{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:16:38Z","timestamp":1787019398917,"version":"build-2736575974"},"reference-count":74,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Department of Physiotherapy at Karolinska Univerity hospital, Stockholm, Sweden"},{"name":"the Sch\u00f6rling Foundation, Sweden"},{"name":"the Swedish Heart and Lung Association","award":["E101\/13, E118\/14,E144-15"],"award-info":[{"award-number":["E101\/13, E118\/14,E144-15"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>A pulmonary rehabilitation (PR) programme, including exercise training, education, and behaviour change, is highly recommended in treatment guidelines for chronic obstructive pulmonary disease (COPD). A new PR educational material for PR using an interactive three-dimensional (3D) visualisation technique was developed. There is little known regarding using 3D in this setting. The aim was to evaluate, within a PR programme setting, differences between outcomes of education through interactive 3D compared with education by means of 2D visualisation in patients with COPD regarding health-related quality of life (HRQL), physical capacity, exercise self-efficacy, compliance to exercise training, compliance to medication, and the use of health care and to describe learning styles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients were cluster randomised to PR at the University Hospital clinic, including exercise training, for 10 weeks with education by 3D ( n\u2009=\u200927) or education by traditional 2D technique ( n\u2009=\u200917). At follow-ups, HRQL, physical capacity, self-efficacy, handgrip strength, compliance to exercise training, compliance to medication and health care utilisation were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No significant differences were observed in HRQL in relation to COPD between the groups after 10 weeks. Differences were found in handgrip strength at baseline and at 10 weeks ( p\u2009&lt;\u20090.01). The 3D group had improved scores in HRQL assessed with the Leicester Cough Questionnaire (LCQ-S) psychological domain ( p\u2009=\u20090.022). In the 2D group, the LCQ-S social domain ( p\u2009=\u20090.028), psychological domain ( p\u2009=\u20090.021) and the St George\u2019s Respiratory Questionnaire total ( p\u2009=\u20090.050) were increased. The most common learning mode and learning style in both groups was reflective observation and divergent style.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An interactive education in 3D technique used in a PR programme for patients with COPD yielded no significant differences compared to conventional techniques. Three-dimensional techniques can be used in PR for COPD as an alternative to conventional techniques. ClinicalTrials.gov (identifier:NCT02802618).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076241308940","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T10:16:57Z","timestamp":1737109017000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Interactive 3D visualisation technique used in pulmonary rehabilitation in chronic obstructive pulmonary disease: A randomised controlled study evaluating quality of life, compliance and use of health care"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4479-3367","authenticated-orcid":false,"given":"Pernilla","family":"S\u00f6nnerfors","sequence":"first","affiliation":[{"name":"Medical Unit Occupational therapy and Physiotherapy, Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden"},{"name":"Division of Physiotherapy, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Huddinge, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna-Karin","family":"Nordlin","sequence":"additional","affiliation":[{"name":"Rehabilitation Specialist Care Unit, Bolln\u00e4s Hospital, Region G\u00e4vleborg, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Nykvist","sequence":"additional","affiliation":[{"name":"Feelgood Physiotherapy, Grev Turegatan, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8367-3118","authenticated-orcid":false,"given":"Ulrika","family":"Thunstr\u00f6m","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy, Department of Orthopaedics, Danderyd Hospital Corp., Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0454-178X","authenticated-orcid":false,"given":"Ulrika","family":"Einarsson","sequence":"additional","affiliation":[{"name":"Medical Unit Occupational therapy and Physiotherapy, Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden"},{"name":"Division of Physiotherapy, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Huddinge, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"key":"bibr1-20552076241308940","volume-title":"Global strategy for prevention, diagnosis and management of COPD: 2024 report","author":"Agusti A","year":"2024"},{"key":"bibr2-20552076241308940","unstructured":"WHO. 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