Evidence map›Paper›PMID 37793682›Full record

ArticleBMJ open respiratory research2023

Patient perspectives on home-spirometry in interstitial lung disease: a qualitative co-designed study.

Jessica Mandizha, Joseph W Lanario, Anna Duckworth, Sarah Lines, Ana Paiva, Victoria Elworthy, Veena Muraleedharan, Ana Jorge Da Ponte, Rebecca Shuttleworth, Graham Brown and 10 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open respiratory research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 3 institutions in 1 country.

Jessica MandizhaInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.ORCID 0000-0002-5218-4732
Joseph W LanarioInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Anna DuckworthClinical & Biomedical Science, University of Exeter, Exeter, Devon, UK.ORCID 0000-0002-2532-8067
Sarah LinesInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Ana PaivaInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Victoria ElworthyInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Veena MuraleedharanInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Ana Jorge Da PonteInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Rebecca ShuttleworthInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Graham BrownEPIC Group, University of Exeter, Exeter, Devon, UK.
Howard AlmondEPIC Group, University of Exeter, Exeter, Devon, UK.
Carole BondEPIC Group, University of Exeter, Exeter, Devon, UK.
Maureen CosbyInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Joanne DallasRespiratory Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Marium NaqviRespiratory Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Adam David RussellCreative Arts, AR Design Studio, Bristol, Somerset, UK.
Alex BerryAcademy of Nursing, University of Exeter, Exeter, Devon, UK.
Michael GibbonsInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK.
Christopher J ScottonClinical & Biomedical Science, University of Exeter, Exeter, Devon, UK.ORCID 0000-0002-9671-9057
Anne-Marie RussellInterstitial Lung Disease Unit, Royal Devon University Healthcare NHS Foundation Trust, Exeter, Devon, UK a.russell4@exeter.ac.uk.ORCID 0000-0002-0468-3537
University of Exeter · GBRoyal Devon & Exeter NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GB

Funding

Department of Health JM22-23
6 · The paper itself

Abstract

backgroundOpportunities for home-monitoring are increasing exponentially. Home- spirometry is reproducible and reliable in interstitial lung disease (ILD), yet patients' experiences are not reported. Given the morbidity and mortality associated with ILDs, maintaining health-related quality-of-life is vital. We report our findings from a codesigned, qualitative study capturing the perspectives and experiences of patients using home-spirometry in a UK regional ILD National Health Service England (NHSE) commissioned service.

methodsPatients eligible for home-spirometry as routine clinical care, able to give consent and able to access a smart phone were invited to participate. In-depth, semistructured interviews were conducted at serial time points (baseline, 1, 3 and 6 months), recorded, transcribed and analysed thematically.

resultsWe report on the experiences of 10 recruited patients (8 males; median age 66 years, range 50-82 years; 7 diagnosed with idiopathic pulmonary fibrosis, 3 other ILDs) who generally found spirometry convenient and easy to use, but their relationships with forced vital capacity results were complex. Main themes emerging were: (1) anticipated benefits-to identify change, trigger action and aid understanding of condition; (2) needs-clinical oversight and feedback, understanding of results, ownership, need for data and a need 'to know'; (3) emotional impact-worry, reassurance, ambivalence/conflicting feelings, reminder of health issues, indifference; (4) ease of home-spirometry-simplicity, convenience and (5) difficulties with home-spirometry-technical issues, technique, physical effort.

conclusionHome-spirometry has many benefits, but in view of the potential risks to psychological well-being, must be considered on an individual basis. Informed consent and decision-making are essential and should be ongoing, acknowledging potential limitations as well as benefits. Healthcare support is vital.

Indexed as

Idiopathic Pulmonary FibrosisLung Diseases, InterstitialAgedAged, 80 and overHumansMaleMiddle AgedSpirometryState MedicineVital Capacityinterstitial fibrosispatient outcome assessmentrespiratory function test

Identifiers

PMID37793682
PMCPMC10551997
OpenAlexW4387337654

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.