{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T17:38:30Z","timestamp":1775065110218,"version":"3.50.1"},"reference-count":44,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"South West National Institute for Health and Care Research (NIHR) Integrated Clinical Academic Pre-Doctoral Bridging Award"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Resp Res"],"accepted":{"date-parts":[[2026,3,7]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fatigue, breathlessness and cough are prevalent symptoms of interstitial lung disease (ILD) adversely impacting quality of life and contributing to psychological distress. The fatigue and breathlessness (FAB) programme facilitates supported self-management for people living with life-limiting conditions. We explore its utility when adapted for people living with ILD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The 4-week ILD-FAB programme offers each group (n=\u22646) weekly 2-hour sessions led by an ILD-specialist physiotherapist and clinical nurse specialist (CNS). Primary focus is on strategies to manage breathlessness, fatigue and well-being. Further, a 1:1 session with the ILD-CNS enables participants to set personalised goals and explore individual health beliefs\/behaviours using a cognitive behavioural therapy assessment framework. The self-reporting chronic respiratory questionnaire (CRQ-SR) evaluates breathlessness, fatigue, emotional function and mastery at baseline and after 4 weeks.<\/jats:p>\n                    <jats:p>We facilitated 11 groups between March 2023 and December 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>49 participants (26 males; median age 76 years (IQR=14)) were diagnosed with idiopathic pulmonary fibrosis (n=21), progressive pulmonary fibrosis (n=17) or non-progressive ILD (n=11) of various aetiologies. Lung function indicated a range of disease severity (FVC % predicted median: 70% (IQR=34); DLCO % predicted median: 42% (IQR=30)).<\/jats:p>\n                    <jats:p>37 (76%) participants attended all four sessions, 6 (12%) attended three sessions, 2 (4%) attended two sessions and 4 (8%) attended one session.<\/jats:p>\n                    <jats:p>37 patients, all of whom attended at least three sessions, completed the CRQ-SR at baseline and week 4. 59% of respondents (n=22) demonstrated clinically significant improvements in dyspnoea scores, 51% (n=19) in emotional functioning scores and 49% (n=18) in fatigue and mastery scores.<\/jats:p>\n                    <jats:p>35 respondents (95%) demonstrated a clinically significant improvement in at least one domain. All participants (100%) would recommend this programme to others.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These data demonstrate feasibility, acceptability and clinical effectiveness of an ILD-specific FAB programme. Further research will explore a range of outcome measures longitudinally in a larger cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjresp-2025-003652","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T15:36:07Z","timestamp":1775057767000},"page":"e003652","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Interstitial lung disease fatigue and breathlessness (ILD-FAB) programme: a multidisciplinary feasibility study"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5218-4732","authenticated-orcid":false,"given":"Jessica","family":"Mandizha","sequence":"first","affiliation":[{"name":"University of Exeter, Exeter, UK"},{"name":"School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Davies","sequence":"additional","affiliation":[{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Crook","sequence":"additional","affiliation":[{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Duckworth","sequence":"additional","affiliation":[{"name":"University of Exeter, Exeter, UK"},{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Gibbons","sequence":"additional","affiliation":[{"name":"University of Exeter, Exeter, UK"},{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph W","family":"Lanario","sequence":"additional","affiliation":[{"name":"School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Lines","sequence":"additional","affiliation":[{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Moss","sequence":"additional","affiliation":[{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pilar","family":"Rivera-Ortega","sequence":"additional","affiliation":[{"name":"University of Exeter, Exeter, UK"},{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Stanel","sequence":"additional","affiliation":[{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Taylor","sequence":"additional","affiliation":[{"name":"Respiratory Dept, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0468-3537","authenticated-orcid":false,"given":"Anne-Marie","family":"Russell","sequence":"additional","affiliation":[{"name":"University of Exeter, Exeter, UK"},{"name":"School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"2026040108351618000_13.1.e003652.1","doi-asserted-by":"crossref","unstructured":"Wong AW , Ryerson CJ , Guler SA . 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