{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:12:38Z","timestamp":1777565558064,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NHS Accelerated Access Collaborative through a Small Business Research Initiative"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chron Respir Dis"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Centre-PR may not be accessible for people living distant from PR centres. Remote digital PR may have equivalent benefits to centre-PR; however, previous trials were potentially biased towards digitally literate patients, and largely excluded participants with a preference for centre-PR. There is limited data on the real-world implementation of, and acceptability for, Digital-PR alone or as an adjunct to other models of PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To gather patients\u2019 views about the acceptability of Active+me REMOTE, a digital pulmonary rehabilitation app (Digital-PR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative exploratory study using semi-structured interviews with a subset (n = 15) of patients in a mixed method, feasibility study of a hybrid pulmonary rehabilitation, blending Digital-PR with other models of PR. Transcribed data were coded descriptively using Braun and Clarkes\u2019 methodology, data interpretation was facilitated through a Miro virtual whiteboard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was appreciation for the concept of Digital-PR, indicated by positive responses in the domains of \u201cfriends and family recommendation,\u201d \u201cintention to continue using the app,\u201d and \u201cprivacy concerns.\u201d Benefits were reported by two participants who had declined centre-based PR. The app was rated low regarding user-friendliness. Challenges in understanding\/using the app and a perception of challenges for others were reported and were associated with poor digital literacy and tech savviness. High digital skills did not predict a favourable assessment of the app as user-friendly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Whilst there was a general appreciation for the concept of digital PR as an adjunct or alternative to traditional centre-based PR, the app did not appear to be user-friendly, nor acceptable to people with low digital literacy. The findings have implications for the wider routine implementation of Digital-PR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14799731251365632","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T22:15:23Z","timestamp":1755123323000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Acceptability of a digital pulmonary rehabilitation app as an adjunct or alternative to usual care for people with chronic lung diseases: A qualitative study of patients\u2019 views and experiences"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0855-2574","authenticated-orcid":false,"given":"Pamela","family":"Knight-Davidson","sequence":"first","affiliation":[{"name":"School of Midwifery and Community Health, Faculty of Health, Medicine, and Social Care, Anglia Ruskin University, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oluwasomi Festus","family":"Meshe","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health, Medicine, and Social Care, Anglia Ruskin University, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8631-0725","authenticated-orcid":false,"given":"Timothy O.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Harefield Respiratory Research Group, Harefield Hospital, Guy\u2019s &amp; St. Thomas\u2019 NHS Foundation Trust, London, UK"},{"name":"College of Medicine, Health and Life Sciences, Department of Health Sciences, Brunel University London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George D.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Harefield Respiratory Research Group, Harefield Hospital, Guy\u2019s &amp; St. Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhani","family":"Patel","sequence":"additional","affiliation":[{"name":"Harefield Respiratory Research Group, Harefield Hospital, Guy\u2019s &amp; St. Thomas\u2019 NHS Foundation Trust, London, UK"},{"name":"National Heart &amp; Lung Institute, Imperial College, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmel","family":"Moore","sequence":"additional","affiliation":[{"name":"Clinical Trials Unit, Anglia Ruskin University, Chelmsford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Hayden","sequence":"additional","affiliation":[{"name":"Clinical Trials Unit, Anglia Ruskin University, Chelmsford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham","family":"Ball","sequence":"additional","affiliation":[{"name":"Medical Technology Research Centre, Anglia Ruskin University, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen A.","family":"Ingram","sequence":"additional","affiliation":[{"name":"Harefield Pulmonary Rehabilitation Unit, Harefield Hospital, Guy\u2019s &amp; St. Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9067-599X","authenticated-orcid":false,"given":"Claire M.","family":"Nolan","sequence":"additional","affiliation":[{"name":"Harefield Respiratory Research Group, Harefield Hospital, Guy\u2019s &amp; St. Thomas\u2019 NHS Foundation Trust, London, UK"},{"name":"College of Medicine, Health and Life Sciences, Department of Health Sciences, Brunel University London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William D. 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