Healthcare Professionals' Perspectives on Adherence Management in Home-Based Pulmonary Rehabilitation: A Qualitative Study.
4 affiliations
- 1Nursing 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 China.
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 [email protected] Jin Yan, Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, People’s Republic of China, Email [email protected]: 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
Related
- Accessibility of essential medicines and vaccines among fisherfolk, artisanal miners and pastoralists in Mainland Tanzania: a qualitative study of barriers and strategies from the perspectives of healthcare professionals and community leaders.
- What is an ideal mHealth for post-discharge home care of CHD: perspectives from primary caregivers, healthcare professionals, and project technical consultants: a qualitative research study
- Qualitative Assessment of Access to Community Mental Health Centers from the Perspectives of Patients, Patient Relatives, and Healthcare Professionals
- Healthcare Professionals' Perspectives on Agentic Artificial Intelligence in Clinical Work: A Qualitative Study.
- Acceptability of Kangaroo Mother Care (KMC) in neonatal transport: a qualitative study on mothers' and healthcare professionals' perspectives on KMC transport in Ghana.
BibTeX
@article{zhou2026healthcare,
title = {{Healthcare Professionals' Perspectives on Adherence Management in Home-Based Pulmonary Rehabilitation: A Qualitative Study.}},
author = {Hui Zhou and Yang Yang and Fangyuan Niu and Sucui Zhu and Dandan Liao and Guoli Yang and Jin Yan},
journal = {International journal of chronic obstructive pulmonary disease},
year = {2026},
month = oct,
doi = {10.2147/copd.s643843},
url = {https://europepmc.org/article/MED/42953745},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Healthcare Professionals' Perspectives on Adherence Management in Home-Based Pulmonary Rehabilitation: A Qualitative Study.
AU - Hui Zhou
AU - Yang Yang
AU - Fangyuan Niu
AU - Sucui Zhu
AU - Dandan Liao
AU - Guoli Yang
AU - Jin Yan
PY - 2026
DA - 2026/10/24
JO - International journal of chronic obstructive pulmonary disease
DO - 10.2147/copd.s643843
UR - https://europepmc.org/article/MED/42953745
AB - 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 [email protected] Jin Yan, Nursing Department, The Third Xiangya Hospital, Central South University, Changsha, People’s Republic of China, Email [email protected]: 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
SN - 1176-9106
SN - 1178-2005
ER -