Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Monday, March 11, 2019 at 4:00 PM to 4:30 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Advertisement

Currently accepted at: JMIR Formative Research

Date Submitted: Jul 14, 2019
Date Accepted: Oct 2, 2019
(closed for review but you can still tweet)

This paper has been accepted and is currently in production.

It will appear shortly on 10.2196/15466

The final accepted version (not copyedited yet) is in this tab.

Understanding end-user perspectives of mobile pulmonary rehabilitation (mPR): Results from a cross-sectional survey and interviews

  • Rosie Dobson; 
  • Pauline Herbst; 
  • Sarah Candy; 
  • Tamzin Brott; 
  • Jeffrey Garrett; 
  • Gayl Humphrey; 
  • Julie Reeve; 
  • Merryn Tawhai; 
  • Denise Taylor; 
  • Jim Warren; 
  • Robyn Whittaker; 

ABSTRACT

Background:

Pulmonary rehabilitation (PR) is an effective intervention for the management of people with chronic respiratory diseases but 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:

This study aims 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 end users (i.e. patients with chronic respiratory disorders) and key stakeholders (i.e. clinicians working with patients with chronic respiratory disorders and running PR). The formative studies included: (1) A survey to understand the preferences and priorities of patients for PR and how mobile technology can be used to provide PR support, (2) Ethnographic semi-structured interviews with patients with chronic respiratory disorders to gain perspectives on their understanding of their health and potential features that could be included in a mPR program and (3) Key informant interviews with healthcare 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)) participants were positive about the idea of a mPR program but raised concerns related to digital literacy and confidence in using technology, access to technology, as well as 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 a mPR program.

Conclusions:

These formative studies found high interest in mHealth based PR intervention and detailed the potential for a 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.


 Citation

Please cite as:

Dobson R, Herbst P, Candy S, Brott T, Garrett J, Humphrey G, Reeve J, Tawhai M, Taylor D, Warren J, Whittaker R

Understanding end-user perspectives of mobile pulmonary rehabilitation (mPR): Results from a cross-sectional survey and interviews

DOI: 10.2196/15466

URL: https://preprints.jmir.org/preprint/15466


Request queued. Please wait while the file is being generated. It may take some time.