{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:29:44Z","timestamp":1790008184095,"version":"4.0.1"},"reference-count":68,"publisher":"BMJ","issue":"6","funder":[{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013374","name":"School for Primary Care Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100013374","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000659","name":"Research Trainees Coordinating Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,4,25]]},"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of this study was to investigate general practitioners\u2019 (GPs) attitudes, beliefs and behaviours regarding the use of exercise for patients with chronic knee pain (CKP) attributable to osteoarthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Primary care GPs in the UK.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>5000 GPs, randomly selected from Binley\u2019s database, were mailed a cross-sectional questionnaire survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome measures<\/jats:title><jats:p>GPs\u2019 attitudes and beliefs were investigated using attitude statements, and reported behaviours were identified using vignette-based questions. GPs were invited to report barriers experienced when initiating exercise with patients with CKP<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>835 (17%) GPs responded. Overall, GPs were positive about general exercise for CKP. 729 (87%) reported using exercise, of which, 538 (74%) reported that they would use both general and local (lower limb) exercises. However, only 92 (11% of all responding) GPs reported initiating exercise in ways aligning with best-evidence recommendations. 815 (98%) GPs reported barriers in using exercise for patients with CKP, most commonly, insufficient time in consultations (n=419; 51%) and insufficient expertise (n=337; 41%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While GPs\u2019 attitudes and beliefs regarding exercise for CKP were generally positive, initiation of exercise was often poorly aligned with current recommendations, and barriers and uncertainties were reported. GPs\u2019 use of exercise may be improved by addressing the key barriers of time and expertise, by developing a pragmatic approach that supports GPs to initiate individualised exercise, and\/or by other professionals taking on this role.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2016-014999","type":"journal-article","created":{"date-parts":[[2017,6,18]],"date-time":"2017-06-18T00:10:24Z","timestamp":1497744624000},"page":"e014999","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":38,"title":["GPs' attitudes, beliefs and behaviours regarding exercise for chronic knee pain: a questionnaire survey"],"prefix":"10.1136","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5757-1854","authenticated-orcid":false,"given":"Elizabeth","family":"Cottrell","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine E","family":"Foster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Porcheret","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trishna","family":"Rathod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Roddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,6,17]]},"reference":[{"key":"2024051612300623000_7.6.e014999.1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh045"},{"key":"2024051612300623000_7.6.e014999.2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-8-59"},{"key":"2024051612300623000_7.6.e014999.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-10-153"},{"key":"2024051612300623000_7.6.e014999.4","unstructured":"National Institute for Health and Care Excellence. Osteoarthritis: care and management in adults. 2014:CG177."},{"key":"2024051612300623000_7.6.e014999.5","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-11-4"},{"key":"2024051612300623000_7.6.e014999.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60692-4"},{"key":"2024051612300623000_7.6.e014999.7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-144"},{"key":"2024051612300623000_7.6.e014999.8","unstructured":"Arthritis Research UK National Primary Care Centre. Musculoskeletal matters. consultations for selected diagnoses and Regional problems. Musculskeletal matters. Bulletin 2010. 2."},{"key":"2024051612300623000_7.6.e014999.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2014.01.003"},{"key":"2024051612300623000_7.6.e014999.10","unstructured":"National Institute for Health and Care Excellence. Osteoarthritis NICE quality standard. QS87 ed, 2015. http:\/\/www.nice.org.uk\/guidance\/qs87: NICE."