{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:06:47Z","timestamp":1790262407895,"version":"4.1.0"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIHR Advanced Fellowship","award":["NIHR300856"],"award-info":[{"award-number":["NIHR300856"]}]},{"name":"NIHR Applied Research Collaboration North East and North Cumbria","award":["NIHR200173"],"award-info":[{"award-number":["NIHR200173"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chron Respir Dis"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Pulmonary rehabilitation (PR) provides substantial benefits, but these are rarely sustained. Walking football (WF), with its slower pace and widespread availability, may offer an exercise-maintenance option. This proof-of-concept study aimed to understand the potential of WF as an exercise-maintenance intervention following PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed-methods, prospective observational design was used. Patients completing PR at two NHS trusts were invited to attend weekly 2-hour WF sessions for 6 weeks. Feasibility outcomes included recruitment, adherence, and safety. An ethnographic approach observed participant experiences and engagement. Health outcomes were assessed at baseline and post-intervention, and the intensity of a single WF session was analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>160 individuals were approached; 36 expressed interest and 6 enrolled (5 male; mean age 71 years). Travel difficulties were the most common reason for declining. Five participants attended at least 4 sessions, and all continued WF after the study. One minor, unrelated adverse event occurred. Qualitative analysis of 18-hours of observations and 6 interviews generated 6 themes. The most notable finding highlighted the importance of WF sessions being exclusive to people with breathlessness. At least 3 participants achieved the minimal clinically important difference in functional exercise capacity, strength, health-related quality of life, and symptom burden. During a single session, group mean heart rate reached 66% of estimated HRmax, with a mean distance of 3.23 km covered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>WF appears to be a promising, engaging, and potentially sustainable exercise-maintenance option following PR, though travel barriers limited uptake. Future interventions should prioritise accessible locations and consider transport support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14799731261489273","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:34:55Z","timestamp":1790012095000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Walking football for people with chronic breathlessness: A mixed-methods proof of concept study"],"prefix":"10.1177","volume":"23","author":[{"given":"Callum","family":"Bradford","sequence":"first","affiliation":[{"name":"Teesside University"},{"name":"NIHR Applied Research Collaboration (ARC) North East and North Cumbia (NENC), Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsti J.","family":"Loughran","sequence":"additional","affiliation":[{"name":"Teesside University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Harrison","sequence":"additional","affiliation":[{"name":"School of Social Science Humanities and Law, Teesside University, Middlesbrough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant","family":"McGeechan","sequence":"additional","affiliation":[{"name":"School of Social Science Humanities and Law, Teesside University, Middlesbrough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Martin","sequence":"additional","affiliation":[{"name":"Teesside University"},{"name":"NIHR Applied Research Collaboration (ARC) North East and North Cumbia (NENC), Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9984-9658","authenticated-orcid":false,"given":"Sophie","family":"Suri","sequence":"additional","affiliation":[{"name":"Teesside University"},{"name":"NIHR Applied Research Collaboration (ARC) North East and North Cumbia (NENC), Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noelle","family":"Robertson","sequence":"additional","affiliation":[{"name":"University of Leicester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaynor","family":"Williams","sequence":"additional","affiliation":[{"name":"Breathe Easy Darlington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Rapley","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration (ARC) North East and North Cumbia (NENC), Newcastle upon Tyne, UK"},{"name":"Northumbria University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8871-781X","authenticated-orcid":false,"given":"Samantha L.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Teesside University"},{"name":"NIHR Applied Research Collaboration (ARC) North East and North Cumbia (NENC), Newcastle upon Tyne, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"issue":"3","key":"e_1_3_9_2_2","first-page":"A20","article-title":"Epidemiology of chronic obstructive pulmonary disease (COPD) in the UK: findings from the British Lung Foundation\u2019s \u2018Respiratory Health of the Nation\u2019 project","volume":"71","author":"Snell N","year":"2016","unstructured":"Snell N, Strachan D, Hubbard R, et al. 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