ArticleFrontiers in public health2025
Understanding facilitators and barriers to adherence in home-based pulmonary rehabilitation for chronic obstructive pulmonary disease patients using the Health Belief Model: a qualitative study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patients' experiences of promoting and hindering factors in daily physical activity with chronic obstructive pulmonary disease: a qualitative systematic review.BMC pulmonary medicine · 2026Pooled it
- Multi parameter respiratory training for pulmonary rehabilitation in AECOPD a randomized controlled trial.Scientific reports · 2026Trial
- Patient perspectives on harmonica playing as an intervention for chronic obstructive pulmonary disease: a qualitative study.BMJ open · 2026Trial
- Internet of things-based pulmonary rehabilitation for moderate-to-severe chronic obstructive pulmonary disease: a prospective non-randomized controlled intervention study protocol.Frontiers in medicine · 2026Article
- User personas for exercise rehabilitation behaviors in older patients with stable chronic obstructive pulmonary disease: a qualitative study.Frontiers in public health · 2026Article
- Designing an effective pulmonary rehabilitation program for severe asthma.Frontiers in medicine · 2026Article
- Knowledge, attitudes, and practices related to pulmonary rehabilitation and associated influencing factors among older adults with chronic obstructive pulmonary disease in a county medical community.Frontiers in public health · 2026Article
- Multilevel factors affecting mental health literacy among older adults: a qualitative study based on social ecological model.Frontiers in public health · 2025Article
- This is a personal journey: a qualitative study on the influencing factors of home-based exercise rehabilitation behavior among stroke survivors.Frontiers in neurologyArticle
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Home-based pulmonary rehabilitation (PR) is a key non-pharmacological intervention for chronic obstructive pulmonary disease (COPD), but poor adherence limits its effectiveness. The factors influencing adherence, particularly from the patients' perspective, are not well understood. This study aims to identify the factors that promote or hinder adherence to home-based rehabilitation in COPD patients, to inform more effective and personalized strategies. Methods: This study guided by Health Belief Model (HBM), and data were collected through semi-structured in-depth interviews with eligible COPD patients during May and July 2024. Deductive thematic analysis approach was used to analyze the data. Results: Eighteen patients were recruited through purposive sampling. Two main themes emerged-facilitating health beliefs and challenges- along with five subthemes under the HBM framework: perceived threats, perceived benefits, cues to action, self-efficacy, and perceived barriers. In total, 28 categories were identified (21 facilitators, 7 barriers), including 11 newly discovered facilitators and one new barrier. Newly identified facilitators included physical limitations and fatigue, emotional distress, perceived ineffectiveness, time constraints, caregiving responsibilities, lack of support, cost, poor exercise conditions, reduced medical dependence, self-awareness of functional decline, attention-seeking behaviors, environmental cues, mental resilience, and religious beliefs. The new barrier related to environmental limitations and poor exercise conditions. Conclusion: This study underscores facilitators and barriers influencing home-based PR adherence within the HBM framework. Facilitators include broad factors related to perceived benefits, cues to action, self-efficacy, and perceived threats, while barriers encompass physical limitations, time constraints, and insufficient support. Flexible, personalized programs and greater family involvement can enhance adherence, improve long-term outcomes, and mitigate the rising burden of chronic diseases in aging societies.
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