A qualitative assessment of the pulmonary rehabilitation decision-making needs of patients living with COPD


Pulmonary rehabilitation (PR) is highly evidenced but underutilised in patients living with chronic obstructive pulmonary disease (COPD). A menu of centre and home-based programmes is available to facilitate uptake but is not routinely offered. An appraisal of the current PR referral approach compared to a menu-based approach was warranted to explore the decision-making needs of patients living with COPD when considering a referral to PR. Face-to-face or telephone, semi-structured interviews were conducted with patients diagnosed with COPD and referred to PR and referring HCPs. Interviews were audio-recorded, transcribed verbatim and analysed using the enhanced critical incident technique. 14 HCPs and 11 patients were interviewed (n = 25). Interview data generated 276 critical incidents which informed 28 categories (30 sub-categories). Five high-level themes captured patients' decision-making needs for PR: Understanding COPD, understanding PR, perceived ability to access PR, a desire to accept PR, and supporting the offer. A menu-based approach would further support patients' PR decision-making, however, insufficient knowledge of the programmes would limit its perceived feasibility and acceptability. The development of shared decision making interventions (e.g., a patient decision aid) to elicit patient-centred, meaningful discussions about the menu is suggested.

Publication DOI: https://doi.org/10.1038/s41533-022-00285-9
Divisions: College of Health & Life Sciences > School of Psychology
College of Health & Life Sciences > Aston Institute of Health & Neurodevelopment (AIHN)
College of Health & Life Sciences
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Uncontrolled Keywords: Humans,Pulmonary Disease, Chronic Obstructive/rehabilitation,Qualitative Research,Referral and Consultation
Publication ISSN: 2055-1010
Last Modified: 29 May 2024 07:57
Date Deposited: 01 Jul 2022 07:29
Full Text Link:
Related URLs: https://www.nat ... 533-022-00285-9 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2022-06-29
Accepted Date: 2022-05-24
Submitted Date: 2021-10-19
Authors: Barradell, A. C.
Bourne, C.
Alkhathlan, B.
Larkin, M. (ORCID Profile 0000-0003-3304-7000)
Singh, S. J.



Version: Published Version

License: Creative Commons Attribution

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