Pimenta, SaraHansen, HenrikDemeyer, HeleenSlevin, PatrickCruz, Joana2022-12-132022-12-132022Pimenta S, Hansen H, Demeyer H, et al. Role of digital health in pulmonary rehabilitation and beyond – shaping the future. ERJ Open Res 2022; in press (https://doi.org/10.1183/23120541.00212-2022).2312-0541http://hdl.handle.net/10400.8/7938Footnotes: This manuscript has recently been accepted for publication in the ERJ Open Research. It is published here [ERJ Open Research] in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJOR online. This publisher policy does not allow for Open Access for this version in Any Repository.Pulmonary rehabilitation (PR) is a cost-effective intervention with well-known benefits on exercise capacity, symptoms and quality of life in patients with chronic respiratory diseases. Despite the compelling evidence of its benefits, PR implementation is still suboptimal, and maintenance of PR benefits is challenging. To overcome these pitfalls, there has been a growing interest to develop novel models for PR delivery. Digital health is a promising solution, as it has the potential to address some of the most reported barriers to PR uptake and adherence (such as accessibility issues), help maintain the positive results following a PR programme, and/or promote patients’ adherence to a more active lifestyle through physical activity (tele-)coaching. Despite the accelerated use of digital health to deliver PR during the COVID-19 pandemic, there are still several factors that contribute to the resistance in the adoption of digital health, such as the lack of evidence on its effectiveness, low acceptability by patients and healthcare professionals, concerns about implementation and maintenance costs, inequalities in access to the internet and technological devices, and data protection issues. Nevertheless, the trend towards reducing technology costs and the higher availability of digital devices, as well as the greater ease and simplicity of use of devices, enhance the opportunities for future development of digitally enabled PR interventions. This narrative review aimed to examine the current evidence on the role of digital health in the context of PR, including strengths and weaknesses, and to determine possible threats and opportunities, as well as areas for future work.engCOPDPulmonary rehabilitationPhysical activityCOPD managementActive lifestyleRespiratory diseasejournal articlehttps://doi.org/10.1183/23120541.00212-2022