{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:50:46Z","timestamp":1788432646871,"version":"build-2803163510"},"reference-count":39,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2021,7,24]],"date-time":"2021-07-24T00:00:00Z","timestamp":1627084800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The total isolation of patients with coronavirus disease 2019 (COVID-19) requires non-face-to-face medical assistance. There is evidence of the efficacy of home treatments with exercises in patients with respiratory disorders which could become the therapeutic method of choice for the treatment and supervision of patients isolated due to infection during home confinement. This study\u2019s objective was to analyse the experience and opinions of isolated patients with COVID-19 included in a programme of telerehabilitation exercises for 14 days and it is intended to reflect, from a qualitative point of view, the viability and usefulness of telerehabilitation tools in the management of these patients. Twenty-five participants of a telerehabilitation programme were interviewed by telephone through semi-structured interviews, following a positivist and objective model. The data were categorised and analysed through NVIVO qualitative analysis software. The information obtained was classified into four main topics (telerehabilitation programme, perception of clinical benefit, psychological aspects and level of health care) and six subtopics (technical aspects, communication, improvement aspects, exercise plan, motivation and applicability to public health systems). The telerehabilitation programme established in patients confined by COVID-19 is very well received, without considerable technical difficulties and generates physical and psychological improvements. Patients highlight the importance of applying this type of programme in public health systems.<\/jats:p>","DOI":"10.3390\/ijerph18157845","type":"journal-article","created":{"date-parts":[[2021,7,25]],"date-time":"2021-07-25T22:06:21Z","timestamp":1627250781000},"page":"7845","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Perspectives and Attitudes of Patients with COVID-19 toward a Telerehabilitation Programme: A Qualitative Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6235-8353","authenticated-orcid":false,"given":"Carlos","family":"Bernal-Utrera","sequence":"first","affiliation":[{"name":"Fisiosur I + D Research Institute, Garrucha, 04630 Almer\u00eda, Spain"},{"name":"Physiotherapy Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9731-9039","authenticated-orcid":false,"given":"Ernesto","family":"Anarte-Lazo","sequence":"additional","affiliation":[{"name":"Doctoral Program in Health Sciences, University of Seville, 41009 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4805-7527","authenticated-orcid":false,"given":"Elena","family":"De-La-Barrera-Aranda","sequence":"additional","affiliation":[{"name":"Fisiosur I + D Research Institute, Garrucha, 04630 Almer\u00eda, Spain"},{"name":"Department of Morphological and Socio-Health Sciences, University of Cordoba, 14071 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3900-7088","authenticated-orcid":false,"given":"Laura","family":"Fernandez-Bueno","sequence":"additional","affiliation":[{"name":"University Hospital Virgen del Rocio, 41013 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Saavedra-Hernandez","sequence":"additional","affiliation":[{"name":"Fisiosur I + D Research Institute, Garrucha, 04630 Almer\u00eda, Spain"},{"name":"Department Nursing, Physiotherapy and Medicine, Faculty of Almer\u00eda, 04120 Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Jose","family":"Gonzalez-Gerez","sequence":"additional","affiliation":[{"name":"Fisiosur I + D Research Institute, Garrucha, 04630 Almer\u00eda, Spain"},{"name":"Department Nursing, Physiotherapy and Medicine, Faculty of Almer\u00eda, 04120 Almer\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Angeles","family":"Serrera-Figallo","sequence":"additional","affiliation":[{"name":"Stomatology Department, Faculty of Dentistry, University of Seville, 41009 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8674-9180","authenticated-orcid":false,"given":"Cleofas","family":"Rodriguez-Blanco","sequence":"additional","affiliation":[{"name":"Fisiosur I + D Research Institute, Garrucha, 04630 Almer\u00eda, Spain"},{"name":"Physiotherapy Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/S0140-6736(20)30183-5","article-title":"Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China","volume":"395","author":"Huang","year":"2020","journal-title":"Lancet"},{"key":"ref_2","unstructured":"(2021, June 20). Coronavirus Disease (COVID-19) Pandemic. Available online: https:\/\/www.who.int\/emergencies\/diseases\/novel-coronavirus-2019."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Brooks, S.K., Webster, R.K., Smith, L.E., Woodland, L., Wessely, S., and Greenberg, N. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet.","DOI":"10.2139\/ssrn.3532534"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"pzab025","DOI":"10.1093\/ptj\/pzab025","article-title":"Working on the Frontlines of the COVID-19 Pandemic: A Qualitative Study of Physical Therapists\u2019 Experience in Spain","volume":"101","author":"Florencio","year":"2021","journal-title":"Phys. Ther."