic obstructive pulmonary disease: A descriptive qualitative study.

Jonathan Miranda, Danielle Underwood, Miranda Kuepfer-Thomas, Drew Coulson, Andy Chansoo Park, Stacey J Butler, Roger Goldstein, Dina Brooks, Amanda C Everall, Sara J T Guilcher

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06897410 (Reforça't), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06897410 narecruitingnot on this mapstarted 2025, after this paper: background citation

Reforça't: A Randomized Community Clinical Trial With a Social and Healthcare Approach to Improve Functional Outcomes in Patients With Chronic Cardiac, Respiratory, or Mixed Conditions After Hospital Discharge

TypeinterventionalSponsorCorporació de Salut del Maresme i la SelvaRan2025 to 2026Enrolled200ConditionsChronic Obstructive Lung Disease (COLD), Heart FailureArmsInterdisciplinary Program for Post-Hospitalization / Hospital at home Management and Long-Term Outcomes in Older Adults with Chronic Cardiorespiratory Condition
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Consumer Experience of an Australian Multidisciplinary Long COVID Clinic That Incorporates Personalised Exercise Prescription: A Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  2. Article
  3. Article
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  5. Exploring transitions in care from pulmonary rehabilitation to home for persons with chronic obstructive pulmonary disease: A descriptive qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jonathan MirandaDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Danielle UnderwoodDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Miranda Kuepfer-ThomasDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Drew CoulsonDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Andy Chansoo ParkDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Stacey J ButlerDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-6259-8859
Roger GoldsteinDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-4236-043X
Dina BrooksDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6080-5052
Amanda C EverallLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-8270-6925
Sara J T GuilcherDepartment of Respiratory Medicine, West Park Healthcare Centre, York, ON, Canada.ORCID 0000-0002-9552-9139

Funding

CIHR 147869
6 · The paper itself

Abstract

backgroundIndividuals with chronic obstructive pulmonary disease (COPD) often experience high health-care utilization following pulmonary rehabilitation, suggesting suboptimal transitions to home.

objectiveTo understand the experiences of persons with COPD and health-care professionals regarding transitions from pulmonary rehabilitation to home, including factors impacting these transitions.

designA descriptive qualitative study. SETTING AND

participantsHealth-care professionals working at, and persons with COPD who attended, an inpatient or outpatient pulmonary rehabilitation programme at one large, urban health-care centre. The centre is located in Ontario, Canada. MAIN VARIABLE STUDIED: Experiences of participants with care transitions between pulmonary rehabilitation and home. Semi-structured interviews were audio-recorded, transcribed verbatim, and thematically analysed.

resultsTen patients and eight health-care professionals participated. Four main themes were identified around the overall experiences with pulmonary rehabilitation and transitions to home: (a) pulmonary rehabilitation as a safe environment; (b) pulmonary rehabilitation as a highly structured environment; (c) contrasting perceptions of the role of pulmonary rehabilitation; and (d) dependency on pulmonary rehabilitation programmes. Persons with COPD and health-care professionals identified three key factors that influenced this transition: (a) patients' social support, (b) application of self-management strategies prior to discharge, and (c) patients' physical and mental health.

conclusionParticipants agreed that some patients with COPD experienced suboptimal transitions from pulmonary rehabilitation to home that were characterized by suboptimal self-management. Further research is needed to develop and evaluate interventions to improve transitions. Such interventions should include strategies to elicit long-term behaviour change to assist patients when they return into the community.

Indexed as

Pulmonary Disease, Chronic ObstructiveSelf-ManagementHumansOntarioPatient Acceptance of Health CareQualitative Researchchronic obstructivehealth personnelpulmonary diseaserehabilitationself-managementsocial supporttransitional care

Identifiers

PMID31893574
PMCPMC7104647

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.