{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T09:12:14Z","timestamp":1780909934062,"version":"3.54.1"},"reference-count":34,"publisher":"European Respiratory Society (ERS)","issue":"3","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2025,11,26]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Prolonged waiting times significantly limited access to our respiratory physiotherapy service for cough control therapy. In response, we developed a virtual physiotherapy group intervention for individuals with chronic cough (ViP-Cough) to improve accessibility. This article describes the uptake and potential benefits of this novel approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A service evaluation was carried out utilising a retrospective observational cohort study design involving patients with chronic cough referred to a single-centre respiratory physiotherapy service. All referrals were assessed by a specialist physiotherapist and offered access to ViP-Cough, a single-session virtual group intervention comprising: 1) education and lifestyle advice; 2) cough control strategies; and 3) breathing pattern retraining and vocal hygiene. Patients completed outcome measures at baseline and 4\u2005weeks post-intervention, including numerical rating scales (NRS) for cough severity, frequency and impact on daily activities (0\u201310; higher scores indicating worse outcomes), and confidence in self-management (0\u201310; higher scores indicating better outcomes). Descriptive statistics and paired samples t-tests were used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 194 patients referred (median age 61\u2005years; 79% female), 70% reported cough duration &gt;5\u2005years. Of those screened, 155 (80%) opted in; 116 attended, and 106 completed all assessments. Significant improvements were observed in cough severity (mean difference (95% CI) \u22121.26 (\u22120.82\u2013\u2005\u22121.70), p&lt;0.001), frequency (\u22121.19 (\u22120.79\u2013\u2005\u22121.60), p&lt;0.001), impact on daily life (\u22121.16 (\u22120.23\u2013\u2005\u22121.61), p&lt;0.001) and confidence in self-management (+2.16 (1.64\u20132.68), p&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ViP-Cough is a promising, scalable and low-cost approach to delivering nonpharmacological cough therapy. These preliminary findings support further evaluation in a randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1183\/23120541.01086-2025","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T17:30:15Z","timestamp":1769103015000},"page":"01086-2025","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Reduced cough severity and improved confidence in self-management following completion of a Virtual Physiotherapy Group Intervention for Chronic Cough: ViP-Cough"],"prefix":"10.1183","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2520-2859","authenticated-orcid":false,"given":"Charles C.","family":"Reilly","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Shiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah V.","family":"Floyd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge","family":"Vermeulen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron","family":"Ross","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8689-8541","authenticated-orcid":false,"given":"Peter","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3538-2451","authenticated-orcid":false,"given":"Caroline J.","family":"Jolley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surinder S.","family":"Birring","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"2026060801451011000_12.3.01086-2025.1","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.jaip.2024.11.004","article-title":"The clinical approach to chronic cough","volume":"13","author":"Satia","year":"2025","journal-title":"J Allergy Clin Immunol Pract"},{"key":"2026060801451011000_12.3.01086-2025.2","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01136-2019"},{"key":"2026060801451011000_12.3.01086-2025.3","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00459-2024"},{"key":"2026060801451011000_12.3.01086-2025.4","doi-asserted-by":"crossref","first-page":"17534666241236025","DOI":"10.1177\/17534666241236025","article-title":"Patient-reported experiences with refractory or unexplained chronic cough: a qualitative analysis","volume":"18","author":"Bali","year":"2024","journal-title":"Ther Adv Respir Dis"},{"key":"2026060801451011000_12.3.01086-2025.5","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1056\/NEJMra2309906","article-title":"Unexplained or refractory chronic cough in adults","volume":"392","author":"Irwin","year":"2025","journal-title":"N Engl J Med"},{"key":"2026060801451011000_12.3.01086-2025.6","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-1496"},{"key":"2026060801451011000_12.3.01086-2025.7","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2016-208843"},{"key":"2026060801451011000_12.3.01086-2025.8","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.pupt.2019.02.006","article-title":"Non-pharmacological interventions for chronic cough: the past, present and future","volume":"56","author":"Chamberlain Mitchell","year":"2019","journal-title":"Pulm Pharmacol Ther"},{"key":"2026060801451011000_12.3.01086-2025.9","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2006.064337"},{"key":"2026060801451011000_12.3.01086-2025.10","doi-asserted-by":"publisher","DOI":"10.1186\/1745-9974-6-5"},{"key":"2026060801451011000_12.3.01086-2025.11","doi-asserted-by":"publisher","DOI":"10.1177\/1479972311422547"},{"key":"2026060801451011000_12.3.01086-2025.12","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.01151-2024"},{"key":"2026060801451011000_12.3.01086-2025.13","doi-asserted-by":"publisher","DOI":"10.1136\/thorax-2022-219699"},{"key":"2026060801451011000_12.3.01086-2025.14","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"key":"2026060801451011000_12.3.01086-2025.15","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.rmed.2011.10.014","article-title":"The active cycle of breathing technique: a systematic review and meta-analysis","volume":"106","author":"Lewis","year":"2012","journal-title":"Respir Med"},{"key":"2026060801451011000_12.3.01086-2025.16","doi-asserted-by":"crossref","unstructured":"Rhatigan K , Hirons B , Kesavan H , et al. 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