Development and validation of self-management education module of ChestCare app: Empowering healthy behaviours in chronic obstructive pulmonary disease.

Journal: Clinical rehabilitation
Published Date: Nov 5, 2025

Abstract

ObjectiveIn this mixed-methods study, we aimed to develop a self-management education module within the ChestCare mHealth app, thus enabling patients with chronic obstructive pulmonary disease to self-manage their condition and empower healthy behaviours.DesignWe integrated the results of sequential focus group discussions and content validity evaluation to decide the topics. We then utilized the multimedia learning theory, the Lung Foundation Australia Guidelines, and consolidated theories of mHealth development to design the education module. Consequently, we used artificial intelligence-augmented platforms to develop the multimedia educational tools.SettingOutpatient physiotherapy department in a Malaysian public hospital.ParticipantsPhysiotherapists and patients with chronic obstructive pulmonary disease engaged in sequential focus group discussions to share their perspectives on the proposed educational topics. Then, nine experts, three in physiotherapy, clinical psychology, and dietetics, evaluated the content validity of the education module.InterventionSelf-management education module to empower patients with chronic obstructive pulmonary disease.Main measuresthe development of a validated self-management education module that aims to improve treatment outcomes and address rehabilitation challenges.ResultsThe sequential discussions resulted in modifications and refinements of the proposed topics, ultimately identifying 12 education topics. The content validity calculations for the three educational clusters resulted in a score of 1. We developed flipbooks, education cards, and videos, along with auditory recitation, using theoretical design and creative development.ConclusionsWe created 12 flipbooks, education cards, and videos that serve as self-management education embedded in mHealth, with the next step to evaluate their usability and feasibility in clinical practice.

Authors

  • Suad J Ghaben
    Department of Physiotherapy, Faculty of Applied Medical Sciences, Al-Azhar University, Gaza, Palestine.
  • Arimi Fitri Mat Ludin
    Biomedical Science Programme & Center for Healthy Ageing and Wellness (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
  • Devinder Kaur Ajit Singh
    Physiotherapy Programme & Center for Healthy Ageing & Wellness, Faculty of Health Sciences (H-CARE), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia.
  • Nazlena Mohamad Ali
    Institute of Visual Informatics (IVI), Universiti Kebangsaan Malaysia, Bangi, Malaysia.

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