Evidence map›Paper›PMID 41595404›Full record

ArticleHealthcare (Basel, Switzerland)2026

Facilitators and Barriers of Using an Artificial Intelligence Agent in Chronic Disease Management: A Normalization Process Theory-Guided Qualitative Study of Older Patients with COPD.

Shiya Cui, Shilei Wang, Jingyi Deng, Ruiyang Jia, Yuyu Jiang

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shiya CuiResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Wuxi 214122, China.ORCID 0009-0006-3123-8355
Shilei WangResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Wuxi 214122, China.ORCID 0009-0001-5710-6696
Jingyi DengResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Wuxi 214122, China.ORCID 0009-0000-5519-6686
Ruiyang JiaResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Wuxi 214122, China.ORCID 0009-0006-4733-9580
Yuyu JiangResearch Office of Chronic Disease Management and Rehabilitation, Department of Nursing, Wuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Wuxi 214122, China.ORCID 0000-0002-1150-4656

Funding

China Medical Foundation 2024CMFA07Post-graduate Research & Practice Innovation Program of Jiangsu Province SJCX25_1353
6 · The paper itself

Abstract

objectivesThis study aims to explore the facilitators and barriers in the process of using AI agents for disease management in older COPD patients.

methodsBased on the normalization process theory, a descriptive qualitative study was used to conduct semi-structured interviews with 28 older patients with COPD recruited from June to August 2025 in a Class A tertiary hospital in Wuxi, Jiangsu Province.

resultsA total of 28 interviews were conducted. Four themes (Coherence, Cognitive Participation, Collective Action, Reflexive Monitoring), nine subthemes (recognition of intelligent technology;supported by policy discourse and the background of national-level projects; the creation of a family atmosphere; recommendations from HCPs; relief and social connection; new "doctor"-patient relationship and communication; eliminate the burden and return to life; benefit and value perception; right self-decision by AI) in facilitators and nine subthemes (privacy conflicts and trust deficiency; blurred boundaries of human-machine responsibility and authority; non-high-quality services are chosen reluctantly; technical anxiety; lack of motivation for continued engagement; extra burden; limitations of the physical environment; human-machine dialogue frustration; a sense of uncertainty about the future of AI) in barriers were extracted.

conclusionsThis study identified key factors influencing the use of AI agents in chronic disease management in older patients with COPD. The results provide directions for improving the implementation and sustainable use of AI health technologies.

Indexed as

artificial intelligencechronic disease managementchronic obstructive pulmonary diseaseolder adultsqualitative study

Identifiers

PMID41595404
PMCPMC12841200

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.