Evidence mapPaperPMID 41793707Full record

ReviewJournal of clinical nursing2026

Telerehabilitation Interventions That Improve Adherence to Pulmonary Rehabilitation in Patients With Chronic Respiratory Diseases: A Realist Review.

Mengyuan Zhang, Yingying Cai, Yue Hou, Xiaohe Ren, Le Zhang, Tao Liu, Yufang Guo, Junlian Gu, Ou Chen

Abstract readReview
In one paragraph

Review in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Mengyuan ZhangSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.ORCID https://orcid.org/0009-0003-9561-8523
Yingying CaiSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
Yue HouSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
Xiaohe RenSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.ORCID https://orcid.org/0000-0003-2426-8557
Le ZhangSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.ORCID https://orcid.org/0009-0009-6867-5315
Tao LiuSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.ORCID https://orcid.org/0009-0006-2382-4311
Yufang GuoSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
Junlian GuSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
Ou ChenSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.ORCID https://orcid.org/0000-0002-0661-4105

Funding

the Humanities and Social Sciences Youth Team Project of Shandong University IFYT18036the Humanities and Social Sciences Youth Team Project of Shandong University IFYT18037the Humanities and Social Sciences Youth Team Project of Shandong University IFYT1811the Key Research and Development Program of Shandong Province 2019GSF108198the National Natural Science Foundation of China 82172543the Natural Science Foundation of Shandong Province ZR2020MH006the Natural Science Foundation of Shandong Province ZR2024MH071
6 · The paper itself

Abstract

aimTo explore how, under what circumstances and why telerehabilitation can improve adherence to pulmonary rehabilitation in patients with chronic respiratory diseases.

designA realist review. DATA SOURCES: Embase, MEDLINE, CINAHL, PsycINFO, Web of Science, and the Cochrane Library were searched from inception to 2 July 2024 to identify relevant literature.

methodsInitial programme theory was developed through research team meeting, informal literature reading and the use of Capability, Opportunity, Motivation, Behaviour model. After completing the literature search, key evidence was appraised, extracted and synthesised into context-mechanism-outcome configurations.

resultsThe review included 23 studies. Seven context-mechanism-outcome configurations were identified. Accessibility and convenience of pulmonary rehabilitation; social interaction and support; technical support; individuality and flexibility of program; getting feedback and seeing results; real-time monitoring of diseases; and diverse motivational incentives were found to be critical for telerehabilitation to improve adherence to pulmonary rehabilitation in patients with chronic respiratory diseases.

conclusionsThis review explains the key mechanisms by which telerehabilitation improves adherence to pulmonary rehabilitation in patients with chronic respiratory diseases, which may contribute to the development and improvement of future pulmonary telerehabilitation interventions. IMPACT: The program theory developed in this study may guide researchers and clinical staff in the development or improvement of pulmonary telerehabilitation interventions to improve patients' adherence to pulmonary rehabilitation and further support better pulmonary rehabilitation outcomes. REPORTING

methodThis study adheres to The RAMESES reporting standards. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

trial registrationOpen Science Framework (https://osf.io/). DOI: https://doi.org/10.17605/OSF.IO/YWMQ8.

Indexed as

Patient ComplianceAdherence InterventionsChronic DiseaseHumansMotivationTelerehabilitationadherencebehaviour modelcapabilitychronic respiratory diseasesmotivationopportunitypulmonary telerehabilitationrealist review

Identifiers

PMID41793707
PMCPMC13353612

What Socratic holds

Textmetadata
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.