{"id":"https://openalex.org/W7225812416","doi":"https://doi.org/10.1186/s12913-026-15973-2","title":"Maintaining activity in arthritis: a qualitative exploration of barriers, facilitators and strategies following a physiotherapy-led exercise programme","display_name":"Maintaining activity in arthritis: a qualitative exploration of barriers, facilitators and strategies following a physiotherapy-led exercise programme","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225812416","doi":"https://doi.org/10.1186/s12913-026-15973-2"},"language":"en","primary_location":{"id":"doi:10.1186/s12913-026-15973-2","doi":"https://doi.org/10.1186/s12913-026-15973-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-15973-2","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12913-026-15973-2","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061713969","display_name":"Aoife Stephenson","orcid":"https://orcid.org/0000-0001-8766-5272","observed_orcids":["https://orcid.org/0000-0001-8766-5272"]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Aoife Stephenson","raw_affiliation_strings":["School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087943165","display_name":"Elaine Byrne","orcid":"https://orcid.org/0000-0001-7322-277X","observed_orcids":["https://orcid.org/0000-0001-7322-277X"]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Elaine Byrne","raw_affiliation_strings":["Centre for Positive Health Sciences, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Positive Health Sciences, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045465756","display_name":"Aisling Walsh","orcid":"https://orcid.org/0000-0002-5312-5101","observed_orcids":["https://orcid.org/0000-0002-5312-5101"]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Aisling Walsh","raw_affiliation_strings":["Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161486134","display_name":"Deirdre Hurley Osing","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I100930933","display_name":"University College Dublin","ror":"https://ror.org/05m7pjf47","country_code":"IE","type":"education","lineage":["https://openalex.org/I100930933"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Deirdre Hurley Osing","raw_affiliation_strings":["School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Public Health Physiotherapy and Sports Science, University College Dublin, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I100930933"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033803383","display_name":"David French","orcid":"https://orcid.org/0000-0002-7663-7804","observed_orcids":["https://orcid.org/0000-0002-7663-7804"]},"institutions":[{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"David P. French","raw_affiliation_strings":["Manchester Centre for Health Psychology, The University of Manchester, Manchester, England, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Manchester Centre for Health Psychology, The University of Manchester, Manchester, England, UK","institution_ids":["https://openalex.org/I28407311"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036138612","display_name":"Nina Brodin","orcid":"https://orcid.org/0000-0002-3589-664X","observed_orcids":["https://orcid.org/0000-0002-3589-664X"]},"institutions":[{"id":"https://openalex.org/I2802208705","display_name":"Danderyds sjukhus","ror":"https://ror.org/00hm9kt34","country_code":"SE","type":"healthcare","lineage":["https://openalex.org/I2802208705","https://openalex.org/I28166907"]},{"id":"https://openalex.org/I28166907","display_name":"Karolinska Institutet","ror":"https://ror.org/056d84691","country_code":"SE","type":"education","lineage":["https://openalex.org/I28166907"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Nina Brodin","raw_affiliation_strings":["Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden","Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden","institution_ids":["https://openalex.org/I28166907"]},{"raw_affiliation_string":"Department of Orthopaedics, Danderyd Hospital, Stockholm, Sweden","institution_ids":["https://openalex.org/I2802208705"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124808353","display_name":"Noreena Coyle","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Noreena Coyle","raw_affiliation_strings":["Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001090989","display_name":"Helen French","orcid":"https://orcid.org/0000-0002-0300-4395","observed_orcids":["https://orcid.org/0000-0002-0300-4395"]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Helen P. French","raw_affiliation_strings":["School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070472122","display_name":"Norelee Kennedy","orcid":"https://orcid.org/0000-0001-6047-1240","observed_orcids":["https://orcid.org/0000-0001-6047-1240"]},"institutions":[{"id":"https://openalex.org/I230495080","display_name":"University of