{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:20:35Z","timestamp":1769106035285,"version":"3.49.0"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T00:00:00Z","timestamp":1710028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Due to advances in treatments, people with haemophilia (PWH) are living longer. They are not as active as the general population due to joint damage and lack confidence to be active due to concerns about further bleeds and pain. There is a need to facilitate healthy aging through promotion of physical activity (PA) and exercise. Changing patient beliefs and increasing physical literacy and confidence to move are thought to be key to helping PWH become more active.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This paper describes the development of an exercise and behaviour change intervention to improve confidence to exercise in PWH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 4\u2010stage Medical Research Council framework for complex intervention development was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Stakeholders included 17 PWH and 7 physiotherapists working in haemophilia. Seven online focus group meetings were held. The final intervention is a hybrid 12\u2010week physiotherapist led progressive exercise programme. Classes are 45 min including Pilates, High intensity interval training and balance elements, together with discussion sessions focusing on PA recommendations, the types and benefits of different exercise styles and the effects of PA, together with the effects of aging for PWH. The COM\u2010B model of behaviour change was used to develop the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Co\u2010design helps to produce an intervention that understands the stakeholders needs. Through this process the intervention developed to incorporate not only increasing PA but also confidence to exercise. The use of behaviour change theory identified the behaviour techniques included in the intervention and aims to increase physical literacy in this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14972","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T06:29:12Z","timestamp":1710138552000},"page":"817-826","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Using evidence\u2010based co\u2010design to develop a hybrid delivered exercise intervention that aims to increase confidence to exercise in people with haemophilia"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2689-1780","authenticated-orcid":false,"given":"Stephanie","family":"Taylor","sequence":"first","affiliation":[{"name":"Oxford Haemophilia and Thrombosis Centre, Churchill Hospital  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Barker","sequence":"additional","affiliation":[{"name":"Physiotherapy Research Unit, Nuffield Orthopaedic Centre  Oxford UK"},{"name":"NDORMS (Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences) University of Oxford  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6175-3343","authenticated-orcid":false,"given":"David","family":"Stephensen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Health and Social Care Canterbury Christ Church University  Canterbury UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Williamson","sequence":"additional","affiliation":[{"name":"NDORMS (Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences) University of Oxford  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-021-00278-x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.15256\/joc.2011.1.2"},{"key":"e_1_2_12_4_1","unstructured":"UKHCDO.UKHCDO Annual Report 2022 [Internet].2022. 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