{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:46:51Z","timestamp":1785415611904,"version":"3.56.0"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"unspecified","delay-in-days":186,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Pulmonary rehabilitation (PR) is recommended for people with chronic respiratory diseases, but access is limited. Delivering PR in primary care may overcome these barriers; however, physiotherapists and Accredited Exercise Physiologists (AEPs) report limited PR experience. Aim: to investigate the changes in knowledge, skills, and confidence following an education program for physiotherapists and AEPs in PR delivery in primary care. Primary care physiotherapists or AEPs undertook an education program of 6\u20138 hours online training and a half-day face-to-face workshop. 17 clinicians completed the training. Median (IQR) knowledge scores increased from 7 (6,8) at baseline to 10 (9,11) post-training (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001; Hedges\u2019\n                    <jats:italic>g<\/jats:italic>\n                    = 1.52, 95% CI 0.81 to 2.21). Improvements in self-rated knowledge, skills, and confidence were observed across all domains and sustained at 3 months. In conclusion, a short education program improved PR knowledge, skills, and confidence in primary care clinicians. Educating primary care clinicians in PR is essential to build the workforce to provide PR in this setting and improve accessibility.\n                  <\/jats:p>","DOI":"10.1017\/s146342362610139x","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T07:56:45Z","timestamp":1783324605000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Changes in knowledge, skills, and confidence following a training program for primary care physiotherapists and exercise physiologists in pulmonary rehabilitation: a pre-post study"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9103-3945","authenticated-orcid":false,"given":"Jessica A.","family":"Walsh","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0384j8v12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7266-6333","authenticated-orcid":false,"given":"Marita T.","family":"Dale","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0384j8v12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3657-7229","authenticated-orcid":false,"given":"Zoe J.","family":"McKeough","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0384j8v12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Alison","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0384j8v12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2685-9246","authenticated-orcid":false,"given":"Sarah M.","family":"Dennis","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0384j8v12","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Sydney"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"S146342362610139X_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003793.pub3"},{"key":"S146342362610139X_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.resmer.2022.100910"},{"key":"S146342362610139X_ref12","unstructured":"Exercise & Sports Science Australia (2023) 2021\/22 ESSA National Workforce Profile Report. Exercise & Sports Science Australia."},{"key":"S146342362610139X_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2013-203808"},{"key":"S146342362610139X_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2016-208514"},{"key":"S146342362610139X_ref2","unstructured":"Australian Commission on Safety and Quality in Health Care (2024) Chronic Obstructive Pulmonary Disease Clinical Care Standard. Sydney: Australian Commission on Safety and Quality in Health Care."},{"key":"S146342362610139X_ref31","doi-asserted-by":"publisher","DOI":"10.1071\/PY25175"},{"key":"S146342362610139X_ref22","unstructured":"Lung Foundation Australia (2023) National Pulmonary Rehabilitation Strategy Framework 2023 \u2013 2026: Ensuring Pulmonary Rehabilitation Is Accessible, Affordable, Impactful. Lung Foundation Australia. https:\/\/lungfoundation.com.au\/wp-content\/uploads\/2025\/06\/National-Pulmonary-Rehabilitation-Strategy-Framework-2023-%E2%80%93-2026.pdf (accessed 28 April 2026)."},{"key":"S146342362610139X_ref21","unstructured":"Lung Foundation Australia (2022) Lung Foundation Australia 2022 Pulmonary Rehabilitation Survey. https:\/\/pulmonaryrehab.com.au\/wp-content\/uploads\/2022\/11\/Lung-Foundation-PR-Audit-2022.pdf (accessed 28 April 2026)."},{"key":"S146342362610139X_ref10","doi-asserted-by":"publisher","DOI":"10.1071\/PY21076"},{"key":"S146342362610139X_ref15","first-page":"311","volume-title":"Pulmonary Rehabilitation. 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is used to distribute the re-used or adapted article and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e74"}}