Evidence map›Paper›PMID 40612580›Full record

ArticleFrontiers in medicine2025

Effectiveness of remote gamification pulmonary rehabilitation intervention based on the health action process approach theory in older adults with chronic obstructive pulmonary disease: a pilot randomized controlled trial.

Yuyu Jiang, Manyao Sun, Baiyila Nuerdawulieti, Xueying Huang, Yi Hou, Jiang Nan, Shiya Cui, Xun Nan

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In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
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

8 authors.

Yuyu JiangResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Manyao SunResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Baiyila NuerdawulietiSchool of Medicine Xinjiang College of Science & Technology, Korla, China.
Xueying HuangResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Yi HouResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Jiang NanResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Shiya CuiResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Xun NanResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Remote pulmonary rehabilitation (PR) is widely used in the management of chronic obstructive pulmonary disease (COPD), but there is a problem of adherence. Health Action Process Theory (HAPA) is an effective behavior change theory, and combining it with gamification is expected to further improve PR adherence. This study explored the improvement effect of remote gamification PR intervention based on HAPA theory on rehabilitation adherence, clinical symptoms, quality of life and psychological outcome indicators of COPD patients, and compared it with self-efficacy theory and HAPA theory based remote PR. Methods: 159 COPD patients were randomly divided into three groups: PR group, HAPA-PR group, and HAPA-gamification-PR (HAPA-Ga-PR) group. All three groups received 12 weeks of intervention and 12 weeks of follow-up. The primary outcome indicators were quality of life of patients and PR adherence. Secondary outcome measures were dyspnea symptoms, exercise self-efficacy, exercise motivation and positive affect. Results: A total of 147 patients completed the experiment. At the 12th week of intervention, there were statistically significant differences in PR adherence ( Conclusion: Remote gamification PR intervention based on HAPA theory shows significant advantages in improving PR adherence, quality of life and psychological outcome of COPD patients, providing a new way for chronic disease management and personalized digital health services. This model can be extended to more chronic disease rehabilitation scenarios in the future. Clinical Trial Registration: Chinese Clinical Trial Registry (ChiCTR): ChiCTR1900028563; https://www.chictr.org.cn/index.html.

Indexed as

behavior changechronic obstructive pulmonary diseasegamificationrandomized controlled trialtelemedicine

Identifiers

PMID40612580
PMCPMC12221897

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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.