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Qualitative exploration assessing the acceptability of shared decision-making for prescribing airway clearance techniques in adults with bronchiectasis

Lookup NU author(s): Paul McCallion, Dr Joanne LallyORCiD, Professor Anthony De SoyzaORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

© 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.

Publication metadata

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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