{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:11:53Z","timestamp":1791389513938,"version":"4.3.3"},"reference-count":42,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"unspecified","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Edge Hill University Research Investment Fund","award":["FOH199"],"award-info":[{"award-number":["FOH199"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Resp Res"],"accepted":{"date-parts":[[2021,2,5]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bronchiectasis is a chronic respiratory condition that impacts significantly on individuals and healthcare services. Self-management is recommended in clinical guidelines for bronchiectasis as an intervention to enable patients to manage their condition, yet there is little evidence to support it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three face to face focus groups (17 adults with bronchiectasis) were conducted at three National Health Service (NHS) sites in North West England. Additionally, semi-structured telephone interviews were undertaken with 11 healthcare professionals (HCPs), including doctors, nurses and physiotherapists. Thematic analysis identified common themes and occurrences verified by independent audit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Four common overarching themes were identified:\n                      <jats:italic>the meaning of self-management<\/jats:italic>\n                      ;\n                      <jats:italic>benefits<\/jats:italic>\n                      ;\n                      <jats:italic>barriers<\/jats:italic>\n                      and\n                      <jats:italic>influencers to self-management<\/jats:italic>\n                      ; subthemes varied. Both groups recognised component interventions. Patients highlighted that self-management enabled them to learn what works and moderate behaviour. Aspects of delivery and structure were important to HCPs but a \u2018make do\u2019 culture was evident. Benefits for both groups included empowering patients. Common barriers for patients were time, mood and lack of access to support which could mitigate engagement with self-management. HCPs identified barriers including patient characteristics and lack of resources. Influencers for patients were peer, carer and psychosocial support, for HCPs influencers were individual patient attributes, including ability and motivation, and HCP characteristics such as knowledge and understanding about bronchiectasis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>This is the first study to explore patients\u2019 and HCPs\u2019 views of self-management for bronchiectasis. The need for an individual, flexible and responsive self-management programme specific to bronchiectasis was evident. Personal characteristics of patients and HCPs could affect the uptake and engagement with self-management and HCPs knowledge of the disease is a recognised precursor to effective self-management. The study identified key aspects for consideration during development, delivery and sustainability of self-management programmes and findings suggest that patients\u2019 psychosocial and socioeconomic circumstances may affect adoption and activation of self-management behaviours.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjresp-2020-000862","type":"journal-article","created":{"date-parts":[[2021,3,5]],"date-time":"2021-03-05T13:27:42Z","timestamp":1614950862000},"page":"e000862","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["\u2018It\u2019s not one size fits all\u2019: a qualitative study of patients\u2019 and healthcare professionals\u2019 views of self-management for bronchiectasis"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9927-1382","authenticated-orcid":false,"given":"Carol Ann","family":"Kelly","sequence":"first","affiliation":[{"name":"Faculty of Health, Social Care & Medicine, Edge Hill University, Ormskirk, UK"},{"name":"Respiratory Research Centre, Edge Hill University, Ormskirk, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Tsang","sequence":"additional","affiliation":[{"name":"Respiratory Research Centre, Edge Hill University, Ormskirk, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dave","family":"Lynes","sequence":"additional","affiliation":[{"name":"Respiratory Research Centre, Edge Hill University, Ormskirk, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Spencer","sequence":"additional","affiliation":[{"name":"Respiratory Research Centre, Edge Hill University, Ormskirk, Lancashire, UK"},{"name":"Health Research Institute, Edge Hill University, Ormskirk, Lancashire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,4]]},"reference":[{"key":"2025083112180588000_8.1.e000862.1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.5694\/mja14.00287","article-title":"Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand thoracic Society of Australia and New Zealand guidelines","volume":"202","author":"Chang","year":"2015","journal-title":"Med J Aust"},{"key":"2025083112180588000_8.1.e000862.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12890-018-0631-7","article-title":"\"The missing ingredient\": the patient perspective of health related quality of life in bronchiectasis: a qualitative study","volume":"18","author":"Dudgeon","year":"2018","journal-title":"BMC Pulm Med"},{"key":"2025083112180588000_8.1.e000862.3","doi-asserted-by":"crossref","DOI":"10.1186\/s12890-019-0818-6","article-title":"The economic burden of bronchiectasis - 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