Evidence map›Paper›PMID 40019189›Full record

Trial reportHealth expectations : an international journal of public participation in health care and health policy2025

Experiences of Home-Based Pulmonary Rehabilitation With mHealth and Centre-Based Pulmonary Rehabilitation in People With Chronic Obstructive Pulmonary Disease: A Qualitative Study.

Hannah Rutherford, Marita Dale, Sally Wootton, Rashmi Pithavadian, Sarah Dennis, Sarah Brown, Jennifer A Alison, Andrew S L Chan, Ian A Yang, Zoe McKeough

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. 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.

Hannah RutherfordSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-9000-343X
Marita DaleSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Sally WoottonSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Rashmi PithavadianSchool of Health Sciences, Western Sydney University, Campbelltown, New South Wales, Australia.
Sarah DennisSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Sarah BrownSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Jennifer A AlisonSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Andrew S L ChanChronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, North Ryde, New South Wales, Australia.ORCID 0000-0003-2559-3706
Ian A YangThe Prince Charles Hospital and Faculty of Medicine, The University of Queensland, Brisbane, Australia.
Zoe McKeoughSydney School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

Funding

This research received financial support from the following funding grants/agencies: New South Wales Health Translational Research Grant Scheme, Northern Sydney Local Health District Innovation Grant and Primary and Community Health Seeding Grant, Metro North Hospital and Health Service Seeding Grant, The Better Breathing Foundation and Waratah Foundation Grant.
6 · The paper itself

Abstract

backgroundMobile health (mHealth) provides innovative solutions to improve access to pulmonary rehabilitation (PR). This study aimed to explore the experiences of people with chronic obstructive pulmonary disease (COPD) who undertook either an 8-week home-based PR with a mHealth application (app) (m-PR) or centre-based PR (CB-PR).

methodsConvenience then purposive sampling was used to recruit participants enrolled in a randomised controlled trial after completion or withdrawal from either m-PR or CB-PR. Participants undertook individual, semi-structured interviews. Interview transcripts were inductively coded and thematically analysed using a critical realist approach.

resultsThirteen m-PR and 12 CB-PR participants were interviewed (mean age (SD) 75 (8) years, 52% male). Four themes were conceptualised: internal motivators influence uptake and adherence, external motivators influence uptake and adherence, programme structure impacts practicality and experience, and living with and managing COPD and other health issues. Motivators for both programmes included improved fitness levels, feeling accountable to the programme and reinforcement from staff and peers. The m-PR in-app functionalities such as the daily task list were additionally motivational. m-PR participants arranged the programme around their schedule while centred-based participants arranged their schedule around the programme. Multi-morbidity and illness were barriers to adherence in both programmes. The social network, environment and resources available to participants impacted their enjoyment.

conclusionThis study adds important information for service providers considering implementation of mHealth PR models. PATIENT OR PUBLIC CONTRIBUTION: Consumers co-designed and user-tested the m-PR app. The qualitative data presented in this manuscript was obtained through interviews with consumers.

Indexed as

Home Care ServicesPulmonary Disease, Chronic ObstructiveTelemedicineAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedMotivationQualitative ResearchCOPDmHealthpulmonary rehabilitationqualitative study

Identifiers

PMID40019189
PMCPMC11869189

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.