ArticleJMIR human factors2026
Understanding Delivery and Engagement With a Digital Self-Management Intervention for Chronic Obstructive Pulmonary Disease Across Two Clinical Settings: Qualitative Study.
Article in JMIR human factors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
Background: Adherence to chronic obstructive pulmonary disease (COPD) self-management plans can improve health outcomes, yet access to pulmonary rehabilitation remains limited. Digital self-management interventions, such as Objective: This study explored perceived barriers and facilitators to the delivery of and engagement with Methods: This qualitative study was conducted between November 2023 and April 2024 across 2 contrasting clinical pathways: community pulmonary rehabilitation and a hospital discharge service following acute exacerbation of COPD. Semistructured interviews were conducted with patients using Results: Thirty interviews were completed (16 patients and 14 HCPs). Patients described how multimorbidity, perceived digital ability, and socioeconomic context shaped their engagement with Conclusions: Delivery context and local workflows play a central role in shaping how patients engage with digital self-management tools. Proactive, relational support appears to facilitate deeper and more sustained engagement, whereas passive onboarding may limit the intervention's potential. Implementation strategies should align digital tools with local capacities, staffing structures, and patient characteristics, attending to layered vulnerabilities such as multimorbidity and digital confidence. Further work is needed to understand how proactive delivery models can be resourced and integrated within routine COPD care.
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