Acceptability of a digital pulmonary rehabilitation app as an adjunct or alternative to usual care for people with chronic lung diseases: A qualitative study of patients' views and experiences.

IF 2.3 3区 医学 Q2 RESPIRATORY SYSTEM
Chronic Respiratory Disease Pub Date : 2025-01-01 Epub Date: 2025-08-13 DOI:10.1177/14799731251365632
Pamela Knight-Davidson, Oluwasomi Festus Meshe, Timothy O Jenkins, George D Edwards, Suhani Patel, Carmel Moore, Karen Hayden, Graham Ball, Karen A Ingram, Claire M Nolan, William D C Man
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引用次数: 0

Abstract

BackgroundCentre-PR may not be accessible for people living distant from PR centres. Remote digital PR may have equivalent benefits to centre-PR; however, previous trials were potentially biased towards digitally literate patients, and largely excluded participants with a preference for centre-PR. There is limited data on the real-world implementation of, and acceptability for, Digital-PR alone or as an adjunct to other models of PR.ObjectivesTo gather patients' views about the acceptability of Active+me REMOTE, a digital pulmonary rehabilitation app (Digital-PR).MethodsA qualitative exploratory study using semi-structured interviews with a subset (n = 15) of patients in a mixed method, feasibility study of a hybrid pulmonary rehabilitation, blending Digital-PR with other models of PR. Transcribed data were coded descriptively using Braun and Clarkes' methodology, data interpretation was facilitated through a Miro virtual whiteboard.ResultsThere was appreciation for the concept of Digital-PR, indicated by positive responses in the domains of "friends and family recommendation," "intention to continue using the app," and "privacy concerns." Benefits were reported by two participants who had declined centre-based PR. The app was rated low regarding user-friendliness. Challenges in understanding/using the app and a perception of challenges for others were reported and were associated with poor digital literacy and tech savviness. High digital skills did not predict a favourable assessment of the app as user-friendly.DiscussionWhilst there was a general appreciation for the concept of digital PR as an adjunct or alternative to traditional centre-based PR, the app did not appear to be user-friendly, nor acceptable to people with low digital literacy. The findings have implications for the wider routine implementation of Digital-PR.

数字肺部康复应用程序作为慢性肺病患者常规护理的辅助或替代的可接受性:对患者观点和经验的定性研究
远离公共关系中心的人可能无法访问背景中心。远程数字公关可能与中心公关有同等的好处;然而,之前的试验可能偏向于懂数字的患者,并且在很大程度上排除了偏爱中心pr的参与者。关于数字肺康复应用程序Active+me REMOTE(数字肺康复应用程序)的实际实施和可接受性的数据有限。目的收集患者对数字肺康复应用程序(数字肺康复应用程序)的可接受性的看法。方法采用半结构化访谈的方法进行定性探索性研究,采用混合方法对一部分患者(n = 15)进行访谈,对混合肺康复的可行性进行研究,将Digital-PR与其他PR模型混合。转录的数据使用Braun和Clarkes的方法进行描述性编码,并通过Miro虚拟白板进行数据解释。结果在“朋友和家人推荐”、“继续使用该应用程序的意图”和“隐私问题”等领域的积极回应表明,人们对数字公关概念表示赞赏。两名拒绝了中心公关的参与者报告了他们的好处。在用户友好性方面,这款应用的评分很低。据报道,在理解/使用该应用程序方面存在挑战,以及其他人对挑战的看法,这些都与数字素养和技术知识贫乏有关。高数字技能并不意味着这款应用对用户友好。虽然人们普遍认同数字公关作为传统中心公关的辅助或替代概念,但这款应用似乎并不友好,也不适合数字素养较低的人。这些发现对数字公关的更广泛的日常实施具有启示意义。
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来源期刊
Chronic Respiratory Disease
Chronic Respiratory Disease RESPIRATORY SYSTEM-
CiteScore
5.90
自引率
7.30%
发文量
47
审稿时长
11 weeks
期刊介绍: Chronic Respiratory Disease is a peer-reviewed, open access, scholarly journal, created in response to the rising incidence of chronic respiratory diseases worldwide. It publishes high quality research papers and original articles that have immediate relevance to clinical practice and its multi-disciplinary perspective reflects the nature of modern treatment. The journal provides a high quality, multi-disciplinary focus for the publication of original papers, reviews and commentary in the broad area of chronic respiratory disease, particularly its treatment and management.
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