Table 1. . Inclusion and exclusion criteria
Inclusion criteria: patients
  • Aged ≥30 years

  • Clinician-diagnosed COPD

  • Documented airflow obstruction on spirometry (FEV-1/FVC ratio<0.7) on record

  • Current or ex-smokers with at least 10 pack-year smoking history

  • At least one previous self-reported ‘worsening’ or ‘exacerbation’ of COPD symptoms

  • Access to a telephone

  • Willing and able to participate in a semi-structured interview conducted in English

  • Group A (prone to moderate/severe exacerbations)

    • At least two moderatea and/or one severeb exacerbation of COPD within 1 year before 31 December 2019; and/or

    • At least two moderate and/or one severe COPD exacerbation since 1 January 2020

  • Group B (less prone to exacerbations)

    • No more than one moderatea and no severeb exacerbations of COPD within 1 year before 31 December 2019; and

    • No more than one moderate and no severe exacerbations of COPD since 1 January 2020


Inclusion criteria: carers
  • Carer for a patient in the study

  • Access to a telephone

  • Willing and able to participate in a semi-structured interview conducted in English


Exclusion criteria: patients and carers
  • Unwilling or unable to consent or complete study measures

  • aA moderate exacerbation of COPD is defined as a worsening of symptoms and/or decline in lung function that results in treatment with oral antibiotics and/or oral corticosteroids without hospital admission or emergency department attendance. bA severe exacerbation of COPD is defined as a worsening of symptoms and/or decline in lung function that results in hospital admission or emergency department attendance.

  • COPD = chronic obstructive pulmonary disease; FEV-1 = forced expiratory volume in 1 second; FVC = forced vital capacity;