Evidence map›Paper›PMID 41587390›Full record

Trial reportPediatric pulmonology2026

Exploring Exercise as Airway Clearance in Cystic Fibrosis: A Qualitative Study From the ExACT-CF Feasibility Trial.

Emily Taylor, Dia Soilemezi, Don S Urquhart, Steve Cunningham, Steff Lewis, Aileen Rae Neilson, Hannah Ensor, Ioannis Vogiatizis, Lorna Allen, Zoe L Saynor and 1 more

Registry-linked trialAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Pediatric pulmonology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02429180 (Community-based Rehabilitation Training After Stroke), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT02429180 phase1completednot on this map

Community-based Rehabilitation Training After Stroke: a Pilot Randomised Controlled Trial

TypeinterventionalSponsorUniversity of ExeterRan2015 to 2016Enrolled48ConditionsStrokeArmsRehabilitation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Measurement of lung clearance index (LCIBMJ open respiratory research · 2026
    Observational
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

11 authors.

Emily TaylorDepartment of Child Life and Health, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0009-0004-9541-785X
Dia SoilemeziDepartment of Psychology, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Don S UrquhartDepartment of Child Life and Health, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-9048-9692
Steve CunninghamDepartment of Child Life and Health, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0001-7342-251X
Steff LewisUsher Institute, Edinburgh Clinical Trials Unit, NINE Edinburgh Bioquarter, University of Edinburgh, Edinburgh, France.ORCID https://orcid.org/0000-0003-1210-2314
Aileen Rae NeilsonUsher Institute, Edinburgh Clinical Trials Unit, NINE Edinburgh Bioquarter, University of Edinburgh, Edinburgh, France.ORCID https://orcid.org/0000-0003-3758-0566
Hannah EnsorUsher Institute, Edinburgh Clinical Trials Unit, NINE Edinburgh Bioquarter, University of Edinburgh, Edinburgh, France.ORCID https://orcid.org/0000-0003-3052-7287
Ioannis VogiatizisDepartment of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0003-4830-7207
Lorna AllenCystic Fibrosis Trust, One Aldgate, Second Floor, London, UK.
Zoe L SaynorSchool of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0003-0674-8477
ExACT‐CF study group

Funding

National Institute for Health and Care Research NIHR203185
6 · The paper itself

Abstract

questionCystic fibrosis (CF) affects > 11,300 people in the UK and is characterized by thick, sticky mucus in the lungs, leading to recurrent infections, inflammation, and progressive respiratory decline. Chest physiotherapy remains a cornerstone of airway clearance; however, many people with CF (pwCF) find it burdensome and time-consuming. Exercise has been proposed as a potentially effective and more acceptable alternative. The ExACT-CF feasibility trial evaluated the use of exercise as an airway clearance technique in pwCF on modulator therapy.

methodsThis nested qualitative study explored the experiences of participants and healthcare professionals involved in the ExACT-CF trial, alongside broader perspectives on airway clearance, to inform future research and clinical practice. Purposively sampled semi-structured interviews were conducted with 32 individuals: ten pwCF, five parents, twelve healthcare professionals, four decliners, and one participant who withdrew. Interviews were audio-recorded, transcribed verbatim, and analyzed thematically using "The Framework Method."

resultsTwo primary themes emerged. Theme 1 reflected experiences and lessons learned from the trial, including reported barriers and facilitators around recruitment, randomization, and daily implementation. Despite some minor difficulties, trial participation, processes, and the intervention itself were broadly acceptable. Theme 2 highlighted a preference for using ExACT alone or interchangeably with chest physiotherapy. Participants emphasized the need for robust clinical evidence to guide use. ANSWER: This study highlights the acceptability of both the ExACT-CF trial processes and the use of this exercise-based airway clearance technique. Findings support progression to a definitive trial and further exzploration of patient-centered, flexible approaches to airway clearance in CF.

trial registrationNCT02429180.

Indexed as

Cystic FibrosisExercise TherapyRespiratory TherapyAdolescentAdultChildFeasibility StudiesFemaleHumansInterviews as TopicMaleQualitative ResearchYoung Adultchest physiotherapycystic fibrosisphysical activityqualitativesemi‐structured interviews

Identifiers

PMID41587390
PMCPMC12834544

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.