Booth, G; D'Lima, D; Gilbert, A; Greenwood, J; Sharma, N; Howarth, A; Hurley, M; Ussher, M
(2023)
Barriers and facilitators to physical activity for people with persistent musculoskeletal pain: systematic review and synthesis using the Theoretical Domains Framework.
EUROPEAN JOURNAL OF PHYSIOTHERAPY.
ISSN 2167-9169
https://doi.org/10.1080/21679169.2023.2276714
SGUL Authors: Ussher, Michael Henry
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Abstract
Background Physical activity (PA) is recommended for people with persistent musculoskeletal pain due to its benefits on symptoms, function and general health. This systematic review aimed to identify the barriers and facilitators to PA for people with persistent musculoskeletal pain and categorise these using the Theoretical Domains Framework (TDF). It also aimed to identify the prominence of each TDF domain and similarities and differences between included conditions and PA types. Methods Eligible studies reported barriers and/or facilitators to PA for adults with persistent musculoskeletal pain. Barriers and facilitators were coded using the TDF. Thematic analysis was then conducted within each TDF domain. TDF domains and barrier and facilitators were then compared across the different conditions and PA types. Results Thirty articles were included. ‘Environmental context and resources’, ‘social influences’ and ‘beliefs about consequences’ are the most prominent TDF domains for both barriers and facilitators, whereas ‘beliefs about capabilities’ and ‘emotion’ are prominent domains specifically for barriers, and ‘reinforcement’ and ‘behavioural regulation’ for facilitators. These domains were consistent across conditions and most PA types. Conclusions These findings can inform future intervention development. Healthcare professionals may benefit from prioritising addressing the more prominent TDF domains to enhance patients’ PA.
Item Type: | Article | ||||||
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Additional Information: | This is an Accepted Manuscript of an article published by Taylor & Francis in European Journal of Physiotherapy on 17/11/2023, available at: https://doi.org/10.1080/21679169.2023.2276714. | ||||||
Keywords: | Physical activity, persistent musculoskeletal pain, barriers, facilitators, exercise, Theoretical Domains Framework, barriers, exercise, facilitators, persistent musculoskeletal pain, Physical activity, Theoretical Domains Framework | ||||||
SGUL Research Institute / Research Centre: | Academic Structure > Population Health Research Institute (INPH) | ||||||
Journal or Publication Title: | EUROPEAN JOURNAL OF PHYSIOTHERAPY | ||||||
ISSN: | 2167-9169 | ||||||
Dates: |
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Publisher License: | Publisher's own licence | ||||||
Web of Science ID: | WOS:001103489400001 | ||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/116002 | ||||||
Publisher's version: | https://doi.org/10.1080/21679169.2023.2276714 |
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