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A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach

BACKGROUND: Although home telemonitoring (TM) is a promising approach for patients managing their chronic disease, rehabilitation using home TM has not been tested for use with individuals living with chronic obstructive pulmonary disease (COPD) residing in underserved communities. OBJECTIVE: This s...

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Autores principales: Pekmezaris, Renee, Kozikowski, Andrzej, Pascarelli, Briana, Wolf-Klein, Gisele, Boye-Codjoe, Eugenia, Jacome, Sonia, Madera, Danielle, Tsang, Donna, Guerrero, Brenda, Medina, Richard, Polo, Jennifer, Williams, Myia, Hajizadeh, Negin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055744/
https://www.ncbi.nlm.nih.gov/pubmed/32012039
http://dx.doi.org/10.2196/13197
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author Pekmezaris, Renee
Kozikowski, Andrzej
Pascarelli, Briana
Wolf-Klein, Gisele
Boye-Codjoe, Eugenia
Jacome, Sonia
Madera, Danielle
Tsang, Donna
Guerrero, Brenda
Medina, Richard
Polo, Jennifer
Williams, Myia
Hajizadeh, Negin
author_facet Pekmezaris, Renee
Kozikowski, Andrzej
Pascarelli, Briana
Wolf-Klein, Gisele
Boye-Codjoe, Eugenia
Jacome, Sonia
Madera, Danielle
Tsang, Donna
Guerrero, Brenda
Medina, Richard
Polo, Jennifer
Williams, Myia
Hajizadeh, Negin
author_sort Pekmezaris, Renee
collection PubMed
description BACKGROUND: Although home telemonitoring (TM) is a promising approach for patients managing their chronic disease, rehabilitation using home TM has not been tested for use with individuals living with chronic obstructive pulmonary disease (COPD) residing in underserved communities. OBJECTIVE: This study aimed to analyze qualitative data from focus groups with key stakeholders to ensure the acceptability and usability of the TM COPD intervention. METHODS: We utilized a community-based participatory research (CBPR) approach to adapt a home TM COPD intervention to facilitate acceptability and feasibility in low-income African American and Hispanic patients. The study engaged community stakeholders in the process of modifying the intervention in the context of 2 community advisory board meetings. Discussions were audio recorded and professionally transcribed and lasted approximately 2 hours each. Structural coding was used to mark responses to topical questions in interview guides. RESULTS: We describe herein the formative process of a CBPR study aimed at optimizing telehealth utilization among African American and Latino patients with COPD from underserved communities. A total of 5 major themes emerged from qualitative analyses of community discussions: equipment changes, recruitment process, study logistics, self-efficacy, and access. The identification of themes was instrumental in understanding the concerns of patients and other stakeholders in adapting the pulmonary rehabilitation (PR) home intervention for acceptability for patients with COPD from underserved communities. CONCLUSIONS: These findings identify important adaptation recommendations from the stakeholder perspective that should be considered when implementing in-home PR via TM for underserved COPD patients. TRIAL REGISTRATION: ClinicalTrials.gov NCT03007485; https://clinicaltrials.gov/ct2/show/NCT03007485
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spelling pubmed-70557442020-03-16 A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach Pekmezaris, Renee Kozikowski, Andrzej Pascarelli, Briana Wolf-Klein, Gisele Boye-Codjoe, Eugenia Jacome, Sonia Madera, Danielle Tsang, Donna Guerrero, Brenda Medina, Richard Polo, Jennifer Williams, Myia Hajizadeh, Negin JMIR Form Res Original Paper BACKGROUND: Although home telemonitoring (TM) is a promising approach for patients managing their chronic disease, rehabilitation using home TM has not been tested for use with individuals living with chronic obstructive pulmonary disease (COPD) residing in underserved communities. OBJECTIVE: This study aimed to analyze qualitative data from focus groups with key stakeholders to ensure the acceptability and usability of the TM COPD intervention. METHODS: We utilized a community-based participatory research (CBPR) approach to adapt a home TM COPD intervention to facilitate acceptability and feasibility in low-income African American and Hispanic patients. The study engaged community stakeholders in the process of modifying the intervention in the context of 2 community advisory board meetings. Discussions were audio recorded and professionally transcribed and lasted approximately 2 hours each. Structural coding was used to mark responses to topical questions in interview guides. RESULTS: We describe herein the formative process of a CBPR study aimed at optimizing telehealth utilization among African American and Latino patients with COPD from underserved communities. A total of 5 major themes emerged from qualitative analyses of community discussions: equipment changes, recruitment process, study logistics, self-efficacy, and access. The identification of themes was instrumental in understanding the concerns of patients and other stakeholders in adapting the pulmonary rehabilitation (PR) home intervention for acceptability for patients with COPD from underserved communities. CONCLUSIONS: These findings identify important adaptation recommendations from the stakeholder perspective that should be considered when implementing in-home PR via TM for underserved COPD patients. TRIAL REGISTRATION: ClinicalTrials.gov NCT03007485; https://clinicaltrials.gov/ct2/show/NCT03007485 JMIR Publications 2020-01-31 /pmc/articles/PMC7055744/ /pubmed/32012039 http://dx.doi.org/10.2196/13197 Text en ©Renee Pekmezaris, Andrzej Kozikowski, Briana Pascarelli, Gisele Wolf-Klein, Eugenia Boye-Codjoe, Sonia Jacome, Danielle Madera, Donna Tsang, Brenda Guerrero, Richard Medina, Jennifer Polo, Myia Williams, Negin Hajizadeh. Originally published in JMIR Formative Research (http://formative.jmir.org), 31.01.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on http://formative.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Pekmezaris, Renee
Kozikowski, Andrzej
Pascarelli, Briana
Wolf-Klein, Gisele
Boye-Codjoe, Eugenia
Jacome, Sonia
Madera, Danielle
Tsang, Donna
Guerrero, Brenda
Medina, Richard
Polo, Jennifer
Williams, Myia
Hajizadeh, Negin
A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach
title A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach
title_full A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach
title_fullStr A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach
title_full_unstemmed A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach
title_short A Telehealth-Delivered Pulmonary Rehabilitation Intervention in Underserved Hispanic and African American Patients With Chronic Obstructive Pulmonary Disease: A Community-Based Participatory Research Approach
title_sort telehealth-delivered pulmonary rehabilitation intervention in underserved hispanic and african american patients with chronic obstructive pulmonary disease: a community-based participatory research approach
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055744/
https://www.ncbi.nlm.nih.gov/pubmed/32012039
http://dx.doi.org/10.2196/13197
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