Perceptions of patients with chronic obstructive pulmonary disease towards telemedicine: A qualitative systematic review

Li, Wenshuo; Liu, Wei; Liu, Shengnan; Li, Jing; Wang, Wenjing; Li, Kun

doi:10.1016/j.hrtlng.2021.03.081

Cited by 13 publications

(9 citation statements)

References 36 publications

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“…People with chronic conditions perceived the use of digital health could result in time gains in several ways. It was said since ‘life’s so busy in general’ the option to see someone from their home was time efficient, and they completed their consultation sooner than if they were attending an in-person appointment:That you get treated in time, instead of just waiting a week 31 – [user with COPD]…”

Section: Perceived Value Perceived Effectiveness Transaction Costmentioning

confidence: 99%

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Digital health experiences reported in chronic disease management: An umbrella review of qualitative studies

et al. 2022

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Introduction Digital health interventions can be useful for the management of chronic disease. The aim of this study was to draw out universal themes to understand how people with chronic conditions experience digital health services, programmes, and interventions, and consequently, better inform future digital health delivery. Methods An umbrella review was conducted to identify qualitative systematic reviews reporting digital health experiences in chronic disease. Themes for each included review were independently extracted and appraised by two review authors. Data analysis was conducted using the Constant Comparative method. Results Twenty-two systematic reviews containing 240 individual studies were selected for inclusion. Mental health was the most common condition ( n = 5, 23%), followed by cancer ( n = 4, 18%) or a combination of chronic diseases ( n = 4, 18%). Common themes across the conditions were categorised under nine headings, including: (i) participation and engagement (strong usability and engagement vs reluctance to use digital health when these concepts are ignored), (ii) trust, confidence, and competence (users felt reassured, however technology illiteracy led to a perceived lack of control), (iii) perceived value, perceived effectiveness, transaction cost (gained from efficient aspects of digital health, but also lost through the burden of keeping up with data entry), (iv) perceived care quality (requiring tailoring and fostering motivation), (v) barriers and threats (related to technology risks and challenges), (vi) health outcomes (improved self-management capability), (vii) relationships (improved participant-health professional interaction, but interpersonal aspects such as face-to-face contact were lacking), (viii) unplanned benefit (where digital health often led to users feeling more empowered in their health journey), and (ix) diversity of experiences (reflecting ambivalence of experiences and discipline-specific experiences). Conclusion People with chronic conditions perceive digital health provides feelings of reassurance and the ability to self-manage their condition. While there is ambivalence across the participant experiences reported within the major themes, this umbrella review has outlined a need for future interventions that are user-friendly, flexible, and tailored to individual users. This will be best achieved through a co-design model, with the consumer actively involved in the planning and design of digital health products and services.

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Section: Perceived Value Perceived Effectiveness Transaction Costmentioning

confidence: 99%

“…Barken et al 29 12 Meta-ethnography High-income Brunton et al 30 7 Meta-ethnography High-income Li et al 31 19 Framework analysis according to the Technology Acceptance Model High-income Chronic pain Fernandes et al 32 21 Three-step thematic synthesis method for meta-synthesis guided by an inductive approach High-income…”

Section: High Incomementioning

confidence: 99%

Digital health experiences reported in chronic disease management: An umbrella review of qualitative studies

et al. 2022

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“…Our study adds to this evidence and provides further contextualization in airway disease, highlighting the importance of convenient and accessible disease self-monitoring and self-knowledge resources to support the autonomy of older adults with asthma and COPD. Notably, the older adults in our study primarily used mHealth for self-monitoring purposes, and did not use mHealth for respiratory disease self-management (eg, for action plans, inhaler reminders, or trigger avoidance), contrasting with qualitative studies of predominantly younger participants with asthma [ 32 ] and of telemedicine interventions for COPD, where self-management was considered an important feature of airway health technology [ 33 ]. As older adults with asthma and COPD are known to have lower levels of inhaler adherence and self-management skills, such as action plan use and environmental control [ 14 , 34 ], and have shown interest in mHealth self-management tools in other qualitative work [ 35 ], this represents an important target for future mHealth solutions that is not currently being addressed in our participant population.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Perspectives and Experiences of Older Adults With Asthma and Chronic Obstructive Pulmonary Disease Toward Mobile Health: Qualitative Study

Kouri,

Gupta,

Straus

et al. 2023

J Med Internet Res

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Background The use of mobile health (mHealth) in asthma and chronic obstructive pulmonary disease (COPD) is growing, and as the population ages, a greater number of older adults stand to benefit from mHealth-enhanced airway disease care. Though older adults are a heterogeneous population of health technology users, older age represents a potential barrier to health technology adoption, and there is currently a lack of knowledge on how older age influences mHealth use in asthma and COPD. Objective In this qualitative study, we sought to explore the experiences and perspectives of adults who were aged 65 years and older with asthma and COPD toward mHealth use. Methods Semistructured individual interviews were conducted with adults who were aged 65 years and older with asthma or COPD and owned a smartphone. Applying phenomenological methodology, we analyzed interview transcripts in order to develop themes and propose an essential experience of mHealth use among older adults with airway disease. We then summarized our qualitative findings and proposed strategies to leverage our results in order to guide future research and implementation efforts targeting older adults’ use of airway mHealth. Results Twenty participants (mean age 79.8, SD 4.4 years) were interviewed. Participants described a central tension between (1) the perception that mHealth could help maintain independence throughout aging and (2) an apprehension toward the ways in which mHealth could negatively affect established health care experiences. Several elements of these 2 themes are absent from previous research focusing on younger adults with asthma and COPD. The individual elements of these 2 themes informed potential strategies to optimize future older adults’ use of asthma and COPD mHealth tools. Conclusions Focusing on the perspectives and experiences of older adults with asthma and COPD in their use of mHealth identified novel understandings of health technology use in this important demographic in need of greater care. These lessons were translated into potential strategies that will need to be objectively evaluated in future airway mHealth research, development, and implementation efforts.

