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Related Experiment Video

Updated: Dec 23, 2025

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Evaluating an Intervention Program Using WeChat for Patients With Chronic Obstructive Pulmonary Disease: Randomized

Yuyu Jiang1, Fenglan Liu1, Jianlan Guo1

  • 1Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, China.

Journal of Medical Internet Research
|April 22, 2020
PubMed
Summary

Telemedicine via social media improved quality of life and reduced symptoms for COPD patients. This home-based pulmonary rehabilitation, Pulmonary Internet Explorer Rehabilitation (PeR), enhanced exercise self-efficacy.

Keywords:
WeChatchronic obstructive pulmonary diseaserandomized controlled trialself-efficacytelemedicinethe eHealth enhanced chronic care model

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Area of Science:

  • Pulmonary rehabilitation
  • Telemedicine
  • Chronic Obstructive Pulmonary Disease (COPD) management

Background:

  • Telemedicine shows promise in home-based pulmonary rehabilitation for COPD.
  • Chronic care models are evolving with digital health integration.

Purpose of the Study:

  • To develop and evaluate a social media-based platform, Pulmonary Internet Explorer Rehabilitation (PeR), for COPD management.
  • To assess PeR's impact on quality of life, symptoms, and exercise self-efficacy in COPD patients.

Main Methods:

  • Developed PeR using the electronic health-enhanced chronic care model (eCCM).
  • Randomized 106 COPD patients into PeR (social media) and face-to-face (FtF) groups for 3-month intervention and 3-month follow-up.
  • Assessed quality of life (CAT), symptoms (mMRC), and exercise self-efficacy (Ex-SRES).

Main Results:

  • No significant differences in CAT, Ex-SRES, or mMRC scores between PeR and FtF groups over time.
  • Exercise self-efficacy (Ex-SRES) significantly impacted quality of life (CAT) (P=.03).

Conclusions:

  • Telemedicine using eCCM and behavioral strategies is effective for COPD home rehabilitation.
  • PeR and FtF pulmonary rehabilitation improve self-efficacy, quality of life, and alleviate symptoms in COPD patients.