},{"key":"2024051612300623000_7.6.e014999.11","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1002\/acr.22518","article-title":"What do people with knee or hip osteoarthritis need to know? an international consensus list of essential statements for osteoarthritis","volume":"67","author":"French","year":"2015","journal-title":"Arthritis Care Res"},{"key":"2024051612300623000_7.6.e014999.12","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f5555"},{"key":"2024051612300623000_7.6.e014999.13","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/j.jbspin.2008.02.016","article-title":"Adherence to, and results of, physical therapy programs in patients with hip or knee osteoarthritis. Development of French clinical practice guidelines","volume":"75","author":"Mazi\u00e8res","year":"2008","journal-title":"Joint Bone Spine"},{"key":"2024051612300623000_7.6.e014999.14","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"2024051612300623000_7.6.e014999.15","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2004.011155"},{"key":"2024051612300623000_7.6.e014999.16","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-3-36"},{"key":"2024051612300623000_7.6.e014999.17","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1186\/s12875-016-0570-4","article-title":"What influences general practitioners' use of exercise for patients with chronic knee pain? results from a national survey","volume":"17","author":"Cottrell","year":"2016","journal-title":"BMC Fam Pract"},{"key":"2024051612300623000_7.6.e014999.18","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-15-3"},{"key":"2024051612300623000_7.6.e014999.19","doi-asserted-by":"publisher","DOI":"10.1002\/art.24829"},{"key":"2024051612300623000_7.6.e014999.20","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21700"},{"key":"2024051612300623000_7.6.e014999.21","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh399"},{"key":"2024051612300623000_7.6.e014999.22","unstructured":"Zar J . Biostatistical analysis. 4th ed. Prentice Hall, 1998."},{"key":"2024051612300623000_7.6.e014999.23","unstructured":"Statistics NI , Agency R . Northern Ireland multiple deprivation measure. 2010, 2010. &. http:\/\/www.nisra.gov.uk\/deprivation\/nimdm_2010.htm. (accessed 06 Jan 2015)."},{"key":"2024051612300623000_7.6.e014999.24","unstructured":"Department for Communities and Local Government. English indices of deprivation 2010. 2011. (accessed 12 Dec 2014)."},{"key":"2024051612300623000_7.6.e014999.25","unstructured":"Welsh Government. Welsh Index of multiple deprivation (WIMD). 2014. http:\/\/wales.gov.uk\/statistics-and-research\/welsh-index-multiple-deprivation\/?lang=en. (accessed 06 Jan 2015)."},{"key":"2024051612300623000_7.6.e014999.26","unstructured":"The Scottish Government. Scottish Index of multiple deprivation. 2014. http:\/\/www.scotland.gov.uk\/Topics\/Statistics\/SIMD. (accessed 12 Dec 2014)."},{"key":"2024051612300623000_7.6.e014999.27","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.ijosm.2007.02.003","article-title":"Developing clinical guidelines for the physiotherapy management of whiplash associated disorder (WAD)","volume":"10","author":"Mercer","year":"2007","journal-title":"International Journal of Osteopathic Medicine"},{"key":"2024051612300623000_7.6.e014999.28","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-202745"},{"key":"2024051612300623000_7.6.e014999.29","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1111\/j.1756-185X.2008.00367.x","article-title":"A survey of the primary care management of osteoarthritis in Malaysia: a view from a rheumatologist's perspective","volume":"11","author":"Arshad","year":"2008","journal-title":"Int J Rheum Dis"},{"key":"2024051612300623000_7.6.e014999.30","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-12-72"},{"key":"2024051612300623000_7.6.e014999.31","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22143"},{"key":"2024051612300623000_7.6.e014999.32","doi-asserted-by":"publisher","DOI":"10.1136\/ard.62.5.450"},{"key":"2024051612300623000_7.6.e014999.33","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kel340"},{"key":"2024051612300623000_7.6.e014999.34","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1002\/art.1790050109","article-title":"Joint exercises in elderly persons with symptomatic osteoarthritis of the hip or knee. Performance patterns, medical support patterns, and the relationship between exercising and medical care","volume":"5","author":"Dexter","year":"1992","journal-title":"Arthritis Care Res"},{"key":"2024051612300623000_7.6.e014999.35","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1002\/art.1790100503","article-title":"Comparison of general internists, family physicians, and rheumatologists managing patients with symptoms of osteoarthritis of the knee","volume":"10","author":"Mazzuca","year":"1997","journal-title":"Arthritis Care Res"},{"key":"2024051612300623000_7.6.e014999.36","doi-asserted-by":"crossref","first-page":"126","DOI":"10.3810\/pgm.2011.01.2254","article-title":"Management of mild-to-moderate osteoarthritis: a study of the primary care perspective","volume":"123","author":"Glauser","year":"2011","journal-title":"Postgrad Med"},{"key":"2024051612300623000_7.6.e014999.37","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.7.6.563"},{"key":"2024051612300623000_7.6.e014999.38","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keu333"},{"key":"2024051612300623000_7.6.e014999.39","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.12.003"},{"key":"2024051612300623000_7.6.e014999.40","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cml022"},{"key":"2024051612300623000_7.6.e014999.41","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-1"},{"key":"2024051612300623000_7.6.e014999.42","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1007\/s13142-012-0131-x","article-title":"Perceived