Beliefs, motives and gains associated with physical activity in people with osteoarthritis

Berry, Alice; McCabe, Candy; Halls, Serena; Muir, Sarah; Walsh, Nicola

doi:10.1002/msc.1507

Cited by 7 publications

(12 citation statements)

References 30 publications

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“…Consistent with other studies (Adams et al., 2017 ; Berry et al., 2021 ; Wilcox et al., 2006 ), we identified specific challenges of living with OA to include: limited knowledge of the condition, lack of clarity around symptom management, difficulty maintaining desired lifestyle and fears for the future. Intervention efficacy appeared to be shaped by the complex interaction of key elements: dominance of OA challenges; how far the intervention addressed individual support needs; perceived value of the peer mentor–mentee relationship and mentee's pre‐intervention approach to self‐management.…”

Section: Discussionsupporting

confidence: 77%

“…Supported self‐management is an effective approach to coping with the challenges presented by OA. Successful self‐management requires that individuals become motivated to adopt helpful behaviours, have belief that their efforts are effective, be alert to symptom changes and confident that they can sustain self‐management beyond the supported term (Adams et al., 2017 ; Berry et al., 2021 ; Thorstensson et al., 2015 ). Inclusion of peers (people who share the same condition) enhances opportunities for individual relevance.…”

Section: Introductionmentioning

confidence: 99%

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Understanding peer mentorship in supporting self‐management of hip and knee osteoarthritis: A qualitative study of mentees' perspectives

Lavender

Anderson

Dusabe-Richards

et al. 2021

Musculoskeletal Care

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Background Hip and knee osteoarthritis (OA) are common musculoskeletal conditions. Treatment is usually conservative, making self‐management a priority. We developed and trialled an OA peer mentorship intervention to support self‐management in older people. Our objectives were to gain understanding of the perceived challenges of living with OA and explore how a peer mentorship intervention can support tackling these challenges; and to explore mentees' experiences of receiving the intervention to understand how this affected their OA self‐management. Methods Qualitative semi‐structured interviews focussing on acceptability and feasibility of being in the study were conducted with mentees. Transcribed interviews were double coded and subject to framework analysis. To address the objectives of this paper, three main themes were subject to focused analysis: mentees' experiences of OA, experience of peer mentorship support and factors influencing self‐management. Results Seventeen mentees participated in an interview following completion of the peer support intervention. Themes emerging from focused analysis were the following: tackling the challenges of living with OA pre‐ and post‐intervention; and the interplay of the peer mentorship intervention and self‐management. Key elements of the latter theme are enabling factors provided by peer mentorship, and mentees' readiness to self‐manage. Conclusion To effectively support OA self‐management, peer mentorship interventions should include core educational components and focus on strategies that enhance key enablers of self‐management. Paying attention to the mentor–mentee relationship and timing of intervention engagement can maximise opportunities for older people to adjust and transition from supported to independent self‐management.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Understanding peer mentorship in supporting self‐management of hip and knee osteoarthritis: A qualitative study of mentees' perspectives

Lavender

Anderson

Dusabe-Richards

et al. 2021

Musculoskeletal Care

View full text Add to dashboard Cite

show abstract

“… 4 The importance of identifying physical activities that an individual enjoys and that have a social element has also been recommended. 4 , 53 Although consistent with intrinsic motivators described within a self-determination theory framework, 54 we do not plan to incorporate a prescribed social element to the Move & Snooze programme as this was not agreed as important by all participants. However, we plan to identify the preferred amount and type of social support for each user and will provide time for discussion about this.…”

Section: Discussionmentioning

confidence: 98%

“…The importance of tailoring the physical activity component for each individual is also consistent with results from a recent survey. 53 'Tailored' and 'supported' themes are also described in a synthesis of qualitative evidence regarding beliefs of people with OA about exercise interventions. 4 The importance of identifying physical activities that an individual enjoys and that have a social element have also been recommended.…”

Section: Discussionmentioning

confidence: 99%

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Development of a hybrid sleep and physical activity improvement intervention for adults with osteoarthritis-related pain and sleep disturbance: a focus group study with potential users

Whibley

Stelfox

Henry

et al. 2021

British Journal of Pain

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Objective: Suboptimal sleep and physical activity are common among people living with osteoarthritis (OA) and simultaneous improvements in both may have a beneficial impact on pain. This study aimed to gather perspectives of people living with OA on important aspects to incorporate in a hybrid sleep and physical activity improvement intervention for OA pain management. Design: Qualitative study using two rounds of two focus groups. Setting and participants: Focus groups were conducted with adults living with OA-related chronic pain and sleep disturbances. Eighteen people attended focus groups in January 2020 and, of these, 16 attended subsequent focus groups in February 2020. Methods: Discussion at the first round of focus groups informed generation of prototype intervention materials that were shared, discussed and refined at the second round of focus groups. Thematic analysis was used to identify themes and sub-themes from the data. Results: Three themes, each with three sub-themes, were identified: facilitators of engagement with the intervention (sub-themes: motivational language, accountability and education); barriers to engagement (sub-themes: suboptimal interaction with healthcare practitioners, recording behaviour as burdensome/disruptive and uncertainty about technique) and characteristics of a physical activity intervention component (sub-themes: tailored, sustainable and supported). Conclusion: We have identified important aspects to incorporate into the design and delivery of a hybrid sleep and physical activity improvement intervention for OA pain management. Insights will be incorporated into intervention materials and protocols, with feasibility and acceptability assessed in a future study.

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Strategies to enhance physical activity in people with Rheumatoid Arthritis: A Delphi survey

Thomas

Berry

Swales³

et al. 2023

Musculoskeletal Care

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IntroductionManaging symptoms, resisting functional decline and maintaining health and independence are key motivators for people with Rheumatoid Arthritis (RA) who successfully engage with physical activity (PA). To inform PA support for people with RA the aim was to determine whether the broader RA population share similar beliefs and strategies regarding PA to those who report successful engagement.MethodsA modified two‐stage Delphi approach. 200 patients from four National Health Service rheumatology departments received a postal questionnaire containing statements relating to engagement with PA derived from prior interview data from physically active individuals with RA. Statements rated as agree or strongly agree by >50% of respondents were retained and the same respondents asked to rate and prioritize potential PA intervention components.Ethical approval: Oxford C Research Ethics Committee (ref 13/SC/0418).ResultsQuestionnaire one received 49 responses (11 males, 37 females, 1 unknown), mean age 65 years (range 29–82). Low levels of PA were reported by 60% of respondents. Questionnaire two responses (n = 36) indicated that a PA intervention should include information about prevention of RA symptoms worsening and benefits of PA for joints; help participants to achieve improved pain management and a feeling of being in control of their RA. For PA maintenance it was important that medication controlled symptoms, and PA instructors understood RA to ensure safety.ConclusionsA key factor to consider when designing a PA intervention for people with RA is that education from a knowledgeable instructor should underpin programme delivery alongside effective medication. Programmes may need tailoring based on demographics; this should be explored in future studies.

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Beliefs, motives and gains associated with physical activity in people with osteoarthritis

Cited by 7 publications

References 30 publications

Understanding peer mentorship in supporting self‐management of hip and knee osteoarthritis: A qualitative study of mentees' perspectives

Understanding peer mentorship in supporting self‐management of hip and knee osteoarthritis: A qualitative study of mentees' perspectives

Development of a hybrid sleep and physical activity improvement intervention for adults with osteoarthritis-related pain and sleep disturbance: a focus group study with potential users

Strategies to enhance physical activity in people with Rheumatoid Arthritis: A Delphi survey

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