{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:55:17Z","timestamp":1790657717471,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the individual, interpersonal, community, organisational, and policy\u2010level factors that influence physical activity among people with arthritis in England, using the Social Ecological Model as the analytical framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Qualitative research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Semi\u2010structured interviews were conducted with three stakeholder groups: people with arthritis (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a010), healthcare professionals (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a018), and providers of community physical activity services (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a06). Participants were recruited via the charity Arthritis UK. Interviews were audio\u2010recorded, transcribed verbatim, and analysed thematically, with the identified themes mapped to the domains of the social\u2010ecological model.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Factors influential on physical activity were identified at individual, interpersonal, community, organisational, policy, and environmental levels. Individual\u2010level factors included the relationship with physical activity, knowledge, understanding and reassurance, physical and emotional pain, and alignment with personal interests. Interpersonal influences encompassed support from family and peers, and conversations with healthcare professionals, particularly physiotherapists. Community\u2010level factors included access, suitability, and the opportunity for social interactions. Organisational\u2010level factors included short\u2010term funding, staffing shortages and expertise, and signposting challenges. Policy and environmental factors included social norms around physical activity, and the interpretation of the physical activity guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Physical activity promotion for people with arthritis requires a multi\u2010level approach that addresses barriers and harnesses facilitators across the social\u2010ecological spectrum. Tailored advice, improved referral pathways, sustainable funding, and inclusive activity promotion and provision are needed to support participation. These findings can inform the design of person\u2010centred, contextually relevant interventions to increase physical activity in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70257","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:07:50Z","timestamp":1786939670000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Qualitative Exploration of the Multidimensional Influences on Physical Activity Among People With Arthritis"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7637-068X","authenticated-orcid":false,"given":"Justin","family":"Webb","sequence":"first","affiliation":[{"name":"School of Social Sciences and Professions London Metropolitan University  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Allison","sequence":"additional","affiliation":[{"name":"School of Social Sciences and Professions London Metropolitan University  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd10.130077"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)60735\u20101"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296\u2010024\u201005590\u20109"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41927\u2010023\u201000352\u20109"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781036232078.n9"},{"key":"e_1_2_13_8_1","unstructured":"N. H. S England. n.d. \u201cNHS England \u201d Allied Health Professions.\u201d Retrieved 16 April 2026.https:\/\/www.england.nhs.uk\/ahp\/role\/."},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2016.02.005"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)01164\u20108"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2022.10.009"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/iby010"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.2217\/ijr.15.3"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1155\/hsc\/3898705"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010017042"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067\u2010021\u201005739\u2010y"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2016.1151372"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13075\u2010023\u201002996\u2010x"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13102\u2010024\u201000913\u20106"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000000388"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis\u20102018\u2010213585"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2017.05.001"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312119874995"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102021\u2010104281"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/14635240.2017.1415160"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/10833196.2019.1659562"},{"key":"e_1_2_13_28_1","first-page":"465","volume-title":"Health Behavior and Health Education: Theory, Research, and Practice","author":"Sallis J. F.","year":"2008"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.20515\/otd.1312615"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.2018\u20100343"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191912030"},{"key":"e_1_2_13_32_1","volume-title":"Let\u2019s Be Active, the Global Action Plan on Physical Activity 2018\u20142030","author":"World Health Organisation","year":"2018"},{"key":"e_1_2_13_33_1","volume-title":"WHO Guidelines on Physical Activity and Sedentary Behaviour","author":"World Health Organization","year":"2020"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70257","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/msc.70257","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70257","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:05:23Z","timestamp":1790654723000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,16]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/msc.70257"],"URL":"https:\/\/doi.org\/10.1002\/msc.70257","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,16]]},"assertion":[{"value":"2025-11-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70257"}}