versus actual factors associated with adoption and maintenance of an evidence-based physical activity program","volume":"2","author":"Derananian","year":"2012","journal-title":"Transl Behav Med"},{"key":"2024051612300623000_7.6.e014999.43","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20080077"},{"key":"2024051612300623000_7.6.e014999.44","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmm036"},{"key":"2024051612300623000_7.6.e014999.45","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.13.1715"},{"key":"2024051612300623000_7.6.e014999.46","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-10-200411160-00014"},{"key":"2024051612300623000_7.6.e014999.47","doi-asserted-by":"publisher","DOI":"10.1177\/1062860605274520"},{"key":"2024051612300623000_7.6.e014999.48","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czm020"},{"key":"2024051612300623000_7.6.e014999.49","unstructured":"Conner M , Normal P . Predicting and changing health behaviour: research and practice with social cognition models. 3rd ed. Maidenhead: Open University Press, 2015."},{"key":"2024051612300623000_7.6.e014999.50","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1136\/bmj.d4141","article-title":"Prescribing exercise in primary care: ten practical steps on how to do it","volume":"343","author":"Khan","year":"2011","journal-title":"BMJ"},{"key":"2024051612300623000_7.6.e014999.51","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-7599.2007.00239.x"},{"key":"2024051612300623000_7.6.e014999.52","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.23"},{"key":"2024051612300623000_7.6.e014999.53","unstructured":"Professional associations for physical activity (Sweden). Physical activity in the prevention and treatment of disease. Sweden: Swedish National Institute of Public Health, 2010."},{"key":"2024051612300623000_7.6.e014999.54","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-12-119"},{"key":"2024051612300623000_7.6.e014999.55","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1186\/1471-2474-15-427","article-title":"Acceptability of a 'guidebook' for the management of Osteoarthritis: a qualitative study of patient and clinician's perspectives","volume":"15","author":"Morden","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"2024051612300623000_7.6.e014999.56","unstructured":"Keele University, Arthritis Research UK, National Institute for Health Research. A guide for people who have osteoarthritis. 2014. http:\/\/www.keele.ac.uk\/media\/keeleuniversity\/ri\/primarycare\/pdfs\/OA_Guidebook.pdf. (accessed 03 July 2015)."},{"key":"2024051612300623000_7.6.e014999.57","unstructured":"Arthritis Research UK. Osteoarthritis of the knee. Chesterfield: Arthritis Research UK, 2013. http:\/\/www.arthritisresearchuk.org\/arthritis-information\/conditions\/osteoarthritis-of-the-knee.aspx."},{"key":"2024051612300623000_7.6.e014999.58","doi-asserted-by":"publisher","DOI":"10.1111\/j.1533-2500.2012.00532.x"},{"key":"2024051612300623000_7.6.e014999.59","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22197"},{"key":"2024051612300623000_7.6.e014999.60","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21918"},{"key":"2024051612300623000_7.6.e014999.61","unstructured":"Goodwin N , Curry N , Naylor C , et al . Managing people with long-term conditions. The Kings Fund 2010:98."},{"key":"2024051612300623000_7.6.e014999.62","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38977.590752.0B"},{"key":"2024051612300623000_7.6.e014999.63","doi-asserted-by":"publisher","DOI":"10.1002\/art.22995"},{"key":"2024051612300623000_7.6.e014999.64","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-014-0095-y"},{"key":"2024051612300623000_7.6.e014999.65","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2012.12.011"},{"key":"2024051612300623000_7.6.e014999.66","unstructured":"NHS England. Technology Enabled Care Services (TECS). Launch of technology enabled care services (TECS) resource for commissioners https:\/\/www.england.nhs.uk\/ourwork\/qual-clin-lead\/tecs\/ (accessed 05 Apl 2016)."},{"key":"2024051612300623000_7.6.e014999.67","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2015-308966"},{"key":"2024051612300623000_7.6.e014999.68","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s12911-016-0264-9","article-title":"Adherence and factors affecting satisfaction in long-term telerehabilitation for patients with chronic obstructive pulmonary disease: a mixed methods study","volume":"16","author":"Hoaas","year":"2016","journal-title":"BMC Med Inform Decis Mak"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2016-014999","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T19:46:12Z","timestamp":1715888772000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2016-014999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":68,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2017,6,17]]},"published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1136\/bmjopen-2016-014999"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2016-014999","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}