ArticleEClinicalMedicine2026
Patient and clinician acceptability of an integrated physiotherapy and nutrition intervention after ICU discharge: a qualitative exploration of a pre-specified co-primary feasibility outcome of the PHOENIX trial.
Article in EClinicalMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
10 authors.
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Abstract
Background: Recovery after critical illness is complex and multi-faceted. There are widespread variations of rehabilitation interventions delivered when patients step-down onto the ward. The aim of the study was to evaluate the acceptability of a structured, individualised physiotherapy and nutritional intervention delivered to patients following discharge from intensive care, from the perspectives of both patients and healthcare professionals. Methods: This qualitative study was embedded within a two-centre randomised controlled feasibility trial of an enhanced physiotherapy and optimised nutrition intervention delivered in the ward setting after ICU discharge. It evaluated acceptability, a pre-specified co-primary feasibility outcome of the trial. Between May 2024 and January 2025, patients stepped down from ICU to ward based care, alongside healthcare professionals involved in or affected by intervention delivery were invited to participate. Semi-structured interviews were conducted, audio recorded, transcribed verbatim, and analysed using reflexive thematic analysis. Themes were then mapped across the constructs of the Theoretical Framework of Acceptability (TFA). The trial was prospectively registered (ClinicalTrials.govNCT06159868). Findings: Eleven patients and eight healthcare professionals participated in interviews. Three overarching themes were identified. Interpretation: Both patients and staff perceived the integrated physiotherapy and nutrition delivered in the ward setting as acceptable. Funding: This project is funded by the National Institute for Health and Care Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number NIHR205370).
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