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Updated: Aug 5, 2026

Systematic Bronchoscopy: the Four Landmarks Approach
Published on: June 23, 2023
Qualitative exploration assessing the acceptability of shared decision-making for prescribing airway clearance
Paul McCallion1,2, Judy Bradley3, Joanne Lally4
1Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK paul.mccallion@nhs.net.
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.
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