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

作者：Qiuxuan Zeng, Wenli Chen, Siyi Xu, Yang Xu, Dandan Xue, Yuhang Peng, Xiaohong Lin, Y. Bruce Yu, Huixin Huang, Ping Huang, Min Dong, Jiaying Li · 发表于：Frontiers in Public Health · 年份：2025 · DOI：10.3389/fpubh.2025.1553744 · 被引用次数：12 · 研究领域：Chronic Obstructive Pulmonary Disease (COPD) Research、Chronic Disease Management Strategies、Diabetes Management and Education

Background: Home-based pulmonary rehabilitation (PR) is a key non-pharmacological intervention for chronic obstructive pulmonary disease (COPD), but poor adherence limits its effectiveness. The factors influencing adherence, particularly from the patients' perspective, are not well understood. This study aims to identify the factors that promote or hinder adherence to home-based rehabilitation in COPD patients, to inform more effective and personalized strategies. Methods: This study guided by Health Belief Model (HBM), and data were collected through semi-structured in-depth interviews with eligible COPD patients during May and July 2024. Deductive thematic analysis approach was used to analyze the data. Results: Eighteen patients were recruited through purposive sampling. Two main themes emerged-facilitating health beliefs and challenges- along with five subthemes under the HBM framework: perceived threats, perceived benefits, cues to action, self-efficacy, and perceived barriers. In total, 28 categories were identified (21 facilitators, 7 barriers), including 11 newly discovered facilitators and one new barrier. Newly identified facilitators included physical limitations and fatigue, emotional distress, perceived ineffectiveness, time constraints, caregiving responsibilities, lack of support, cost, poor exercise conditions, reduced medical dependence, self-awareness of functional decline, attention-seeking behaviors, environmental cues, mental resilience, and religious bel...