{"title":"Development and National Implementation of a Standardized Physiotherapy Assessment Package for Pediatric Asthma and Dysfunctional Breathing.","authors":"Charlotte Wells, Claire Hepworth, Nicki Barker","doi":"10.1002/ppul.71845","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Variation in pediatric respiratory physiotherapy assessment for asthma and dysfunctional breathing (DB) across NHS services creates inconsistency in clinical reasoning, workforce development, and data harmonization. We aimed to design and implement a standardized, evidence-informed assessment package to support physiotherapists working with children and young people (CYP) with asthma and DB.</p><p><strong>Methods: </strong>Evidence from a previously conducted structured scoping review (PROSPERO ID: 112227) informed key assessment domains. A national collaborative of specialist pediatric respiratory physiotherapists (Kids' Cornerstone Collaborative) co-developed a standardized assessment proforma, competency framework (Agenda for Change Band 5-8), and supporting educational materials. An iterative, problem-driven implementation approach was piloted across five NHS sites and refined using a Theory of Change framework. National dissemination occurred via professional networks and conferences. Uptake was assessed through formal access requests and user agreements.</p><p><strong>Results: </strong>The final package included a standardized pediatric asthma and DB assessment proforma (digital and paper formats), an implementation playbook, competency framework, and educational resources. Intellectual property agreements enabled free NHS national adoption. Fifty-six NHS Trusts across all UK regions requested access; 30 completed user agreements and received the full package. Pilot implementation informed iterative refinement and strengthened the national collaborative infrastructure.</p><p><strong>Conclusion: </strong>We developed and nationally disseminated a standardized physiotherapy assessment package for CYP with asthma and/or DB, achieving broad professional engagement across the United KIngdom. This initiative supports consistent evidence-based clinical practice, structured competency development, and future harmonized outcome evaluation across NHS services.</p>","PeriodicalId":19932,"journal":{"name":"Pediatric Pulmonology","volume":"61 9","pages":"e71845"},"PeriodicalIF":2.4000,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595356/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Pulmonology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ppul.71845","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Variation in pediatric respiratory physiotherapy assessment for asthma and dysfunctional breathing (DB) across NHS services creates inconsistency in clinical reasoning, workforce development, and data harmonization. We aimed to design and implement a standardized, evidence-informed assessment package to support physiotherapists working with children and young people (CYP) with asthma and DB.
Methods: Evidence from a previously conducted structured scoping review (PROSPERO ID: 112227) informed key assessment domains. A national collaborative of specialist pediatric respiratory physiotherapists (Kids' Cornerstone Collaborative) co-developed a standardized assessment proforma, competency framework (Agenda for Change Band 5-8), and supporting educational materials. An iterative, problem-driven implementation approach was piloted across five NHS sites and refined using a Theory of Change framework. National dissemination occurred via professional networks and conferences. Uptake was assessed through formal access requests and user agreements.
Results: The final package included a standardized pediatric asthma and DB assessment proforma (digital and paper formats), an implementation playbook, competency framework, and educational resources. Intellectual property agreements enabled free NHS national adoption. Fifty-six NHS Trusts across all UK regions requested access; 30 completed user agreements and received the full package. Pilot implementation informed iterative refinement and strengthened the national collaborative infrastructure.
Conclusion: We developed and nationally disseminated a standardized physiotherapy assessment package for CYP with asthma and/or DB, achieving broad professional engagement across the United KIngdom. This initiative supports consistent evidence-based clinical practice, structured competency development, and future harmonized outcome evaluation across NHS services.
期刊介绍：
Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases.
PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.
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