McDowell, Rachel
Ogbonnaya, Chibueze
Shannon, Harriet
Douglas, Helen
Article History
Received: 23 September 2025
Accepted: 3 February 2026
First Online: 19 February 2026
Declarations
:
: As the project was a service evaluation conducted by members of a clinical team, no ethics approval was required as per Health Research Authority guidelines as defined by the UK Policy Framework for Health and Social Care Research. Cardiff and Vale University Hospital Board trust internal approval was obtained, project code Cystic Fibrosis/2023-24/01. No identifiable data were viewed by anyone outside the clinical physiotherapy team, in keeping with the principles of the Data Protection Act 1998. Similarly, patient consent was not required to use patient data for a service evaluation based on routine care as per the Health Research Authority guidelines. The service evaluation adheres to the Helsinki Declaration.
: Not applicable.
: The authors declare no competing interests.