TY  - JOUR
AU  - Pekmezaris, Renee
AU  - Kozikowski, Andrzej
AU  - Pascarelli, Briana
AU  - Wolf-Klein, Gisele
AU  - Boye-Codjoe, Eugenia
AU  - Jacome, Sonia
AU  - Madera, Danielle
AU  - Tsang, Donna
AU  - Guerrero, Brenda
AU  - Medina, Richard
AU  - Polo, Jennifer
AU  - Williams, Myia
AU  - Hajizadeh, Negin
PY  - 2020
DA  - 2020/1/31
TI  - A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach
JO  - JMIR Form Res
SP  - e13197
VL  - 4
IS  - 1
KW  - COPD
KW  - pulmonary rehabilitation
KW  - telehealth
KW  - CPBR
KW  - disparities
KW  - telemonitoring
AB  - Background: Although home telemonitoring (TM) is a promising approach for patients managing their chronic disease, rehabilitation using home TM has not been tested for use with individuals living with chronic obstructive pulmonary disease (COPD) residing in underserved communities. Objective: This study aimed to analyze qualitative data from focus groups with key stakeholders to ensure the acceptability and usability of the TM COPD intervention. Methods: We utilized a community-based participatory research (CBPR) approach to adapt a home TM COPD intervention to facilitate acceptability and feasibility in low-income African American and Hispanic patients. The study engaged community stakeholders in the process of modifying the intervention in the context of 2 community advisory board meetings. Discussions were audio recorded and professionally transcribed and lasted approximately 2 hours each. Structural coding was used to mark responses to topical questions in interview guides. Results: We describe herein the formative process of a CBPR study aimed at optimizing telehealth utilization among African American and Latino patients with COPD from underserved communities. A total of 5 major themes emerged from qualitative analyses of community discussions: equipment changes, recruitment process, study logistics, self-efficacy, and access. The identification of themes was instrumental in understanding the concerns of patients and other stakeholders in adapting the pulmonary rehabilitation (PR) home intervention for acceptability for patients with COPD from underserved communities. Conclusions: These findings identify important adaptation recommendations from the stakeholder perspective that should be considered when implementing in-home PR via TM for underserved COPD patients. Trial Registration: ClinicalTrials.gov NCT03007485; https://clinicaltrials.gov/ct2/show/NCT03007485 
SN  - 2561-326X
UR  - https://formative.jmir.org/2020/1/e13197
UR  - https://doi.org/10.2196/13197
UR  - http://www.ncbi.nlm.nih.gov/pubmed/32012039
DO  - 10.2196/13197
ID  - info:doi/10.2196/13197
ER  -