Accepted for/Published in: JMIR Human Factors
Date Submitted: Jul 22, 2023
Date Accepted: Jan 24, 2024
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Exploring Feasibility and Design Factors for Home-Based Pulmonary Rehabilitation in COPD from a People-Object-Environment Framework
ABSTRACT
Background:
The purpose of this study is to assess the feasibility of implementing home-based pulmonary rehabilitation (PR) from the perspectives of patients with chronic lung disease and healthcare professionals (HCPs) involved in PR. Through a qualitative inquiry using interviews and adopting the People-Object-Environment Framework
Objective:
The study aims to understand the influences of interpersonal, environmental, and situational factors on the perceptions and considerations of various stakeholders regarding home-based PR in patients with Chronic obstructive pulmonary disease (COPD).
Methods:
This study conducted one-on-one interviews with 20 patients with chronic lung disease and 20 healthcare professionals to investigate their attitudes and opinions regarding home-based remote PR, as well as to identify key factors affecting the benefits and drawbacks of remote healthcare based on their past experiences. Additionally, the study evaluated the feasibility of using digital tools for medical diagnosis and treatment by assessing the technology usage of both parties.
Results:
The study found that the four key factors that all participants were most concerned about were: distance, medical efficiency, Internet and equipment, and the space for diagnosis and treatment. Interviews with patients and HCPs revealed that the use of technology and the internet is perceived differently by individuals of different ages and living in different regions. Most participants believe that digital tools and the internet bring many benefits but are unable to solve all problems. At the same time, they may also give rise to additional problems, such as information security and digital divide concerns. Moreover, the study emphasized the significant impact of human behavior and thinking on shaping the design of healthcare interventions and technologies. Understanding user perspectives and experiences is crucial in developing effective solutions that meet their needs.
Conclusions:
The results of this study indicate that although patients and healthcare providers have different perspectives, their considerations of key factors are very similar. Therefore, if plans related to telemedicine diagnosis, treatment, or rehabilitation are to be implemented, the suggestions and considerations of both patients and healthcare providers should be taken into account as key design factors. Clinical Trial: This study was approved by the Institutional Review Board (IRB) of Chang Gung Memorial Hospital (IRB No. 202200070B0).
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