The Impact of Individual Differences on Respiratory Healthcare for People with COPD: A Qualitative Study of Clinicians' Perspectives

Abstract Chronic obstructive pulmonary disease (COPD) is characterized by persistent obstruction to airflow through the lungs and long-term respiratory symptoms. Apart from dyspnea, a critical characteristic of patients with COPD is an impaired capacity to exercise, which limits their ability to participate in daily activities and severely impacts their quality of life. To provide a precise and effective exercise prescription, it is necessary to translate exercise science into evidence-based recommendations for pulmonary rehabilitation (PR). This study employed grounded theory methodology, and a series of semi-structured interviews were conducted with a convenience sample of 24 respiratory care professionals who had an average of 17 years of relevant clinical work experience and were currently providing pulmonary rehabilitation services to COPD patients. Interviews were transcribed verbatim, and analysis was undertaken to identify the following themes: (1) Summary of system design features of exercise prescriptions; (2) Assistive Devices and Considerations for Exercise Training; and (3) Physical activity and exercise monitoring for COPD patients discharged from hospital. Our findings indicate that the implementation of exercise training to enhance the exercise capacity of COPD patients is a complex process. Barriers associated with physicians contribute to the challenges in effectively implementing exercise training programs. These barriers emphasize the importance of precise measurement and monitoring of physiological parameters. Furthermore, it is crucial to consider individual differences, limitations in workplaces and medical resources, and the effective utilization of technology for continuous monitoring of patient recovery.