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“…However, we also found that the use of the eHealth tool varied profoundly between patients, and the vast majority mainly used the platform at the beginning stages of their treatment [ 17 ]. Furthermore, motivation, comfort with information technology tools, and level of health literacy were identified as vital explanatory factors affecting usage of the eHealth tool over time [ 18 ], findings that are supported by a recent qualitative systematic review that determined the perception of eHealth among over 300 patients with COPD across 19 individual studies [ 19 ]. However, besides motivation and comfort with information technology tools, other factors, such as access to 1-to-1 contact with health care professionals, were also critical for encouraging use of eHealth tools among patients with COPD [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, motivation, comfort with information technology tools, and level of health literacy were identified as vital explanatory factors affecting usage of the eHealth tool over time [ 18 ], findings that are supported by a recent qualitative systematic review that determined the perception of eHealth among over 300 patients with COPD across 19 individual studies [ 19 ]. However, besides motivation and comfort with information technology tools, other factors, such as access to 1-to-1 contact with health care professionals, were also critical for encouraging use of eHealth tools among patients with COPD [ 19 ]. Regarding the latter, van Zelst et al [ 20 ] recently demonstrated up to a 3-fold increase in eHealth tool usage among patients with COPD if the tool was used together with health care professionals compared with those who used the eHealth tool independently.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Using an Electronic Health Tool Among Health Care Professionals Involved in Chronic Obstructive Pulmonary Disease Management: Qualitative Analysis

Nyberg¹,

Sondell²,

Lundell³

et al. 2023

JMIR Hum Factors

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Background Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases of the 21st century. eHealth tools are seen as a promising way of supporting health care professionals in providing evidence-based COPD care, for example, by reinforcing information and interventions provided to the patients and providing easier access and support to the health care professional themselves. Still, knowledge is scarce on the experience of using eHealth tools from the perspective of the health care professional involved in COPD management. Objective The study explored the experiences of using an eHealth tool among health care professionals that worked with patients with COPD in their daily clinical practice. Methods This exploratory qualitative study is part of a process evaluation in a parallel group, controlled, pragmatic pilot trial. Semistructured interviews were performed with 10 health care professionals 3 and 12 months after getting access to an eHealth tool, the COPD Web. The COPD Web, developed using cocreation, is an interactive web-based platform that aims to help health care professionals provide health-promoting strategies. Data from the interviews were analyzed using qualitative content analysis with an inductive approach. Results The main results reflected health care professionals’ experiences in 3 categories: receiving competence support and adjusting practice, improving quality of care, and efforts required for implementation. These categories highlighted that using an eHealth tool such as the COPD Web was experienced to provide knowledge support for health care professionals that led to adaptation and facilitation of working procedures and person-centered care. Taken together, these changes were perceived to improve the quality of care through enhanced patient contact and encouragement of interprofessional collaboration. In addition, health care professionals expressed that patients using the COPD Web were better equipped to tackle their disease and adhered better to provided treatment, increasing their self-management ability. However, structural and external barriers bar the successful implementation of an eHealth tool in daily praxis. Conclusions This study is among the first to explore experiences of using an eHealth tool among health care professionals involved in COPD management. Our novel findings highlight that using an eHealth tool such as the COPD Web may improve the quality of care for patients with COPD (eg, by providing knowledge support for health care professionals and adapting and facilitating working procedures). Our results also indicate that an eHealth tool fosters collaborative interactions between patients and health care professionals, which explains why eHealth is a valuable means of encouraging well-informed and autonomous patients. However, structural and external barriers requiring time, support, and education must be addressed to ensure that an eHealth tool can be successfully implemented in daily praxis. Trial Registration ClinicalTrials.gov NCT02696187; https://clinicaltrials.gov/ct2/show/NCT02696187

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Perceptions of patients with chronic obstructive pulmonary disease towards telemedicine: A qualitative systematic review

Cited by 13 publications

References 36 publications

Digital health experiences reported in chronic disease management: An umbrella review of qualitative studies

Digital health experiences reported in chronic disease management: An umbrella review of qualitative studies

Exploring the Perspectives and Experiences of Older Adults With Asthma and Chronic Obstructive Pulmonary Disease Toward Mobile Health: Qualitative Study

Experiences of Using an Electronic Health Tool Among Health Care Professionals Involved in Chronic Obstructive Pulmonary Disease Management: Qualitative Analysis

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