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2000063","DOI":"10.1002\/bies.202000063","article-title":"Introducing the 21st Century\u2019s New Four Horsemen of the Coronapocalypse","volume":"42","author":"Cheong","year":"2020","journal-title":"BioEssays"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e2000178","DOI":"10.1002\/bies.202000178","article-title":"Superposition of COVID-19 waves, anticipating a sustained wave, and lessons for the future","volume":"42","author":"Lai","year":"2020","journal-title":"BioEssays"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2002324","DOI":"10.1002\/advs.202002324","article-title":"Relieving Cost of Epidemic by Parrondo\u2019s Paradox: A COVID-19 Case Study","volume":"7","author":"Cheong","year":"2020","journal-title":"Adv. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"103792","DOI":"10.1016\/j.compbiomed.2020.103792","article-title":"Automated detection of COVID-19 cases using deep neural networks with X-ray images","volume":"121","author":"Ozturk","year":"2020","journal-title":"Comput. Biol. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"103795","DOI":"10.1016\/j.compbiomed.2020.103795","article-title":"Application of deep learning technique to manage COVID-19 in routine clinical practice using CT images: Results of 10 convolutional neural networks","volume":"121","author":"Ardakani","year":"2020","journal-title":"Comput. Biol. Med."},{"key":"ref_10","unstructured":"(2021, June 20). Home Care for Patients with COVID-19 Presenting with Mild Symptoms and Management of Their Contacts [Internet]. Available online: https:\/\/www.who.int\/publications-detail\/home-care-for-patients-with-suspected-novel-coronavirus-(ncov)-infection-presenting-with-mild-symptoms-and-management-of-contacts."},{"key":"ref_11","first-page":"2042018819888824","article-title":"Reduced physical activity in young and older adults: Metabolic and musculoskeletal implications","volume":"10","author":"Pickles","year":"2019","journal-title":"Adv. Endocrinol. Metab."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1177\/1358863X17712103","article-title":"Combined effects of physical inactivity and acute hyperglycemia on arterial distensibility","volume":"22","author":"Montero","year":"2017","journal-title":"Vasc. Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"26","DOI":"10.3389\/fphys.2018.00026","article-title":"Hypoxia Exacerbates Negative Emotional State during Inactivity: The Effect of 21 Days Hypoxic Bed Rest and Confinement","volume":"9","author":"Stavrou","year":"2018","journal-title":"Front. Physiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1007\/s12603-020-1500-7","article-title":"Impact of social isolation due to COVID-19 on health in older people: Mental and physical effects and recommendations","volume":"24","author":"Ganz","year":"2020","journal-title":"J. Nutr. Health Aging"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.physio.2016.08.005","article-title":"Effectiveness of a combined exercise training and home-based walking programme on physical activity compared with standard medical care in moderate COPD: A randomised controlled trial","volume":"104","author":"Lucas","year":"2018","journal-title":"Physiotherapy"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1159\/000481264","article-title":"Effectiveness of a Home-Based Active Video Game Programme in Young Cystic Fibrosis Patients","volume":"95","author":"Blanco","year":"2018","journal-title":"Respiration"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1111\/ggi.13134","article-title":"Effectiveness of home-based exercise in older patients with advanced chronic obstructive pulmonary disease: A 3-year cohort study","volume":"18","author":"Wakabayashi","year":"2018","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e24960","DOI":"10.2196\/24960","article-title":"An Affordable, User-friendly Telerehabilitation System Assembled Using Existing Technologies for Individuals Isolated With COVID-19: Development and Feasibility Study","volume":"7","author":"Mukaino","year":"2020","journal-title":"JMIR Rehabil. Assist. Technol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1186\/s13063-020-04494-w","article-title":"Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: Study protocol for a randomized controlled trial","volume":"21","year":"2020","journal-title":"Trials"},{"key":"ref_20","first-page":"jrm00095","article-title":"Remote rehabilitation for patients with COVID-19","volume":"52","author":"Sakai","year":"2020","journal-title":"J. Rehabil. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.ijmedinf.2010.08.006","article-title":"Effectiveness of telemedicine: A systematic review of reviews","volume":"79","author":"Ekeland","year":"2010","journal-title":"Int. J. Med. Inform."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1089\/tmj.2009.0044","article-title":"Systematic review of telemedicine services for patients affected by chronic obstructive pulmonary disease (COPD)","volume":"15","author":"Bartoli","year":"2009","journal-title":"Telemed. J. E. Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1097\/HCR.0000000000000121","article-title":"A Systematic Review of the Effects of Telerehabilitation in Patients With Cardiopulmonary Diseases","volume":"35","author":"Hwang","year":"2015","journal-title":"J. Cardiopulm. Rehabil. Prev."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"27","DOI":"10.5195\/ijt.2016.6213","article-title":"Satisfaction and Experience With a Supervised Home-Based Real-Time Videoconferencing Telerehabilitation Exercise Program in People with Chronic Obstructive Pulmonary Disease (COPD)","volume":"8","author":"Tsai","year":"2016","journal-title":"Int. J. Telerehabilitation"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1136\/bjsports-2019-101375","article-title":"Effectiveness of exercises by telerehabilitation on pain, physical function and quality of life in people with physical disabilities: A systematic review of randomised controlled trials with GRADE recommendations","volume":"55","author":"Dias","year":"2021","journal-title":"Br. J. Sports Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1093\/ptj\/pzaa093","article-title":"Musculoskeletal Physical Therapy During the COVID-19 Pandemic: Is Telerehabilitation the Answer?","volume":"100","author":"Turolla","year":"2020","journal-title":"Phys. Ther."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1093\/ptj\/pzaa079","article-title":"COVID-19 and the Advancement of Digital Physical Therapist Practice and Telehealth","volume":"100","author":"Lee","year":"2020","journal-title":"Phys. Ther."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1097\/JCMA.0000000000000376","article-title":"Care for patients with musculoskeletal pain during the COVID-19 pandemic: Physical therapy and rehabilitation suggestions for pain management","volume":"83","author":"Wang","year":"2020","journal-title":"J. Chin. Med. Assoc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e13281","DOI":"10.2196\/13281","article-title":"Integration of Rehabilitation Activities Into Everyday Life Through Telerehabilitation: Qualitative Study of Cardiac Patients and Their Partners","volume":"21","author":"Dinesen","year":"2019","journal-title":"J. Med. Internet Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1080\/10749357.2019.1683792","article-title":"A qualitative study on user acceptance of a home-based stroke telerehabilitation system","volume":"27","author":"Chen","year":"2020","journal-title":"Top Stroke Rehabil."},{"key":"ref_31","first-page":"239","article-title":"The relationships of self-efficacy, physical activity, and paid work to health-related quality of life among patients with chronic obstructive pulmonary disease (COPD)","volume":"7","author":"Bentsen","year":"2014","journal-title":"J. Multidiscip. Healthc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1111\/2047-3095.12143","article-title":"Describing Self-Care Self-Efficacy: Definition, Measurement, Outcomes, and Implications","volume":"29","author":"Eller","year":"2018","journal-title":"Int. J. Nurs. Knowl."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.1378\/chest.10-0292","article-title":"Effectiveness trial of an intensive communication structure for families of long-stay ICU patients","volume":"138","author":"Daly","year":"2010","journal-title":"Chest"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1080\/09593985.2016.1194648","article-title":"Listening is therapy: Patient interviewing from a pain science perspective","volume":"32","author":"Diener","year":"2016","journal-title":"Physiother. Theory Pract."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1249\/MSS.0b013e318213fefb","article-title":"American College of Sports Medicine. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise","volume":"43","author":"Garber","year":"2011","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1001\/jamapsychiatry.2020.1276","article-title":"Mental Health in the Coronavirus Disease 2019 Emergency-The Italian Response","volume":"77","author":"Cerveri","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.physio.2018.04.004","article-title":"Effectiveness of physiotherapy with telerehabilitation in surgical patients: A systematic review and meta-analysis","volume":"104","author":"Vredeveld","year":"2018","journal-title":"Physiotherapy"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e10867","DOI":"10.2196\/10867","article-title":"Telerehabilitation for Stroke Survivors: Systematic Review and Meta-Analysis","volume":"20","author":"Tchero","year":"2018","journal-title":"J. Med. Internet Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1177\/0269215516645148","article-title":"Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis","volume":"31","author":"Cottrell","year":"2017","journal-title":"Clin. Rehabil."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/15\/7845\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:34:27Z","timestamp":1760164467000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/15\/7845"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,24]]},"references-count":39,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2021,8]]}},"alternative-id":["ijerph18157845"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18157845","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,24]]}}}