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dc.contributor.authorHoaas, Hanne
dc.contributor.authorAndreassen, Hege K
dc.contributor.authorLien, Linda Aarøen
dc.contributor.authorHjalmarsen, Audhild
dc.contributor.authorZanaboni, Paolo
dc.date.accessioned2016-02-26T09:07:47Z
dc.date.available2016-02-26T09:07:47Z
dc.date.issued2016-02-25
dc.description.abstract<i>Background</i>: Telemedicine may increase accessibility to pulmonary rehabilitation in chronic obstructive pulmonary disease (COPD), thus enhancing long-term exercise maintenance. We aimed to explore COPD patients’ adherence and experiences in long-term telerehabilitation to understand factors affecting satisfaction and potential for service improvements.<p> <p><i>Methods</i>: A two-year pilot study with 10 patients with COPD was conducted. The intervention included treadmill exercise training at home and a webpage for telemonitoring and self-management combined with weekly videoconferencing sessions with a physiotherapist. We conducted four separate series of data collection. Adherence was measured in terms of frequency of registrations on the webpage. Factors affecting satisfaction and adherence, together with potential for service improvements, were explored through two semi-structured focus groups and an individual open-ended questionnaire. Qualitative data were analysed by systematic text condensation. User friendliness was measured by the means of a usability questionnaire.<p> <p><i>Results</i>: On average, participants registered 3.0 symptom reports/week in a web-based diary and 1.7 training sessions/week. Adherence rate decreased during the second year. Four major themes regarding factors affecting satisfaction, adherence and potential improvements of the intervention emerged: (i) experienced health benefits; (ii) increased self-efficacy and independence; and (iii) emotional safety due to regular meetings and access to special competence; (iv) maintenance of motivation. Participants were generally highly satisfied with the technical components of the telerehabilitation intervention.<p> <p><i>Conclusions</i>: Long-term adherence to telerehabilitation in COPD was maintained for a two-year period. Satisfaction was supported by experienced health benefits, self-efficacy, and emotional safety. Maintenance of motivation was a challenge and might have affected long-term adherence. Four key factors of potential improvements in long-term telerehabilitation were identified: (i) adherence to different components of the telerehabilitation intervention is dependent on the level of focus provided by the health personnel involved; (ii) the potential for regularity that lies within the technology should be exploited to avoid relapses after vacation; (iii) motivation might be increased by tailoring individual consultations to support experiences of good health and meet individual goals and motivational strategies; (iv) interactive functionalities or gaming tools might provide peer-support, peer-modelling and enhance motivation.en_US
dc.descriptionSource at <a href=https://doi.org/10.1186/s12911-016-0264-9>https://doi.org/10.1186/s12911-016-0264-9.</a> © Hoaas et al. 2016en_US
dc.identifier.citationHoaas, H., Andreassen, H.K., Lien, L.A., Hjalmarsen, A. & Zanaboni, P. (2016). Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods study. <i>BMC Medical Informatics and Decision Making</i>, 16:26. https://doi.org/10.1186/s12911-016-0264-9en_US
dc.identifier.cristinIDFRIDAID 1339987
dc.identifier.doi10.1186/s12911-016-0264-9
dc.identifier.issn1472-6947
dc.identifier.urihttps://hdl.handle.net/10037/8571
dc.identifier.urnURN:NBN:no-uit_munin_8147
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.ispartofHoaas, H. (2019). Long-term exercise maintenance via telerehabilitation for people with COPD. Feasibility, effectiveness, benefits and challenges. (Doctoral thesis). <a href=https://hdl.handle.net/10037/15618>https://hdl.handle.net/10037/15618 </a>
dc.rights.accessRightsopenAccess
dc.subjectAdherenceen_US
dc.subjectChronic obstructive pulmonary diseaseen_US
dc.subjectExerciseen_US
dc.subjectPulmonary rehabilitationen_US
dc.subjectSelfmanagementen_US
dc.subjectTelemedicineen_US
dc.subjectTelerehabilitationen_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.titleAdherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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