Overall ratings for the first and second consensus-building rounds
| Care activity | First round | Second round | ||||
| Not appropriate* | Possibly appropriate* | Appropriate* | Not appropriate* | Possibly appropriate* | Appropriate* | |
| Collecting information on patients’ COPD and health status | 3 (7%) | 7 (16%) | 33 (77%) | – | – | – |
| Performing a lung function test | 26 (60%) | 11 (26%) | 6 (14%) | 16 (59%) | 4 (15%) | 7 (26%) |
| Measuring oxygen levels | 10 (23%) | 16 (37%) | 17 (40%) | 5 (18%) | 8 (29%) | 15 (54%) |
| Performing an exercise test | 17 (40%) | 19 (44%) | 7 (16%) | 10 (36%) | 8 (29%) | 10 (36%) |
| Checking inhaler technique | 15 (36%) | 8 (19%) | 19 (45%) | 7 (26%) | 6 (22%) | 14 (52%) |
| Providing COPD information and self-management plan | 2 (5%) | 9 (21%) | 32 (74%) | – | – | – |
| Supporting smoking cessation | 1 (2%) | 7 (16%) | 35 (81%) | – | – | – |
| Starting new medication | 6 (14%) | 12 (28%) | 25 (58%) | 2 (7%) | 8 (29%) | 18 (64%) |
| Providing pulmonary rehabilitation | 4 (9%) | 18 (42%) | 21 (49%) | 0 (0%) | 11 (39%) | 17 (61%) |
| Providing airway clearance support | 8 (19%) | 10 (23%) | 25 (58%) | 4 (15%) | 6 (22%) | 17 (63%) |
| Providing education on breathing training | 6 (14%) | 12 (28%) | 25 (58%) | 3 (10%) | 7 (24%) | 19 (66%) |
| Helping with advance care planning | 16 (37%) | 11 (26%) | 16 (37%) | 12 (43%) | 6 (21%) | 10 (36%) |
| Deciding whether patient needs face-to-face care | 7 (16%) | 5 (12%) | 31 (72%) | – | – | – |
| Deciding whether patient should use a rescue pack | 7 (17%) | 3 (7%) | 32 (76%) | – | – | – |
Care activities on which consensus about appropriateness was achieved are presented in bold text.
*Ratings group ‘not appropriate’ includes appropriateness ratings of 1, 2 or 3; ‘possibly appropriate’ includes ratings of 4, 5 or 6; ‘appropriate’ includes ratings of 7, 8 or 9.
COPD, chronic obstructive pulmonary disease.