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Webb, Justin, Baker, Anna, Palmer, Tiffany, Hall, Amelia, Ahlquist, Ashleigh, Darlow, Jenny, Olaniyan, Victoria, Horlick, Rhian and Stewart, Duncan (2022) The barriers and facilitators to physical activity in people with a musculoskeletal condition: a rapid review of reviews using the COM-B model to support intervention development. Public Health in Practice, 3. pp. 1-7. ISSN 2666-5352
Objectives:
The objective of this review of reviews was to identify the modifiable barriers and facilitators to physical activity in people with a musculoskeletal condition to influence intervention development.
Study design:
A rapid review of review.
Methods:
The Cochrane library and PubMed Central were searched for reviews using pre-defined search terms using relevant synonyms for “physical activity”, “barriers” or “facilitators”, and “musculoskeletal condition”. The identified reviews were screened for inclusion. The barriers and facilitators to physical activity identified in the included reviews were coded using the COM-B model of behaviour.
Results:
503 reviews were identified with 12 included for analysis across a mix of conditions (n=3: hip and knee osteoarthritis combined; n=1: rheumatoid arthritis and osteoarthritis combined; n=1: lower-back pain, hip and knee osteoarthritis combined; n=2 rheumatoid arthritis; n=1: knee osteoarthritis; n=1: spondylarthritis; n=2 chronic pain; n=1 lower-back pain) and designs (n=2: qualitative; n=6: quantitative; n=4 mixed). A multitude of interrelated factors influencing physical activity in people with a musculoskeletal condition were identified across the COM-B components.
Conclusions:
This review of reviews identified the complex nature of physical activity in people living with a musculoskeletal condition. The identified barriers and facilitators coded using the COM-B model should be considered by intervention designers to develop behaviour change interventions for population group.
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