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Updated: Jun 5, 2026
07:10
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Exploring COPD Participants' Experiences in a Comprehensive Telewellness Program within a Mixed-Disability Cohort: A
Pooja Arora1, Surya P Bhatt2, James H Rimmer3
1Department of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.
Summary
A telewellness program improved physical and psychological health for Chronic Obstructive Pulmonary Disease (COPD) patients. Factors like social support and digital literacy influenced engagement, highlighting needs for tailored guidance and technical training.
Area of Science:
- Pulmonary Medicine
- Digital Health
- Behavioral Science
Background:
- Telehealth pulmonary rehabilitation (PR) enhances access for COPD patients, but participation varies.
- Patient-centered care requires understanding how telewellness programs impact engagement.
- Broader telewellness models need investigation to support COPD management.
Purpose of the Study:
- Assess perceived physical and psychological health changes in COPD patients post-telewellness program (MENTOR).
- Identify barriers and facilitators to engagement using the GRAIDs framework.
- Gather recommendations for optimizing telewellness for COPD.
Main Methods:
- Conducted semi-structured interviews with 15 COPD participants who finished an 8-week telewellness program.
- Analyzed interview transcripts using Braun and Clarke's six-step thematic analysis.
Main Results:
- Identified 12 themes: improved motivation, physical activity confidence, emotional regulation, and nutrition awareness.
- Group format reduced isolation and enhanced peer support.
- Engagement influenced by symptom burden, comorbidities, home environment, social support, and digital literacy.
Conclusions:
- A generic telewellness program was acceptable and beneficial for COPD patients.
- Participants valued holistic approach, supportive instructors, and multimodal instructions.
- Tailored nutrition, technical training, and long-term access are recommended.
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