Limerick","ror":"https://ror.org/00a0n9e72","country_code":"IE","type":"education","lineage":["https://openalex.org/I230495080"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Norelee Kennedy","raw_affiliation_strings":["Faculty of Education and Health Sciences, School of Allied Health, Discipline of Physiotherapy, University of Limerick, Limerick, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Education and Health Sciences, School of Allied Health, Discipline of Physiotherapy, University of Limerick, Limerick, Ireland","institution_ids":["https://openalex.org/I230495080"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161441323","display_name":"Stacey M. Grealis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Stacey M. Grealis","raw_affiliation_strings":["Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I142762351"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5075912007","display_name":"Suzanne McDonough","orcid":"https://orcid.org/0000-0003-3758-3302","observed_orcids":["https://orcid.org/0000-0003-3758-3302"]},"institutions":[{"id":"https://openalex.org/I142762351","display_name":"Royal College of Surgeons in Ireland","ror":"https://ror.org/01hxy9878","country_code":"IE","type":"education","lineage":["https://openalex.org/I142762351"]}],"countries":["IE"],"is_corresponding":true,"raw_author_name":"Suzanne M. McDonough","raw_affiliation_strings":["School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland","institution_ids":["https://openalex.org/I142762351"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5075912007"],"corresponding_institution_ids":["https://openalex.org/I142762351"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.9556000232696533,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.9556000232696533,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.01730000041425228,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11542","display_name":"Behavioral Health and Interventions","score":0.010200000368058681,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.7459999918937683},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.631600022315979},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5529000163078308},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5218999981880188},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.4729999899864197},{"id":"https://openalex.org/C518773536","wikidata":"https://www.wikidata.org/wiki/Q918533","display_name":"Nursing research","level":2,"score":0.47200000286102295},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.43299999833106995},{"id":"https://openalex.org/C137992405","wikidata":"https://www.wikidata.org/wiki/Q1137608","display_name":"Health administration","level":3,"score":0.414900004863739},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3971000015735626},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3797000050544739},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.37959998846054077},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.3407000005245209},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.34060001373291016},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.33660000562667847},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.3314000070095062},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3303000032901764},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.32499998807907104},{"id":"https://openalex.org/C2781195723","wikidata":"https://www.wikidata.org/wiki/Q199027","display_name":"Goal setting","level":2,"score":0.323199987411499},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.32190001010894775},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3197999894618988},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3158999979496002},{"id":"https://openalex.org/C110379092","wikidata":"https://www.wikidata.org/wiki/Q1571836","display_name":"Social environment","level":2,"score":0.3151000142097473},{"id":"https://openalex.org/C2776933761","wikidata":"https://www.wikidata.org/wiki/Q4117674","display_name":"Self-management","level":2,"score":0.30399999022483826},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.2978000044822693},{"id":"https://openalex.org/C162446236","wikidata":"https://www.wikidata.org/wiki/Q653137","display_name":"Content analysis","level":2,"score":0.2892000079154968},{"id":"https://openalex.org/C185618831","wikidata":"https://www.wikidata.org/wiki/Q1851928","display_name":"Health promotion","level":3,"score":0.28209999203681946},{"id":"https://openalex.org/C2777077863","wikidata":"https://www.wikidata.org/wiki/Q170990","display_name":"Arthritis","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C9701087","wikidata":"https://www.wikidata.org/wiki/Q1283504","display_name":"Social engagement","level":2,"score":0.2662999927997589},{"id":"https://openalex.org/C2776511598","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient participation","level":3,"score":0.2653999924659729},{"id":"https://openalex.org/C2778091340","wikidata":"https://www.wikidata.org/wiki/Q15749950","display_name":"Quality