Experiences of individuals with Chronic Obstructive Pulmonary Disease using a novel web-based rehabilitation programme: SPACE FOR COPD

The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.Background: The SPACE for COPD self-management programme has been integrated into an online programme for patients to pursue at home with the support of healthcare professionals. Aim: To identify barriers and facilitators to participation in the web-based programme and to identify further development of the website. Method: This was a nested qualitative study as part of a feasibility study investigating web-based rehabilitation compared to standard pulmonary rehabilitation. Framework analysis was performed to identify themes. Findings: Four overarching themes were identified; programme content and reported gains; embedding the programme into daily routines; barriers to participating in the programme and support. These themes describe benefits to the programme including improved activity levels, exercise intensity and knowledge of the condition, as well as incorporation of exercise into daily routine. Both completers and non-completers acknowledged the importance of motivation and self-discipline to follow the programme and that the flexibility of the programme could help or hinder engagement as a result. Support from healthcare professionals was important and utilised for encouragement, health advice and technical support. Conclusion: The experiences of COPD patients using this web-based rehabilitation programme present how patients can benefit from such a resource and integrate it into their daily lifestyle