Understanding facilitators and barriers to adherence in home-based pulmonary rehabilitation for chronic obstructive pulmonary disease patients using the Health Belief Model: a qualitative study
This study underscores facilitators and barriers influencing home-based PR adherence within the HBM framework. Facilitators include broad factors related to perceived benefits, cues to action, self-efficacy, and perceived threats, while barriers encompass physical limitations, time constraints, and insufficient support. Flexible, personalized programs and greater family involvement can enhance adherence, improve long-term outcomes, and mitigate the rising burden of chronic diseases in aging societies.
Authors
- Min Dong (ORCID: https://orcid.org/0000-0003-0112-2942)
- Ping Huang (ORCID: https://orcid.org/0000-0003-1775-029X)
- Yuhang Peng
- Huixin Huang
- Qiuxuan Zeng
- Xiaohong Lin (ORCID: https://orcid.org/0000-0003-2979-8119)
- Jiaying Li (ORCID: https://orcid.org/0000-0003-3022-5158)
- Yang Xu (ORCID: https://orcid.org/0000-0002-0664-5251)
- Wenli Chen (ORCID: https://orcid.org/0000-0002-2379-4005)
- Dandan Xue (ORCID: https://orcid.org/0000-0003-3392-5598)
- Siyi Xu (ORCID: https://orcid.org/0000-0003-4177-3723)
- Y. Bruce Yu (ORCID: https://orcid.org/0000-0001-8043-6530)
Institutions
- Guangzhou University of Chinese Medicine (CN)
- Johns Hopkins University (US)
- Chinese University of Hong Kong (HK)
- First Affiliated Hospital of Guangzhou Medical University (CN)
- University of Hong Kong (HK)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Frontiers in Public Health
- Published
- 2025-05-20
- DOI
- https://doi.org/10.3389/fpubh.2025.1553744
- Citations
- 7
- Primary Topic
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Type
- article
- Field-Weighted Citation Impact
- 10.63
Funders
- Guangzhou Medical University
- Guangzhou Municipal Science and Technology Bureau