{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:18:25Z","timestamp":1791364705222,"version":"4.3.1"},"reference-count":59,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:00:00Z","timestamp":1678838400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72274080"],"award-info":[{"award-number":["72274080"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Research office of chronic disease management and rehabilitation, Wuxi School of Medicine, Jiangnan University"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Tele-pulmonary rehabilitation is increasingly advocated but cannot completely substitute for in-person services for chronic conditions. Adherence to Pulmonary rehabilitation (PR) remains low in chronic obstructive pulmonary disease (COPD) patients. Shared decision-making (SDM) promotes patients' participation in PR decisions and helps patients and healthcare providers to jointly make decisions that patients are informed and aligned with patient preferences and values, which are critical for patient adherence to PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to develop a hybrid in-person and virtual model of home-based PR services for older COPD patients and study the effectiveness of the patient decision aid (PDA)-supported recurring SDM intervention on patient adherence to PR, rehabilitation outcomes, and decision-related outcomes, as well as to explore the mechanisms of the intervention on PR adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 78 older COPD patients were randomly assigned to the PR group ( n\u2009=\u200939) or PDA-PR group ( n\u2009=\u200939). Both groups were conducted hybrid in-person and virtual PR intervention for 3 months. The primary outcomes were patients\u2019 quality of life and PR adherence. The secondary outcomes were dyspnea symptoms, exercise self-efficacy, knowledge, and decision-related outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 72 participants completed the 3-month PR program. There were statistically significant differences in PR adherence ( p\u2009=\u20090.033), COPD assessment test (CAT) scores ( p\u2009=\u20090.016), PR knowledge ( p\u2009&lt;\u20090.001), decision self-efficacy ( p\u2009&lt;\u20090.001), decision conflict ( p\u2009&lt;\u20090.001), and decision regret scores ( p\u2009=\u20090.027) between the two groups. The modified Medical Research Council Dyspnoea scale (mMRC) score was significantly decreased only in PDA-PR group ( p\u2009=\u20090.011). No statistically significant differences were observed in St George\u2019s Respiratory Questionnaire (SGRQ) score ( p\u2009=\u20090.078), Exercise Self-Regulatory Efficacy Scale (Ex-SRES) score ( p\u2009=\u20090.29) and COPD knowledge ( p\u2009=\u20090.086) between the two groups. PR value score had a significant effect on adherence to PR ( p\u2009=\u20090.007) and CAT score ( p\u2009=\u20090.028).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PDA supported recurring SDM intervention was helpful in maintaining older COPD patients\u2019 PR adherence and had advantages in improving quality of life, enhancing PR knowledge, decision self-efficacy, and reducing decision conflict and decision regret, but did not improve SGRQ and Ex-SRES. PR value score influenced patients\u2019 rehabilitation adherence and quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Chinese Clinical Trial Registry (ChiCTR): ChiCTR1900028563; http:\/\/apps.who.int\/trialsearch\/default.aspx.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x231156631","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T03:32:05Z","timestamp":1678851125000},"page":"1532-1542","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Effectiveness of patient decision aid supported shared decision-making intervention in in-person and virtual hybrid pulmonary rehabilitation in older adults with chronic obstructive pulmonary disease: A pilot randomized controlled trial"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1150-4656","authenticated-orcid":false,"given":"Yuyu","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Nursing, Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5678-7023","authenticated-orcid":false,"given":"Baiyila","family":"Nuerdawulieti","sequence":"additional","affiliation":[{"name":"Department of Nursing, Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0611-5912","authenticated-orcid":false,"given":"Zhongyi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4123-7963","authenticated-orcid":false,"given":"Jianlan","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Nursing, Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2542-1111","authenticated-orcid":false,"given":"Pingping","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Nursing, Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6396-4902","authenticated-orcid":false,"given":"Mengjie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Research Office of Chronic Disease Management and Rehabilitation, Wuxi School of Medicine, Jiangnan University, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2690-4118","authenticated-orcid":false,"given":"Jinping","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Public Health and Preventive Medicine, Wuxi School of Medicine, Jiangnan University, Wuxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,15]]},"reference":[{"key":"bibr1-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(20)30105-3"},{"key":"bibr2-1357633X231156631","first-page":"260","volume":"6","author":"Duan RR","year":"2020","journal-title":"Chronic Dis Transl Med"},{"key":"bibr3-1357633X231156631","unstructured":"The World Health Organization. Global Health Estimates: Life expectancy and leading causes of death and disability, www.who.int\/data\/gho\/data\/themes\/mortality-and-global-health-estimates (2022, accessed 5 October 5 2022)."},{"key":"bibr4-1357633X231156631","unstructured":"The Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for Prevention, Diagnosis and Management of COPD: 2022 Report, https:\/\/goldcopd.org\/2022-gold-reports-2\/ (2021, accessed 5 October 2022)."