Table 2.

Themes and description of each theme.

Themes	Description
Increased compliance	Significant increase in the patients’ compliance with pulmonary rehabilitation (ie, doing their exercises)
Increased engagement	Increased engagement in pulmonary rehabilitation when using virtual reality because of enjoyment
Physical improvements	Significant improvements in patients’ physical health (ie, strength, mobility, and flexibility)
Improved psychological well-being	Patients’ psychological well-being has significantly improved
Improved health-related quality of life	Patients feel healthier and fitter (ie, they can confidently leave the house and socialize more than before)
Increased confidence	Significant improvements in confidence in terms of the patients managing their condition and performing daily activities and physical exercises
Patient satisfaction	Patients are satisfied with completing the Pulmonary Rehabilitation in Virtual Reality program and achieving their short-term and long-term goals
Increased feeling of security	Patients feel more secure, reassured, and confident to exercise, knowing their physiological data are being remotely supervised
Effective immersive learning	Effectiveness of immersive learning for patients with COPDa was demonstrated
Personalized programs	A recommendation to provide programs tailored to suit various levels of COPD
Need for technological improvements	Need for technological improvements of both the device (eg, a more lightweight headset) and the content of the app (eg, additional functions to control the pace and standing-up exercises) to improve the patients’ experience

^aCOPD: chronic obstructive pulmonary disease.