Barriers and Facilitators to Exercise Participation in People with Hip and/or Knee Osteoarthritis: Synthesis of the Literature Using Behavior Change Theory

Fiona Dobson; Kim L Bennell; Simon D French; Philippa JA Nicolson; Remco N Klaasman; Melanie A Holden; Lou Atkins; Rana S Hinman

Journal article

Barriers and Facilitators to Exercise Participation in People with Hip and/or Knee Osteoarthritis: Synthesis of the Literature Using Behavior Change Theory

Fiona Dobson, Kim L Bennell, Simon D French, Philippa JA Nicolson, Remco N Klaasman, Melanie A Holden, Lou Atkins, Rana S Hinman

AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION | LIPPINCOTT WILLIAMS & WILKINS | Published : 2016

DOI: 10.1097/PHM.0000000000000448

Abstract

Exercise is recommended for hip and knee osteoarthritis (OA). Patient initiation of, and adherence to, exercise is key to the success of managing symptoms. This study aimed to (1) identify modifiable barriers and facilitators to participation in intentional exercise in hip and/or knee OA, and (2) synthesize findings using behavior change theory. A scoping review with systematic searches was conducted through March 2015. Two reviewers screened studies for eligibility. Barriers and facilitators were extracted and synthesized according to the Theoretical Domains Framework (TDF) by two independent reviewers. Twenty-three studies (total of 4633 participants) were included. The greatest number of ..

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University of Melbourne Researchers

Kim Bennell Author Physiotherapy

Fiona Dobson Author Physiotherapy

Rana Hinman Author Physiotherapy

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Grants

Awarded by National Health and Medical Research Council (NHMRC)

Awarded by Centre of Research Excellence

Awarded by NHMRC

Awarded by Australian Research Council Future Fellowship

Funding Acknowledgements

This study was funded by a National Health and Medical Research Council (NHMRC) Program grant (631717) and Centre of Research Excellence (#1079078). KLB is supported by a NHMRC Fellowship (#1058440). RSH is supported by an Australian Research Council Future Fellowship (FT130100175). SDF was partly supported by a NHMRC Primary Health Care Fellowship (567071) while working on this project. MAH is supported by the National Institute for Health Research (NIHR) School for Primary Care Research. The views expressed in this publication are those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.