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Background Overnight non-invasive ventilation (NIV) is a critical home-based medical device for children and young people overnight for sleep disordered breathing. This model of care involves parent/adult caregivers running and maintaining NIV with access to remote hospital support for troubleshooting problems and equipment replacement. Consistent use of NIV can prevent or reduce respiratory hospital admissions. It maximises children’s time at home (promoting overall wellbeing, growth and development), and at school (affecting concentration, energy and behaviour). Outpatient clinics offer the option of videocalls, reducing medically related school absences. However many children struggle to tolerate NIV and are at risk of under-treatment and increased hospital utilisation. The SPIRITUS study aimed to identify and develop a toolkit of interventions to help children use NIV at home.Methods In Phase 3, a purposive sample of parent and child dyads were invited to choose and test an intervention at home over a two week period. Parents completed pre and post questionnaires and a post-intervention debrief. Feasibility and acceptability of interventions and study design were assessed.Results Families chose from nine interventions: three pre-existing clinical services (NIV training for 16-18 year olds, session with a psychologist or play specialist), one new service (facilitated zoom session for children to meet other children who use NIV ) and five prototype resources for families to use at home (parent website, fictional stories with an NIV storyline, Makaton video and a personalised Social Story, reward chart, personalised ventilator photostickers). Ten families chose the five resources in various combinations. Resources scored highly across feasibility (fidelity, reach, adaptability, access, interaction) and acceptability domains(affective attitude, burden, intervention coherence, opportunity costs, ethicality, self-efficacy).Conclusion Resources to support families at home received high feasibility and acceptability scores. A flexible toolkit of child friendly resources can support clinical services that aim to keep children at home.Acknowledgements for Funding or Support This project is funded by the National Institute for Health and Care Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number NIHR204106). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.