Feasibility and Acceptability of an eHealth-Based Physical Activity Coaching Intervention During Pulmonary Rehabilitation for People With Chronic Obstructive Pulmonary Disease: Mixed Methods Study

Abstract

Background: Physical inactivity is a modifiable and significant trait in people with chronic obstructive pulmonary disease (COPD). While traditional exercise-based pulmonary rehabilitation (PR) improvessymptoms and exercise tolerance, its impact on physical activity (PA) levels remains limited. Digital health (eHealth) interventions may help address this gap. Objective: This study aimed to assess the feasibility and acceptability of integrating an eHealth PA coaching intervention into PR for peoplewith COPD. Methods: Patients enrolled in an outpatient PR program were recruited for a 3-week PA coaching intervention, which used a smart band connected to a mobile patient app and a web application for health care professionals (HCPs). The intervention included PA monitoring (steps per day); weekly goal setting; and app notifications for goal updates, achievement, and motivational messages. Weekly telephone calls supported goal adjustment and identification of PA barriers. The acceptability of the intervention was explored through a patient focus group. Results: Five patients with COPD (mean 67, SD 9 years; no4, 80% female; mean predicted forced expiratory volume at 1 second of 49%, SD 23%) participated with 100% retention and adherence to the intervention (daily synchronization). No adverse events or PA barriers were identified. One patient reported an app connection issue that was resolved by restarting the app. Patients found the app easy to use and helpful for their PA awareness and remote monitoring by HCPs. Weekly goal adjustments and contact with an HCP were valued. Limitations regarding the app use included a lack of personalization, goal setting restricted to steps, and occasional step miscounts. Conclusions: The intervention was feasible and well accepted. Future studies with a larger sample are needed to assess the impact of the intervention on PA outcomes.