P40 Figure 1Participant quotes to illustrate mediators of PR engagement[Figure omitted See PDF]ConclusionThe menu-based approach offers increased opportunity for patients to engage in PR particularly during the COVID-19 pandemic However, its poor identity limits its feasibility and acceptability Building the identity of COPD, PR/menu of programmes, further integrating PR in COPD care and developing tools to illicit patient-centred discussions is recommended The findings support the development of a shared decision making intervention to facilitate patient-centred discussions regarding the menu of PR programmes available at UHL ReferencesSteiner M, Holzhauer-Barrie J, Lowe D, Searle L, Skipper E, Welham SRC ( 2015) National COPD Audit Programme: Pulmonary Rehabilitation: Time to breathe better Butterfield LD, Borgen, WA, Maglio, A-ST, & Amundson NE ( 2009) Using the Enhanced Critical Incident Technique in Counselling Psychology Research In Canadian Journal of Counselling/Revue canadienne de counseling (Vol 43)
P40 Shared decision making in Pulmonary rehabilitation: a qualitative needs assessment