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This study aimed to explore the\u00a0barriers and facilitators to the implementation of Good Life with osteoArthritis in Denmark (GLA:D), a supervised group guideline-based OA programme, across Irish public and private healthcare settings. Interviews with 10 physiotherapists (PTs; 8 public) and 9 people with hip and knee OA (PwOA; 4 public) were coded by the\u00a0Consolidated Framework for Implementation Research (CFIR) constructs in a case memo (summary, rationale, quotes). The strong positive\/negative implementation determinants were identified collaboratively by rating the valence and strength of CFIR constructs on implementation. Across public and private settings, PTs and PwOA strongly perceived GLA:D Ireland as evidence-based, with easily accessible education and modifiable marketing\/training materials that meet participants\u2019 needs, improve skills\/confidence and address exercise beliefs\/expectations. Despite difficulties in scheduling sessions (e.g., work\/caring responsibilities), PTs in public and private settings perceived advantages to implementation over current clinical practice (e.g., shortens waiting lists). Only PTs in public settings reported limited availability of internal\/external funding, inappropriate space, marketing\/training tools, and inadequate staffing. Across public and private settings, PwOA reported adaptability, appropriate space\/equipment and coaching\/supervision, autonomy, and social support as facilitators. Flexible training and tailored education for stakeholders and healthcare settings on guideline-based OA management may promote implementation. Additional support on organising (e.g., scheduling clinical time), planning (e.g., securing appropriate space, marketing\/training tools), and funding (e.g., accessing dedicated internal\/external grants) may strengthen implementation across public settings.<\/jats:p>","DOI":"10.1007\/s00296-024-05590-9","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T16:02:31Z","timestamp":1713801751000},"page":"1035-1050","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Barriers and facilitators to implementation of an exercise and education programme for osteoarthritis: a qualitative study using the consolidated framework for implementation research"],"prefix":"10.1007","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9482-5884","authenticated-orcid":false,"given":"Avantika","family":"Bhardwaj","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2180-7431","authenticated-orcid":false,"given":"Christine","family":"FitzGerald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4705-0219","authenticated-orcid":false,"given":"Margaret","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9708-5025","authenticated-orcid":false,"given":"Anne","family":"MacFarlane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6047-1240","authenticated-orcid":false,"given":"Norelee","family":"Kennedy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9373-100X","authenticated-orcid":false,"given":"Clodagh M.","family":"Toomey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,22]]},"reference":[{"issue":"9","key":"5590_CR1","doi-asserted-by":"publisher","first-page":"e508","DOI":"10.1016\/S2665-9913(23)00163-7","volume":"5","author":"JD Steinmetz","year":"2023","unstructured":"Steinmetz JD, Culbreth GT, Haile LM, Rafferty Q, Lo J et al (2023) Global, regional, and national burden of osteoarthritis, 1990\u20132020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021. 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Written informed consent was obtained from all study participants. Ethical approval was obtained from the University of Limerick Faculty of Education & Health Sciences Research Ethics Committee (REC) (2020_12_13_EHS), Galway Clinical REC (C.A.2685), National Orthopaedic Hospital Cappagh REC (NOHC-2022-ETH-MB-CEO-331), Clinical REC of the Cork Teaching Hospitals (ECM 4 (v) 16\/11\/2021 & ECM 3 (cc) 22\/02\/2022), and the University of Limerick Hospitals Group Mid-West Region REC (051\/2022).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Data from the current study will be presented at one scientific meeting. Bhardwaj, A., FitzGerald, C., Graham, M., MacFarlane, A., Kennedy, N. and Toomey, CM. (in press). \u2018Barriers and Facilitators to Implementation of an Exercise and Education Programme for Osteoarthritis: A Qualitative Study Using the Consolidated Framework for Implementation Research.\u2019 Osteoarthr Cartil.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Congress abstract publication"}}]}}