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A menu-based approach to pulmonary rehabilitation

A menu-based approach to facilitate uptake and completion of pulmonary rehabilitation programmes for patients with COPD 

What we are doing?

  • A critical appraisal of the current literature on shared decision making tools in COPD 

  • The development of a shared-decision making tool/toolkit for use in PR conversation with COPD patients 

  • A study assessing the feasibility and acceptability of a shared-decision making tool/toolkit in PR conversations with COPD patients (to inform the need for a full-scale, multicentre, randomised controlled trial) 

Why we are doing it?

Despite significant health benefits of Pulmonary Rehabilitation (PR), referral and uptake remains poor. To combat this, various non-inferior alternatives have been developed, tested and integrated at University Hospitals of Leicester NHS Trust. These include a self-management manual with remote support from healthcare professionals (Horton et al. 2014) and a comparable programme delivered online (Chaplin et al. 2015), however these are not offered routinely to patients. 

Preliminary interviews with COPD patients and referring healthcare professionals indicate an appetite for shared-decision making in PR conversations. The aim of this research is to investigate the impact of integrating shared-decision making into the PR. 

What the benefits will be and to whom?

PR is an evidence-based treatment for COPD patients as it has shown to improve breathlessness, exercise capacity and psychological wellbeing. The integration of shared-decision making into the PR service has the potential to increase COPD patient’s knowledge, understanding, decision making and access to PR. In consequence this may increase referral and uptake to the service, meaning more patients reap the benefits of this valuable treatment.  

Who we are working with?

This research is in collaboration with the University of Leicester and University Hospitals of Leicester NHS Trust. 


Amy Barradell, PhD Student, Respiratory Biomedical Research Centre, Glenfield Hospital, University Hospitals of Leicester NHS Trust,  

Image by fernando zhiminaicela from Pixabay