Purpose: Chronic Obstructive Pulmonary Disease (COPD) is a major global health concern that substantially affects patients’ quality of life. Pulmonary rehabilitation exercises are effective in alleviating symptoms and reducing hospitalization rates; however, patients’ learning effectiveness and motivation remain critical challenges in rehabilitation education. Given the need for accessible and sustainable patient education strategies, this study aimed to examine whether integrating guiding questions into pulmonary rehabilitation health education videos could enhance learning effectiveness and learning motivation among patients with COPD. Patients and Methods: This study employed a prospective controlled trial with quasi-random allocation. The research was conducted in 2024 at a hospital in Taiwan, involving 60 patients with chronic obstructive pulmonary disease. Participants were divided into an experimental group (receiving guiding questions instructional strategy videos) and a control group (receiving traditional videos). Baseline and post-intervention data were collected through a learning assessment form and the learning motivation scores. Results: Both groups showed significant improvements in learning assessment scores and motivation after the intervention (p < 0.05). Further comparison revealed that the experimental group had higher adjusted mean scores than the control group in both learning assessment (65.00 vs 52.00) and learning motivation (156.67 vs 137.27), with statistically significant differences. Conclusion: The high cost of certain equipment and technological solutions often limits their widespread adoption in clinical education settings. Therefore, identifying cost-effective yet high-impact instructional strategies is essential to enhance accessibility and support the sustainable implementation of patient education. Integrating guiding questions into pulmonary rehabilitation health education videos significantly enhances patients’ learning effectiveness and learning motivation. As a low-cost and scalable instructional strategy, this approach offers a practical means of strengthening educational outcomes in pulmonary rehabilitation programs for patients with COPD. Keywords: chronic obstructive pulmonary disease, pulmonary rehabilitation, guiding questions, health education video, learning motivation
Lin et al. (Sun,) studied this question.