Understanding End-user Perspectives of Mobile Pulmonary Rehabilitation (mPR): Cross-sectional Survey and Interviews

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aut.relation.articlenumbere15466en_NZ
aut.relation.issue4en_NZ
aut.relation.journalJMIR Formative Researchen_NZ
aut.relation.volume3en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorDobson, Ren_NZ
dc.contributor.authorHerbst, Pen_NZ
dc.contributor.authorCandy, Sen_NZ
dc.contributor.authorBrott, Ten_NZ
dc.contributor.authorGarrett, Jen_NZ
dc.contributor.authorHumphrey, Gen_NZ
dc.contributor.authorReeve, Jen_NZ
dc.contributor.authorTawhai, Men_NZ
dc.contributor.authorTaylor, Den_NZ
dc.contributor.authorWarren, Jen_NZ
dc.contributor.authorWhittaker, Ren_NZ
dc.date.accessioned2020-06-21T22:25:24Z
dc.date.available2020-06-21T22:25:24Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractBACKGROUND: Pulmonary rehabilitation (PR) is an effective intervention for the management of people with chronic respiratory diseases, but the uptake of and adherence to PR programs is low. There is potential for mobile health (mHealth) to provide an alternative modality for the delivery of PR, overcoming many of the barriers contributing to poor attendance to current services. OBJECTIVE: The objective of this study was to understand the needs, preferences, and priorities of end users for the development of an adaptive mobile PR (mPR) support program. METHODS: A mixed methods (qualitative and quantitative) approach was used to assess the needs, preferences, and priorities of the end users (ie, patients with chronic respiratory disorders) and key stakeholders (ie, clinicians working with patients with chronic respiratory disorders and running PR). The formative studies included the following: (1) a survey to understand the preferences and priorities of patients for PR and how mobile technology could be used to provide PR support, (2) ethnographic semistructured interviews with patients with chronic respiratory disorders to gain perspectives on their understanding of their health and potential features that could be included in an mPR program, and (3) key informant interviews with health care providers to understand the needs, preferences, and priorities for the development of an mPR support program. RESULTS: Across all formative studies (patient survey, n=30; patient interviews, n=8; and key stakeholder interviews, n=8), the participants were positive about the idea of an mPR program but raised concerns related to digital literacy and confidence in using technology, access to technology, and loss of social support currently gained from traditional programs. Key stakeholders highlighted the need for patient safety to be maintained and ensuring appropriate programs for different groups within the population. Finding a balance between ensuring safety and maximizing access was seen to be essential in the success of an mPR program. CONCLUSIONS: These formative studies found high interest in mHealth-based PR intervention and detailed the potential for an mPR program to overcome current barriers to accessing traditional PR programs. Key considerations and features were identified, including the importance of technology access and digital literacy being considered in utilizing technology with this population.en_NZ
dc.identifier.citationJMIR Formative Research, 3(4), e15466.
dc.identifier.doi10.2196/15466en_NZ
dc.identifier.issn2561-326Xen_NZ
dc.identifier.issn2561-326Xen_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13414
dc.languageengen_NZ
dc.publisherJMIR Publicationsen_NZ
dc.relation.urihttps://formative.jmir.org/2019/4/e15466/
dc.rights©Rosie Dobson, Pauline Herbst, Sarah Candy, Tamzin Brott, Jeffrey Garrett, Gayl Humphrey, Julie Reeve, Merryn Tawhai, Denise Taylor, Jim Warren, Robyn Whittaker. Originally published in JMIR Formative Research (http://formative.jmir.org), 20.12.2019. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on http://formative.jmir.org, as well as this copyright and license information must be included.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectCOPDen_NZ
dc.subjectmHealthen_NZ
dc.subjectrehabilitationen_NZ
dc.titleUnderstanding End-user Perspectives of Mobile Pulmonary Rehabilitation (mPR): Cross-sectional Survey and Interviewsen_NZ
dc.typeJournal Article
pubs.elements-id367460
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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