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Related Concept Videos

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Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
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Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
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Related Experiment Video

Updated: Jul 13, 2025

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Stakeholder Perceptions of a Web-Based Physical Activity Intervention for COPD: A Mixed-Methods Study.

Stephanie A Robinson1,2, Stephanie L Shimada1,3,4, Samantha K Sliwinski5

  • 1Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA 01730, USA.

Journal of Clinical Medicine
|October 14, 2023
PubMed
Summary

Implementing web-based physical activity interventions for chronic obstructive pulmonary disease (COPD) faces challenges. Key facilitators include high impact and ease of use, while digital literacy and workflow integration are barriers.

Keywords:
COPDimplementationmixed methodsphysical activitypulmonary rehabilitationtechnology

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Area of Science:

  • Digital Health
  • Pulmonary Rehabilitation
  • Implementation Science

Background:

  • Technology-based interventions show promise for improving physical activity in chronic obstructive pulmonary disease (COPD).
  • Effective implementation strategies are crucial to maximize the impact of these digital health tools.
  • Barriers and facilitators to implementing web-based physical activity interventions in COPD require investigation.

Purpose of the Study:

  • To identify patient- and provider-facing barriers and facilitators for implementing a web-based physical activity intervention in COPD.
  • To assess the usability and perceived value of the intervention from both patient and healthcare provider perspectives.

Main Methods:

  • Convergent, parallel mixed-methods design.
  • Quantitative surveys utilizing the Unified Theory of Acceptance and Use of Technology (UTAUT).
  • Semi-structured interviews guided by the Practical Robust Implementation and Sustainability Model (PRISM).
  • Involved 15 patients and 15 healthcare providers.

Main Results:

  • High usability ratings (median = 5.0) for the web-based intervention by both patients and providers.
  • Key facilitators: perceived high impact on patient health, addressing unmet clinical needs, and ease of use.
  • Primary barriers: patient digital literacy and integration into existing clinical workflows.

Conclusions:

  • Web-based physical activity interventions for COPD are perceived as usable and beneficial.
  • Addressing digital literacy gaps and optimizing clinical workflow integration are essential for successful implementation.
  • Future efforts should focus on patient support and seamless integration into healthcare systems.