Evidence map›Paper›PMID 42051375›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2026

Perceived Acceptability of SPACE for COPD© as a Maintenance Option Following Pulmonary Rehabilitation Discharge: A Qualitative Interview Study with Patients and Facilitators Using Framework Analysis.

Amy C Barradell, Khaled Alqahtani, Annabel Hong, Jessica Lapworth, Kathryn Greenall, Israa Al-Naabi, Ala Szczepura, William D C Man, Claire M Nolan, Gillian Doe and 5 more

Abstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Amy C BarradellNIHR Respiratory Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.ORCID 0000-0002-3688-8879
Khaled AlqahtaniDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0001-5235-8467
Annabel HongNIHR Respiratory Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.ORCID 0000-0002-3529-1851
Jessica LapworthSchool of Physiotherapy, University of Leicester, Leicester, UK.
Kathryn GreenallSchool of Physiotherapy, University of Leicester, Leicester, UK.
Israa Al-NaabiSchool of Physiotherapy, University of Leicester, Leicester, UK.
Ala SzczepuraCentre for Healthcare and Communities, Coventry University, Coventry, UK.ORCID 0000-0001-6244-9872
William D C ManHarefield Respiratory Research Group, Guy's & St.Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0002-3782-659X
Claire M NolanCollege of Health, Medicine and Life Sciences, Brunel University of London, London, UK.ORCID 0000-0001-9067-599X
Gillian DoeDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0003-4782-5811
Nikki GardinerNIHR Respiratory Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.ORCID 0000-0002-5098-3645
Charlotte GerlisCentre for Health and Clinical Research, University of the West of England, Bristol, UK.ORCID 0000-0002-0121-847X
Claire BourneSchool of Psychology and Vision Sciences, University of Leicester, Leicester, UK.
Sally J SinghDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0002-9834-0366
Linzy Houchen-WolloffNIHR Respiratory Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester, UK.ORCID 0000-0003-4940-8835

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Following completion of Pulmonary Rehabilitation (PR), the biopsychosocial benefits often decline. PR maintenance is recommended to extend the benefits; however, detail lacks on what this should entail. SPACE for COPD© is a light touch, evidenced-based self-management intervention which we tested as a maintenance strategy during the COVID-19 pandemic. We explored the acceptability of SPACE for COPD© as a maintenance option following PR for both patients and facilitators using qualitative research methods. Methods: We conducted semi-structured interviews and focus groups with patients and intervention facilitators involved in the SPACE for COPD© maintenance study. These were audio recorded, transcribed verbatim and analysed using Framework Analysis. Results: Seventeen patients were interviewed; 13 (76.5%) of which were programme completers: five (29.4%) received a group-based intervention, four (23.5%) received one-to-one, and eight (47.1%) received hybrid. Two focus groups were conducted with eight facilitators; six (75%) were physiotherapists, one (12.5%) was a nurse, and one (12.5%) was a health psychologist. Analysis generated six themes: (1) the changing structure of maintenance SPACE for COPD©; (2) the integral role of the facilitator; (3) engagement with the manual required time and commitment from patients; (4) staying active on maintenance SPACE for COPD© was facilitated by goal setting and exercise; (5) biopsychosocial outcomes of maintenance SPACE for COPD©; and (6) the future of maintenance SPACE for COPD©. Conclusion: Maintenance SPACE for COPD© was acceptable and could be implemented into the PR healthcare pathway during the COVID-19 pandemic. It helped patients to adopt and integrate new exercise habits if they could adapt and personalise these to their home lives. Adaptions made during the COVID-19 pandemic created a menu of options. Building upon this personalisation is required to ensure the intervention is accessible and patient-centred.

Indexed as

LungPatient Acceptance of Health CarePatient DischargePulmonary Disease, Chronic ObstructiveAgedCOVID-19FemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedPandemicsQualitative ResearchSARS-CoV-2COPDmotivational interviewingpulmonary rehabilitationqualitative researchself-management

Identifiers

PMID42051375
PMCPMC13118671

What OpenQuestion holds

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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.