Evidence mapPaperPMID 42239673Full record

ArticleInternational journal of chronic obstructive pulmonary disease2026

Exploring COPD Participants' Experiences in a Comprehensive Telewellness Program within a Mixed-Disability Cohort: A Qualitative Study.

Pooja Arora, Surya P Bhatt, James H Rimmer

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 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

3 authors.

Pooja AroraDepartment of Physical Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.
Surya P BhattDivision of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0002-8418-4497
James H RimmerSchool of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

Resource CoreP50HD118626 · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2025 to 2025
$1.3M
NICHD NIH HHS P50 HD118626
6 · The paper itself

Abstract

Background: Telehealth pulmonary rehabilitation (PR) has expanded access to rehabilitation services for individuals with Chronic Obstructive Pulmonary Disease (COPD); however, participation and adherence remain variable. COPD management emphasizes patient-centered approaches that address heterogeneity of this condition. Although telehealth PR has improved access to care, there is a need to better understand how broader telewellness programs can support patient-centered care and improve patient engagement. Objective: This study aimed to explore how individuals with COPD perceive changes in their physical and psychological health after participation in a generic, group-based telewellness (MENTOR: mindfulness, exercise and nutrition to optimize resilience) program. It further examined how personal and contextual factors influence engagement by identifying barriers and facilitators across five domains (built environment and community context, service delivery, instructional strategies, equipment and technology use, and policy factors) as per Guidelines, Recommendations, and Adaptations Including Disability (GRAIDs) framework. Additionally, we explored the recommendations for enhancing telewellness models for individuals with COPD. Methods: In-depth semi-structured interviews were conducted with participants (n=15) who completed the program. Transcripts were analyzed using Braun and Clarke's six-step thematic analysis. Results: Twelve primary themes were identified. Participants reported improvements in motivation, confidence in physical activity, emotional regulation, and nutrition awareness. The group-based format reduced isolation and fostered peer support. Program engagement was influenced by symptom burden, comorbidities, home environment, social support, and digital literacy. Participants valued supportive instructors, multimodal instructions (verbal, visual, written summaries, live demonstrations), adaptive exercise program, a user-friendly telehealth platform, and program's holistic nature. Participants emphasized the need for tailored nutrition guidance, technical training for telehealth platform and equipment use, and long-term access to program resources. Conclusion: A generic, 8-week telewellness program designed for individuals with mobility limitations was acceptable and beneficial for individuals with COPD.

Indexed as

LungPulmonary Disease, Chronic ObstructiveAgedAged, 80 and overDisability EvaluationFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMental HealthMiddle AgedPatient-Centered CareQualitative ResearchRecovery of FunctionTelemedicinechronic obstructive lung diseaseCOPDtelewellness

Identifiers

PMID42239673
PMCPMC13228845

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.