{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:55:49Z","timestamp":1786942549201,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"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":["Health Expectations"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Osteoarthritis (OA) is a common musculoskeletal condition which can cause debilitating pain and other symptoms. OA is more prevalent, and the impact is greater, among people experiencing socioeconomic disadvantage. While peer support is a recommended strategy for addressing these health inequalities, evidence in this area is limited. We previously developed and feasibility tested an in\u2010person OA peer mentorship intervention in a group with limited diversity. This study adapted the intervention for remote delivery to people experiencing socioeconomic disadvantage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This multi\u2010method study was informed by the ADAPT guidance. Focus groups and interviews were conducted with 20 adults with hip\/knee OA experiencing socioeconomic disadvantage to explore barriers and enablers to engagement with remote OA peer mentorship. The findings and project team members' suggestions informed provisional adaptations. The intervention was further adapted and finalised through two participatory workshops conducted with five people with relevant lived experience, four community organisation representatives, and six Patient and Public Involvement (PPI) representatives; and four intervention delivery practice runs undertaken by four PPI representatives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>A wide range of barriers and enablers were identified to two target behaviours \u2013 using self\u2010management strategies and attending remote OA peer mentorship sessions. The identified barriers\/enablers and additional study activities led to various adaptations. These spanned the delivery and content of the peer mentor training, mentorship sessions, and supporting resources. The adapted intervention consists of six 1\u2010h self\u2010management support sessions delivered remotely by a trained peer mentor. The remote format is flexible, with support available for addressing barriers related to making videoconferencing calls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study rigorously and systematically adapted an in\u2010person OA peer mentorship intervention for remote delivery to people experiencing socioeconomic disadvantage. Employing a multi\u2010method approach with diverse partners was key to identifying what adaptations were required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>PPI representatives played a central role in this study as project team members (two individuals), Project Advisory Group members (three individuals), and wider PPI group members (six additional individuals). This extensive PPI aimed to ensure the adapted OA peer mentorship intervention is useful, acceptable, and accessible to the people it aims to benefit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>ISRCTN registration of the overall project was obtained on 18 May 2023 (ISRCTN78088278).<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.70245","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T04:10:08Z","timestamp":1743567008000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adapting an Osteoarthritis Peer Mentorship Intervention for Remote Delivery to People Experiencing Socioeconomic Disadvantage: A Multi\u2010Method Approach"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4048-6880","authenticated-orcid":false,"given":"Anna M.","family":"Anderson","sequence":"first","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"},{"name":"Leeds Institute of Health Sciences University of Leeds Leeds UK"},{"name":"Leeds Institute of Rheumatic and Musculoskeletal Medicine University of Leeds Leeds UK"},{"name":"National Institute for Health and Care Research (NIHR) HealthTech Research Centre in Accelerated Surgical Care Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Lavender","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0306-8353","authenticated-orcid":false,"given":"Samantha","family":"Mason","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Eckersley","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Barry","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amrit","family":"Daffu\u2010O'Reilly","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi","family":"Green","sequence":"additional","affiliation":[{"name":"COUCH Health Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Conner","sequence":"additional","affiliation":[{"name":"School of Psychology University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretl A.","family":"McHugh","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Versus Arthritis \u201cThe State of Musculoskeletal Health 2024: Arthritis and Other Musculoskeletal Conditions in Numbers \u201d 2024 https:\/\/versusarthritis.org\/media\/embkyapu\/the-state-of-musculoskeletal-health-2024.pdf."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30417-9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16159"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/03009742.2016.1181203"},{"key":"e_1_2_11_6_1","unstructured":"H.Gardner K.Biggs andF. 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