of Life Research","level":3,"score":0.26460000872612},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.26170000433921814}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12913-026-15973-2","doi":"https://doi.org/10.1186/s12913-026-15973-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-15973-2","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12913-026-15973-2","doi":"https://doi.org/10.1186/s12913-026-15973-2","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12913-026-15973-2","pdf_url":null,"source":{"id":"https://openalex.org/S12898181","display_name":"BMC Health Services Research","issn_l":"1472-6963","issn":["1472-6963"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Health Services Research","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Physical":[2],"activity":[3],"(PA)":[4],"is":[5],"central":[6],"to":[7,39,51,59,119,124,132,268,284],"arthritis":[8,67,88,164],"management,":[9],"yet":[10],"gains":[11],"from":[12],"structured":[13,282],"exercise":[14,30,73,94,177,283],"programmes":[15],"are":[16],"often":[17],"not":[18],"maintained":[19],"long-term.":[20],"Limited":[21],"evidence":[22],"exists":[23],"on":[24],"factors":[25,249],"influencing":[26],"PA":[27,44,61,125,137,160,169,289,337],"maintenance":[28,62,170],"after":[29],"programme":[31],"completion":[32,69,90],"in":[33,107,174],"this":[34],"population.":[35],"This":[36],"study":[37,79],"aimed":[38],"(1)":[40,212],"explore":[41,133],"understandings":[42],"of":[43,70,91,136,243,288],"maintenance;":[45,126],"(2)":[46,128,216],"identify":[47,120],"barriers":[48,121,195],"and":[49,54,105,122,127,139,163,187,196,223,228,247,265,311,317,335],"facilitators":[50,123,197],"maintaining":[52],"PA;":[53],"(3)":[55,220],"examine":[56],"suggested":[57,140,257],"strategies":[58,188,259],"support":[60,232,264,285,310,329],"among":[63],"people":[64,294],"living":[65,86,244,295],"with":[66,84,87,98,203,245,296],"following":[68,89],"a":[71,92,234,300],"physiotherapy-led":[72,93],"programme.":[74],"Methods":[75],"A":[76],"qualitative":[77,129],"descriptive":[78,130],"using":[80,113],"online":[81],"focus":[82,144],"groups":[83,145],"adults":[85],"programme,":[95],"\u201cBe":[96],"Active":[97],"Arthritis\u201d":[99],"(BAWA).":[100],"Discussions":[101],"were":[102,146,189],"recorded,":[103],"transcribed,":[104],"analysed":[106],"two":[108],"stages":[109],"(1),":[110],"framework":[111],"analysis":[112,131],"the":[114,204,274],"Theoretical":[115],"Domains":[116],"Framework":[117],"(TDF)":[118],"participants\u2019":[134],"understanding":[135],"maintenance,":[138],"strategies.":[141],"Results":[142],"Three":[143],"hosted":[147],"(":[148],"n":[149,152,155],"=":[150,153,156],"5,":[151],"6,":[154],"7).":[157],"Participants":[158,191,256],"valued":[159],"for":[161,276,293],"health":[162,239],"management":[165],"but":[166],"commonly":[167],"conceptualised":[168],"as":[171],"continued":[172],"participation":[173],"structured,":[175],"arthritis-specific":[176],"rather":[178],"than":[179],"broader":[180],"everyday":[181,343],"activity,":[182],"shaping":[183],"how":[184,267],"barriers,":[185],"facilitators,":[186],"discussed.":[190],"identified":[192],"multiple":[193,258],"interacting":[194],"across":[198],"all":[199],"14":[200],"TDF":[201],"domains,":[202],"richest":[205],"data":[206],"concentrated":[207],"within":[208],"five":[209],"key":[210,235],"domains.":[211],"Beliefs":[213,217],"about":[214,218],"capabilities,":[215],"consequences,":[219],"Environmental":[221],"context":[222],"resources,":[224],"(4)":[225],"Social":[226,231],"Influences":[227],"(5)":[229],"Emotion.":[230],"was":[233],"facilitator,":[236],"while":[237],"fluctuating":[238,313],"status,":[240],"psychological":[241,315],"burden":[242],"arthritis,":[246],"environmental":[248],"(e.g.,":[250],"cost,":[251],"weather)":[252],"posed":[253],"significant":[254],"barriers.":[255,319],"including":[260],"\u201cbooster\u201d":[261],"sessions,":[262],"peer":[263],"knowing":[266],"adapt":[269],"activities.":[270],"Conclusions":[271],"Findings":[272],"highlight":[273],"need":[275],"co-developed":[277],"interventions":[278],"that":[279,304],"move":[280],"beyond":[281,338],"long-term":[286],"integration":[287],"into":[290],"daily":[291],"life":[292],"arthritis.":[297],"It":[298,320],"provides":[299],"theory-informed":[301],"foundation,":[302],"suggesting":[303],"intervention":[305],"development":[306],"should":[307,321],"incorporate":[308],"social":[309,327],"address":[312],"symptoms,":[314],"challenges,":[316],"practical":[318],"also":[322],"prioritise":[323],"confidence":[324],"building,":[325],"foster":[326],"connection,":[328],"emotional":[330],"adjustment,":[331],"promote":[332],"habit":[333],"formation,":[334],"reframe":[336],"rehabilitation":[339],"towards":[340],"flexible,":[341],"self-directed":[342],"movement.":[344]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}
