Understanding End-User Perspectives of Mobile Pulmonary Rehabilitation (mPR): Cross-Sectional Survey and Interviews.

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dc.contributor.author Dobson, Rosie en
dc.contributor.author Herbst, Pauline en
dc.contributor.author Candy, Sarah en
dc.contributor.author Brott, Tamzin en
dc.contributor.author Garrett, Jeffrey en
dc.contributor.author Humphrey, Gayle en
dc.contributor.author Reeve, Julie en
dc.contributor.author Tawhai, Merryn en
dc.contributor.author Taylor, Denise en
dc.contributor.author Warren, James en
dc.contributor.author Whittaker, Robyn en
dc.date.accessioned 2020-02-11T03:24:36Z en
dc.date.issued 2019-12-20 en
dc.identifier.citation JMIR formative research 3(4):e15466 20 Dec 2019 en
dc.identifier.issn 2561-326X en
dc.identifier.uri http://hdl.handle.net/2292/49873 en
dc.description.abstract BACKGROUND: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
dc.format.medium Electronic en
dc.language eng en
dc.relation.ispartofseries JMIR formative research en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.title Understanding End-User Perspectives of Mobile Pulmonary Rehabilitation (mPR): Cross-Sectional Survey and Interviews. en
dc.type Journal Article en
dc.identifier.doi 10.2196/15466 en
pubs.issue 4 en
pubs.begin-page e15466 en
pubs.volume 3 en
dc.rights.holder Copyright: The authors en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.elements-id 790339 en
pubs.org-id Arts en
pubs.org-id Social Sciences en
pubs.org-id Bioengineering Institute en
pubs.org-id ABI Associates en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Pacific Health en
pubs.org-id Science en
pubs.org-id School of Computer Science en
dc.identifier.eissn 2561-326X en
pubs.record-created-at-source-date 2019-12-21 en
pubs.dimensions-id 31859681 en

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https://creativecommons.org/licenses/by/4.0/ Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/


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