Search

Objectives: Osteoarthritis (OA) affects approximately 8.75 million people in the United Kingdom. Physical activity is recommended as a core treatment, yet 44% of people with OA are inactive. Motivation and self-efficacy for exercise are considered to be key factors contributing to sustained engagement with physical activity. The aim of this study was to explore the beliefs, motives (what an individual aims to attain through participating in physical activity) and gains (what people feel they might get from participation) associated with physical activity engagement in a group of people with OA., Design and Method: This study adopted a cross-sectional survey research design, using two validated questionnaires: the Exercise Motives and Gains Inventory and the Exercise Self-Efficacy Scale., Results: Data were gathered from 262 people with OA between August 2015 and January 2016. Those who were most active reported higher levels of both motivation and self-efficacy and were active for enjoyment, to avoid negative health, and for health and fitness reasons. A comparison of motives and gains revealed higher gain scores for social engagement and enjoyment, compared with associated motive scores., Conclusion: This study provides evidence of the central role that motives, gains and self-efficacy play in facilitating engagement with physical activity in this population. Future interventions should aim to foster increased self-efficacy for physical activity and promote autonomous forms of motivation by emphasising the importance of choosing activities which are enjoyable, as well as highlighting the value of social engagement., (© 2020 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.)

Background: Digital behaviour change interventions (DBCIs) might offer an opportunity to support people with osteoarthritis (OA) to self-manage and monitor their levels of physical activity (PA). Objectives: To determine the effectiveness of DBCIs for increasing physical activity in people with OA; to identify theory and techniques used; to examine outcome measures for physical activity; to document how uptake and usage is reported. Methods: Electronic databases were searched up to July 2017. Interventions for adults with OA, which aimed to increase levels of physical activity, delivered via a digital platform, were included. Results: Nine studies met the inclusion criteria. Six reported significant increases in physical activity. Interventions were mostly based on Social Cognitive Theory. Numerous behaviour change techniques (BCTs) were used. Most common physical activity outcomes measures were; self-reported aerobic exercise and self-reported strengthening exercises. Two studies used wearable activity monitors. A wide variety of methods were employed to report uptake and usage of DBCIs. Conclusions: Existing DBCIs can have a short-term positive effect on levels of physical activity in this population, but it remains unclear how effective they might be, over a longer period of time. It is vital to document and evaluate how individual components influence the outcome and effectiveness of an intervention. Future interventions should identify BCTs used in the development stages, and use valid measures of both physical activity, and intervention usage, so that results are transparent and comparable. [ABSTRACT FROM AUTHOR]