{
  "abstract": "Hui Zhou,1,2 Yang Yang,3 Fangyuan Niu,1,2 Sucui Zhu,4 Dandan Liao,1,2 Guoli Yang,3 Jin Yan11Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 2Xiangya School of Nursing, Central South University, Changsha, Hunan, 410083, People’s Republic of China; 3Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of China; 4Department of Cardiothoracic Surgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of ChinaCorrespondence: Guoli Yang, Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People’s Republic of China, Email 846039107@qq.com Jin Yan, Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, People’s Republic of China, Email yanjin0163@163.comBackground: Home-based pulmonary rehabilitation (PR) is increasingly promoted to expand access and continuity of COPD care. However, adherence to home-based PR remains a persistent challenge. Existing research has mainly focused on patient-related determinants, with limited understanding of healthcare professionals’ experiences shaping adherence management.Methods: A qualitative descriptive design was adopted. Semi-structured interviews were conducted with 18 healthcare professionals, including respiratory physicians, nurses and rehabilitation therapists, who were involved in home-based PR. Participants were purposively sampled from a regional PR training program in China. Recruitment continued until data saturation was reached. Data were analyzed using thematic analysis.Results: Three themes were identified: current practice of home-based PR, barriers to adherence management, and facilitators of adherence management. Healthcare professionals described current implementation as inconsistent, with variable assessment practices and limited follow-up. Barriers to adherence management included insufficient time and energy, weak multidisciplinary collaboration, limited use of remote rehabilitation technologies, and safety concerns during home visits. Facilitators included professional knowledge, trusting relationships with patients, strong professional commitment, performance-based incentives, and multisectoral collaboration across stakeholders.Conclusion: This study reveals the complexity of adherence management in home-based PR and emphasizes the crucial role of healthcare professionals in supporting patients’ sustained participation. The identified barriers and facilitators may inform future strategies to improve adherence management in routine practice.Keywords: Adherence Management, home-based, pulmonary rehabilitation, qualitative study",
  "abstract_shown": true,
  "affiliations": [
    "Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.",
    "Xiangya School of Nursing, Central South University, Changsha, Hunan, 410083, People's Republic of China.",
    "Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.",
    "Department of Cardiothoracic Surgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
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        0,
        1
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      "name": "Hui Zhou"
    },
    {
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        2
      ],
      "name": "Yang Yang"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Fangyuan Niu"
    },
    {
      "affs": [
        3
      ],
      "name": "Sucui Zhu"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Dandan Liao"
    },
    {
      "affs": [
        2
      ],
      "name": "Guoli Yang"
    },
    {
      "affs": [
        0
      ],
      "name": "Jin Yan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2skmgvqaz2e7c.bib",
  "cited_by": 0,
  "doi": "10.2147/copd.s643843",
  "fulltext_url": "https://europepmc.org/articles/PMC13715535",
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  "issns": [
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    "1178-2005"
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  "language": "eng",
  "licence": "CC-BY-NC",
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      "lcc",
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    ],
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      "openalex",
      "2740|Chronic Obstructive Pulmonary Disease (COPD) Research"
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  "pdf_url": "https://europepmc.org/articles/PMC13715535?pdf=render",
  "pmcid": "PMC13715535",
  "pmid": "42953745",
  "published": "2026-10-24",
  "publisher": "Dove Medical Press",
  "ris": "https://research.draconitic.com/paper/2skmgvqaz2e7c.ris",
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2740|Chronic Obstructive Pulmonary Disease (COPD) Research",
      "subfield": "general"
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  "title": "Healthcare Professionals' Perspectives on Adherence Management in Home-Based Pulmonary Rehabilitation: A Qualitative Study.",
  "title_text": "Healthcare Professionals' Perspectives on Adherence Management in Home-Based Pulmonary Rehabilitation: A Qualitative Study.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:22:49Z",
  "url": "https://research.draconitic.com/paper/2skmgvqaz2e7c",
  "venue": "International journal of chronic obstructive pulmonary disease",
  "versions": []
}