{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:03:28Z","timestamp":1793653408237,"version":"4.5.1"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T00:00:00Z","timestamp":1639958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Physical activity is fundamental in the management of axial spondyloarthritis (SpA); however, evidence suggests that patients with axial SpA are not adhering to physical activity recommendations. E\u2010health technology (e.g., telephone reminders and mobile text messaging) can increase participation in physical activity. The aims of this study were as follows: 1) to understand perspectives of the importance of physical activity in the management of axial SpA; 2) to describe factors associated with physical activity adherence; and 3) to explore the role of e\u2010health technology to facilitate physical activity in patients with axial SpA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semistructured interviews were conducted with axial SpA patients attending an urban academic rheumatology clinic. Interviews were audio recorded and transcribed verbatim. Data were analyzed using thematic principles. Systematic labeling of the data set was completed using an inductive approach until saturation of emergent themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve patient interviews were completed. Most respondents were male (83.3%) with a mean \u00b1 SD age of 45.5 \u00b1 12.5 years and a mean \u00b1 SD disease duration of 21.5 \u00b1 14.9 years. Participants defined physical as any activity involving physical exertion. The role of physical activity in axial SpA management was well recognized and included symptom relief, pharmacologic synergy, and impact on general health. Motivators included a growth mindset, social support networks, and facility access. Barriers included fear of disease progression, life demands, and environmental restrictions. Feedback, electronic reminders, and virtual support networks were key components of e\u2010health technology to facilitate engagement in physical activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study provide a foundation to guide development of patient\u2010centered e\u2010health technology interventions to increase physical activity uptake in patients with axial SpA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.24788","type":"journal-article","created":{"date-parts":[[2021,9,22]],"date-time":"2021-09-22T02:06:37Z","timestamp":1632276397000},"page":"50-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Motivators, Barriers, and Opportunity for E\u2010Health to Encourage Physical Activity in Axial Spondyloarthritis: A\u00a0Qualitative Descriptive Study"],"prefix":"10.1002","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8017-8930","authenticated-orcid":false,"given":"Laura","family":"Passalent","sequence":"first","affiliation":[{"name":"Schroeder Arthritis Institute Krembil Research Institute University Health Network, and University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaina","family":"Cyr","sequence":"additional","affiliation":[{"name":"University Health Network Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Jurisica","sequence":"additional","affiliation":[{"name":"Schroeder Arthritis Institute Krembil Research Institute University Health Network, and University of Toronto, Toronto, Ontario, Canada, and Slovak Academy of Sciences Bratislava Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunita","family":"Mathur","sequence":"additional","affiliation":[{"name":"Queen\u2019s University Kingston Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Inman","sequence":"additional","affiliation":[{"name":"Schroeder Arthritis Institute Krembil Research Institute University Health Network, and University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3210-4771","authenticated-orcid":false,"given":"Nigil","family":"Haroon","sequence":"additional","affiliation":[{"name":"Schroeder Arthritis Institute Krembil Research Institute University Health Network, and University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"World Health Organization.Physical activity. February2018. URL:http:\/\/www.who.int\/mediacentre\/factsheets\/fs385\/en\/."},{"key":"e_1_2_7_3_1","unstructured":"Canadian Society for Exercise Physiology.Canadian physical activity guidelines. URL:https:\/\/csep.ca\/CMFiles\/Guidelines\/CSEP_PAGuidelines_0\u201065plus_en.pdf."},{"key":"e_1_2_7_4_1","unstructured":"World Health Organization.Physical activity. 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