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All interviews and focus groups were conducted from the researcher\u2019s private home or Research Team office at Newcastle University. Face-to-face focus groups or interviews were conducted in a university conference room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>21 physiotherapists and 21\u2009patients living with bronchiectasis participated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>12 themes were identified covering all seven domains of the theoretical framework of acceptability. Themes included: adherence, cultural challenges, education, empowerment, engagement, flexibility, health literacy, overwhelming information, participant understanding, resources, supportive of preferences and time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A SDM intervention to support patient choice of ACT in bronchiectasis appears to be acceptable to both stakeholder groups. Additionally, we identified novel factors informing the design and implementation of a future SDM intervention. Future research should consider the systematic development of an SDM intervention to support patient choice of ACT in bronchiectasis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-119884","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:20:31Z","timestamp":1785241231000},"page":"e119884","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Qualitative exploration assessing the acceptability of shared decision-making for prescribing airway clearance techniques in adults with bronchiectasis"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9097-1980","authenticated-orcid":false,"given":"Paul","family":"McCallion","sequence":"first","affiliation":[{"name":"Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"},{"name":"Population Health Sciences Institute, Newcastle University Faculty of Medical Sciences, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Bradley","sequence":"additional","affiliation":[{"name":"School of Medicine, Dentistry and Biomedical Sciences, Queen\u2019s University Belfast, Belfast, Belfast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Lally","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Robinson","sequence":"additional","affiliation":[{"name":"Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"},{"name":"Northumbria University, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"MacGregor","sequence":"additional","affiliation":[{"name":"Public Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"De Soyza","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University Faculty of Medical Sciences, Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"2026072805201499000_16.7.e119884.1","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01126-2025","article-title":"European Respiratory Society clinical practice guideline for the management of adult bronchiectasis","volume":"66","author":"Chalmers","year":"2025","journal-title":"Eur Respir J"},{"key":"2026072805201499000_16.7.e119884.2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136119"},{"key":"2026072805201499000_16.7.e119884.3","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01689-2023","article-title":"Airway clearance management in people with bronchiectasis: data from the European Bronchiectasis Registry (EMBARC)","volume":"63","author":"Spinou","year":"2024","journal-title":"Eur Respir J"},{"key":"2026072805201499000_16.7.e119884.4","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.02053-2022","article-title":"European Respiratory Society statement on airway clearance techniques in adults with bronchiectasis","volume":"62","author":"Herrero-Cortina","year":"2023","journal-title":"Eur Respir J"},{"key":"2026072805201499000_16.7.e119884.5","doi-asserted-by":"crossref","DOI":"10.1136\/bmjresp-2024-003049","article-title":"Improving shared decision-making in bronchiectasis","volume":"12","author":"McCallion","year":"2025","journal-title":"BMJ Open Respir Res"},{"key":"2026072805201499000_16.7.e119884.6","doi-asserted-by":"crossref","DOI":"10.1183\/23120541.00010-2023","article-title":"Personalising airway clearance in chronic suppurative lung diseases: a scoping review","volume":"9","author":"Schofield","year":"2023","journal-title":"ERJ Open Res"},{"key":"2026072805201499000_16.7.e119884.7","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-012-2077-6"},{"key":"2026072805201499000_16.7.e119884.8","doi-asserted-by":"crossref","unstructured":"Elwyn G , Laitner S , Coulter A , et al . 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