{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T12:07:22Z","timestamp":1793275642742,"version":"4.5.0"},"reference-count":66,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Groningen\/University Medical Center Groningen","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,1,7]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To provide an overview of barriers and facilitators that healthcare professionals (HCPs) perceive regarding the implementation of lifestyle interventions (LIs) in patients with hip and\/or knee osteoarthritis (OA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Scoping review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>The databases PubMed, Embase, CINAHL, PsycINFO and the Cochrane Library were searched from inception up to January 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>Primary research articles with a quantitative, qualitative or mixed-methods design were eligible for inclusion if they reported: (1) perceptions of primary and\/or secondary HCPs (population); (2) on implementing LIs with physical activity and\/or weight management as key components (concept) and (3) on conservative management of hip and\/or knee OA (context). Articles not published in English, German or Dutch were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction and synthesis<\/jats:title>\n                    <jats:p>Barriers and facilitators were extracted by two researchers independently. Subsequently, the extracted factors were linked to a framework based on the Tailored Implementation for Chronic Diseases checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-six articles were included. In total, 809 factors were extracted and subdivided into nine domains. The extracted barriers were mostly related to non-optimal interdisciplinary collaboration, patients\u2019 negative attitude towards LIs, patients\u2019 low health literacy and HCPs\u2019 lack of knowledge and skills around LIs or promoting behavioural change. The extracted facilitators were mostly related to good interdisciplinary collaboration, a positive perception of HCPs\u2019 own role in implementing LIs, the content or structure of LIs and HCPs\u2019 positive attitude towards LIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Multiple individual and environmental factors influence the implementation of LIs by HCPs in patients with hip and\/or knee OA. The resulting overview of barriers and facilitators can guide future research on the implementation of LIs within OA care. To investigate whether factor frequency is related to the relevance of each domain, further research should assess the relative importance of the identified factors involving all relevant disciplines of primary and secondary HCPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42019129348.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-056831","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T12:16:29Z","timestamp":1643717789000},"page":"e056831","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":31,"title":["Barriers and facilitators perceived by healthcare professionals for implementing lifestyle interventions in patients with osteoarthritis: a scoping review"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8056-6586","authenticated-orcid":false,"given":"Sjoukje E","family":"Bouma","sequence":"first","affiliation":[{"name":"Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliette F E","family":"van Beek","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"},{"name":"Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9873-208X","authenticated-orcid":false,"given":"Ron L","family":"Diercks","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8472-334X","authenticated-orcid":false,"given":"Lucas H V","family":"van der Woude","sequence":"additional","affiliation":[{"name":"Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"},{"name":"Department of Rehabilitation Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"},{"name":"Peter Harrison Centre for Disability Sport, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8183-6894","authenticated-orcid":false,"given":"Martin","family":"Stevens","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1614-8419","authenticated-orcid":false,"given":"Inge","family":"van den Akker-Scheek","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,2,1]]},"reference":[{"key":"2025121601152878000_12.2.e056831.1","unstructured":"Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF) . 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