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Lookup NU author(s): Paul McCallion, Dr Joanne LallyORCiD, Professor Anthony De SoyzaORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© Author(s) (or their employer(s)) 2026. Re-use permitted under CC BY. Published by BMJ Group. OBJECTIVES: Determine patients' and physiotherapists' prospective acceptability of using a shared decision-making (SDM) intervention to support patient choice of airway clearance technique (ACT) prescription for adults with bronchiectasis. DESIGN: We conducted a qualitative study using focus groups and interviews. SETTING: Participants were recruited throughout the UK. All interviews and focus groups were conducted from the researcher's private home or Research Team office at Newcastle University. Face-to-face focus groups or interviews were conducted in a university conference room. PARTICIPANTS: 21 physiotherapists and 21 patients living with bronchiectasis participated. RESULTS: 12 themes were identified covering all seven domains of the theoretical framework of acceptability. Themes included: adherence, cultural challenges, education, empowerment, engagement, flexibility, health literacy, overwhelming information, participant understanding, resources, supportive of preferences and time. CONCLUSION: A SDM intervention to support patient choice of ACT in bronchiectasis appears to be acceptable to both stakeholder groups. Additionally, we identified novel factors informing the design and implementation of a future SDM intervention. Future research should consider the systematic development of an SDM intervention to support patient choice of ACT in bronchiectasis.
Author(s): McCallion P, Bradley J, Lally J, Robinson L, MacGregor F, De Soyza A
Publication type: Article
Publication status: Published
Journal: BMJ Open
Year: 2026
Volume: 16
Issue: 7
Online publication date: 28/07/2026
Acceptance date: 17/07/2026
Date deposited: 17/08/2026
ISSN (print): 2044-6055
ISSN (electronic): 2044-6055
Publisher: BMJ Publishing Group
URL: https://doi.org/10.1136/bmjopen-2026-119884
DOI: 10.1136/bmjopen-2026-119884
Data Access Statement: Data relating to this work are available from the corresponding author upon reasonable request.
PubMed id: 42521311
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