{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T21:49:56Z","timestamp":1771364996860,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Worldwide, the unmet rehabilitation needs of adults with musculoskeletal disorders are high. Aquatic exercise is clinically effective in managing musculoskeletal disorders, but access to rehabilitative services is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the feasibility of a community\u2010based aquatic exercise and peer support intervention for patients with musculoskeletal disorders delivered via a multisector partnership between an NHS physiotherapy service, a leisure operator and a social enterprise that creates personalised exercise programmes delivered through an application on a tablet computer. Cost\u2010sharing was implemented after an initial complimentary session.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A mixed method service evaluation was undertaken. Patient demographics, attendance, and patient\u2010reported outcomes were summarised using descriptive statistics. Semi\u2010structured interviews and an online survey were employed to explore patient acceptability of the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty four patients accessed the intervention during the 6\u2010month pilot. Over half were from minority ethnic groups and nearly two thirds were in the bottom three deciles relating to low income. Patients exercised in a group of up to eight, supported by NHS rehabilitation professionals and volunteers. Provision of post\u2010session refreshments encouraged connectivity between patients. Weekly attendance at the programme was high. Patient\u2010reported outcome measures showed favourable changes in pain intensity and function following the intervention. Qualitative data suggest that the intervention was acceptable to patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Implementation of a community\u2010based aquatic exercise and peer support intervention for people with musculoskeletal disorders via a cross\u2010sector partnership involving the NHS appears feasible and acceptable to patients. Further research is needed to assess the impact on musculoskeletal health and health inequalities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1950","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T03:43:50Z","timestamp":1730173430000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility of a Community\u2010Based Aquatic and Peer Support Intervention for People With Musculoskeletal Disorders Delivered via a Cross\u2010Sector Partnership\u2014A Service Evaluation"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7404-7360","authenticated-orcid":false,"given":"Nicky","family":"Wilson","sequence":"first","affiliation":[{"name":"Physiotherapy Department King's College Hospital NHS Foundation Trust  London UK"},{"name":"Centre for Rheumatic Diseases King's College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9241-4758","authenticated-orcid":false,"given":"Massimo","family":"Barcellona","sequence":"additional","affiliation":[{"name":"Physiotherapy Department King's College Hospital NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Lambert","sequence":"additional","affiliation":[{"name":"Southwark Leisure  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petula","family":"Storey","sequence":"additional","affiliation":[{"name":"Patient Experience King's College Hospital NHS Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barrington","family":"Foster","sequence":"additional","affiliation":[{"name":"Patient Partner  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Waller","sequence":"additional","affiliation":[{"name":"Good Boost Wellbeing Social Enterprise  Bristol UK"},{"name":"NIHR Exeter Biomedical Research Centre University of Exeter Medical School  Exeter UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Wilkins","sequence":"additional","affiliation":[{"name":"Good Boost Wellbeing Social Enterprise  Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010630\u20101"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/jisprm.JISPRM\u2010000160"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102020\u2010103475"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102021\u2010006045"},{"key":"e_1_2_12_7_1","unstructured":"British Medical Association.2022.BMA Covid Review 3. Delivery of Healthcare During the Pandemic.https:\/\/www.bma.org.uk\/media\/5816\/bma\u2010covid\u2010review\u2010report\u20103\u2010june\u20102022.pdf."},{"key":"e_1_2_12_8_1","first-page":"28","article-title":"The Clinical Global Impressions Scale: Applying a Research Tool in Clinical Practice","volume":"4","author":"Busner J.","year":"2007","journal-title":"Psychiatry"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2020.101559"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)32340\u20100"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453"},{"key":"e_1_2_12_12_1","unstructured":"EuroQol Research Foundation.2019.EQ\u20105D\u20105L User Guide.https:\/\/euroqo.org\/publications\/user\u2010guides."},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119975144"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0733464812463431"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973\u20109087.17.04746\u20103"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20543"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009790.pub2"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.12.020"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1422036"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973\u20109087.22.07833\u20109"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479\u20105868\u20108\u2010115"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2020.10.002"},{"key":"e_1_2_12_23_1","unstructured":"McLennan D. S.Noble M.Noble E.Plinkett G.Wright andN.Gutacker.2019. \u201cThe English Indices of Deprivation.\u201d Technical report.https:\/\/assets.publishing.service.gov.uk\/media\/5d8b387740f0b609909b5908\/IoD2019_Technical_Report.pdf."},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/PXT.0000000000000024"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102017\u2010098765"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.2016.e10277"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939\u2010022\u201001787\u20101"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.06.045"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2020.09.006"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2003.09.004"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/1756\u2010185X.13480"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S97912"},{"key":"e_1_2_12_33_1","unstructured":"The Health Foundation\/Ipsos.2024.Public Perceptions of Health and Social Care Polling (November 2023).https:\/\/www.health.org.uk\/publications\/public\u2010perceptions\u2010of\u2010health\u2010and\u2010social\u2010care\u2010november\u20102023."},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2252742"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010023\u201004417\u2010w"},{"key":"e_1_2_12_36_1","volume-title":"The NHS in Crisis\u2014Evaluating the Radical Alternatives","author":"Wickens C.","year":"2023"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.1950","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T02:21:32Z","timestamp":1735266092000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.1950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,28]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1002\/msc.1950"],"URL":"https:\/\/doi.org\/10.1002\/msc.1950","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,28]]},"assertion":[{"value":"2024-08-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1950"}}