Abstract
Background
Osteoarthritis (OA) has a significant impact on pain, mobility and affects over 528 million people worldwide (Hunter & Felson, 2006; Vos et al., 2020). Physical Activity (PA) is recommended to offset progression of OA however 40% of adults fail to meet the recommended PA guidelines (Wallis et al., 2013). OA management programmes which incorporate structured exercise and education have been implemented in different healthcare settings, showing significant impact on the management of hip and knee OA. Unfortunately, with cessation of exercise programmes, PA behaviour often declines, and the exercise benefits gained begin to diminish.
Objectives
This study aims to systematically review the barriers to and facilitators of maintaining PA behaviour for people with hip and knee OA.
Methods
The following databases will be searched throughout this review: APA PsycINFO, CINAHL Complete, Cochrane Library, Embase, Medline via PubMed, and the Web of Science. Only articles that meet the eligibility criteria and report on the barriers to and facilitators of maintaining PA behaviour for people with hip and knee OA will be included in this review. Articles will be screened, and quality assessment will be performed by two independent reviewers and verified by a third reviewer using Covidence and the Mixed-methods Appraisal Tool (MMAT). Key qualitative data will be managed using NVivo and a thematic synthesis of the findings will be performed using line-by-line coding. These will then be mapped to the quantitative findings and discussed as a narrative synthesis.
Discussion
PA plays a pivotal role in the management of hip and knee OA; however, further research is needed to identify the barriers to and facilitators of long-term engagement with PA behaviour. This study, which aims to address, analyse and consolidate these findings could help guide future long-term management of hip and knee OA.
Osteoarthritis (OA) has a significant impact on pain, mobility and affects over 528 million people worldwide (Hunter & Felson, 2006; Vos et al., 2020). Physical Activity (PA) is recommended to offset progression of OA however 40% of adults fail to meet the recommended PA guidelines (Wallis et al., 2013). OA management programmes which incorporate structured exercise and education have been implemented in different healthcare settings, showing significant impact on the management of hip and knee OA. Unfortunately, with cessation of exercise programmes, PA behaviour often declines, and the exercise benefits gained begin to diminish.
Objectives
This study aims to systematically review the barriers to and facilitators of maintaining PA behaviour for people with hip and knee OA.
Methods
The following databases will be searched throughout this review: APA PsycINFO, CINAHL Complete, Cochrane Library, Embase, Medline via PubMed, and the Web of Science. Only articles that meet the eligibility criteria and report on the barriers to and facilitators of maintaining PA behaviour for people with hip and knee OA will be included in this review. Articles will be screened, and quality assessment will be performed by two independent reviewers and verified by a third reviewer using Covidence and the Mixed-methods Appraisal Tool (MMAT). Key qualitative data will be managed using NVivo and a thematic synthesis of the findings will be performed using line-by-line coding. These will then be mapped to the quantitative findings and discussed as a narrative synthesis.
Discussion
PA plays a pivotal role in the management of hip and knee OA; however, further research is needed to identify the barriers to and facilitators of long-term engagement with PA behaviour. This study, which aims to address, analyse and consolidate these findings could help guide future long-term management of hip and knee OA.
| Original language | English (Ireland) |
|---|---|
| Volume | 8 |
| No. | 62 |
| Specialist publication | HRB Open Research |
| DOIs | |
| Publication status | Published - 23 May 2025 |
Keywords
- Hip and Knee Osteoarthritis, Physical Activity, Behaviour, Maintenance, Barrier, Facilitator, Long-term