},{"key":"bibr5-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32340-0"},{"key":"bibr6-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00145613"},{"key":"bibr7-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202012-4389OC"},{"key":"bibr8-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.02108-2020"},{"key":"bibr9-1357633X231156631","volume":"1","author":"Cox NS","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr10-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1177\/1753465818754778"},{"key":"bibr11-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.2196\/24531"},{"key":"bibr12-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.37193"},{"key":"bibr13-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.2196\/18870"},{"key":"bibr14-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.22302"},{"key":"bibr15-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.36405"},{"key":"bibr16-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2013-203809"},{"key":"bibr17-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01142-2021"},{"key":"bibr18-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2006.05.007"},{"key":"bibr19-1357633X231156631","volume":"373","author":"Carmona C","year":"2021","journal-title":"Br Med J"},{"key":"bibr20-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"bibr21-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05223-4"},{"key":"bibr22-1357633X231156631","unstructured":"The International Patient Decision Aid Standards Collaboration. What are Patient Decision Aids? http:\/\/ipdas.ohri.ca\/what.html (2017, accessed 5 October 2022)."},{"key":"bibr23-1357633X231156631","volume":"4","author":"Stacey D","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr24-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.2196\/17089"},{"key":"bibr25-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2021.1912386"},{"key":"bibr26-1357633X231156631","unstructured":"The Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for Prevention, Diagnosis and Management of COPD: 2019 Report, https:\/\/goldcopd.org\/wp-content\/uploads\/2018\/11\/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf (2018, accessed 5 October 2022)."},{"key":"bibr27-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.156372"},{"key":"bibr28-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.09.002"},{"key":"bibr29-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1177\/0962280215588241"},{"key":"bibr30-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00177210"},{"key":"bibr31-1357633X231156631","unstructured":"American Thoracic Society. St. George's Respiratory Questionnaire (SGRQ), https:\/\/www.thoracic.org\/members\/assemblies\/assemblies\/srn\/questionaires\/sgrq.php (2022, accessed 5 October 2022)."},{"key":"bibr32-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05636"},{"key":"bibr33-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2006.08.007"},{"key":"bibr34-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.11.020"},{"key":"bibr35-1357633X231156631","first-page":"69","volume":"35","author":"Shaojuan H","year":"2020","journal-title":"Journal of Nursing Science"},{"key":"bibr36-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60123-4"},{"key":"bibr37-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.01.030"},{"key":"bibr38-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X9501500105"},{"key":"bibr39-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X03256005"},{"key":"bibr40-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30424-4"},{"key":"bibr41-1357633X231156631","first-page":"232","volume":"4","author":"Dechman G","year":"2020","journal-title":"Can J Resp Crit Care"},{"key":"bibr42-1357633X231156631","volume":"374","author":"Matthys J","year":"2021","journal-title":"Br Med J"},{"key":"bibr43-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2020.07.003"},{"key":"bibr44-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0941"},{"key":"bibr45-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2016.03.032"},{"key":"bibr46-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.12.004"},{"key":"bibr47-1357633X231156631","volume":"359","author":"Elwyn G","year":"2017","journal-title":"Br Med J"},{"key":"bibr48-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.19.10.1153"},{"key":"bibr49-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199928060-00003"},{"key":"bibr50-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05472-y"},{"key":"bibr51-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.33248"},{"key":"bibr52-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1080\/00325481.2019.1702849"},{"key":"bibr53-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.07.030"},{"key":"bibr54-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.7841"},{"key":"bibr55-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-022-01482-6"},{"key":"bibr56-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X20911870"},{"key":"bibr57-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X20936209"},{"key":"bibr58-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.8713"},{"key":"bibr59-1357633X231156631","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2021.03.002"}],"container-title":["Journal of Telemedicine and Telecare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X231156631","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1357633X231156631","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1357633X231156631","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:16:31Z","timestamp":1777691791000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1357633X231156631"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,15]]},"references-count":59,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1177\/1357633X231156631"],"URL":"https:\/\/doi.org\/10.1177\/1357633x231156631","relation":{},"ISSN":["1357-633X","1758-1109"],"issn-type":[{"value":"1357-633X","type":"print"},{"value":"1758-1109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,15]]}}}