Show simple item record

dc.contributor.authorCox, Narelle S.
dc.contributor.authorLee, Joanna Yt
dc.contributor.authorMcDonald, Christine F.
dc.contributor.authorMahal, Ajay
dc.contributor.authorAlison, Jennifer A.
dc.contributor.authorWootton, Richard
dc.contributor.authorHill, Catherine J.
dc.contributor.authorZanaboni, Paolo
dc.contributor.authorO'Halloran, Paul
dc.contributor.authorBondarenko, Janet
dc.contributor.authorMacDonald, Heather
dc.contributor.authorBarker, Kathryn
dc.contributor.authorCrute, Hayley
dc.contributor.authorMellerick, Christie
dc.contributor.authorWageck, Bruna
dc.contributor.authorBoursinos, Helen
dc.contributor.authorLahham, Aroub
dc.contributor.authorNichols, Amanda
dc.contributor.authorCzupryn, Pawel
dc.contributor.authorCorbett, Monique
dc.contributor.authorHandley, Emma
dc.contributor.authorBurge, Angela T
dc.contributor.authorHolland, Anne E.
dc.date.accessioned2023-03-13T12:54:17Z
dc.date.available2023-03-13T12:54:17Z
dc.date.issued2022-12-24
dc.description.abstractBackground - Autonomy-supportive health environments can assist patients in achieving behavior change and can influence adherence positively. Telerehabilitation may increase access to rehabilitation services, but creating an autonomy-supportive environment may be challenging.<p> <p>Research Question - To what degree does telerehabilitation provide an autonomy-supportive environment? What is the patient experience of an 8-week telerehabilitation program?<p> <p>Study Design and Methods - Individuals undertaking telerehabilitation or center-based pulmonary rehabilitation within a larger randomized controlled equivalence trial completed the Health Care Climate Questionnaire (HCCQ; short form) to assess perceived autonomy support. Telerehabilitation participants were invited 1:1 to undertake semistructured interviews. Interviews were transcribed verbatim and coded thematically to identify major themes and subthemes.<p> <p>Results - One hundred thirty-six participants (n = 69 telerehabilitation) completed the HCCQ and 30 telerehabilitation participants (42%) undertook interviews. HCCQ summary scores indicated that participants strongly agreed that the telerehabilitation environment was autonomy supportive, which was similar to center-based participants (HCCQ summary score, P = .6; individual HCCQ items, P ≥ .3). Telerehabilitation interview data supported quantitative findings identifying five major themes, with subthemes, as follows: (1) making it easier to participate in pulmonary rehabilitation, because telerehabilitation was convenient, saved time and money, and offered flexibility; (2) receiving support in a variety of ways, including opportunities for peer support and receiving an individualized program guided by expert staff; (3) internal and external motivation to exercise as a consequence of being in a supervised group, seeing results for effort, and being inspired by others; (4) achieving success through provision of equipment and processes to prepare and support operation of equipment and technology; and (5) after the rehabilitation program, continuing to exercise, but dealing with feelings of loss.<p> <p>Interpretation - Telerehabilitation was perceived as an autonomy-supportive environment, in part by making it easier to undertake pulmonary rehabilitation. Support for behavior change, understanding, and motivation were derived from clinicians and patient-peers. The extent to which autonomy support translates into ongoing self-management and behavior change is not clear.en_US
dc.identifier.citationCox NS, Lee, McDonald CF, Mahal A, Alison JA, Wootton R, Hill CJ, Zanaboni P, O'Halloran P, Bondarenko J, MacDonald H, Barker K, Crute H, Mellerick C, Wageck B, Boursinos H, Lahham A, Nichols A, Czupryn P, Corbett, Handley, Burge, Holland AE. Perceived autonomy support in telerehabilitation by people with chronic respiratory disease: a mixed methods study. Chest. 2022en_US
dc.identifier.cristinIDFRIDAID 2102970
dc.identifier.doi10.1016/j.chest.2022.12.023
dc.identifier.issn0012-3692
dc.identifier.issn1931-3543
dc.identifier.urihttps://hdl.handle.net/10037/28730
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalChest
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titlePerceived autonomy support in telerehabilitation by people with chronic respiratory disease: a mixed methods studyen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record

Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)