Article

Exercise is recommended for hip and knee osteoarthritis (OA). Patient initiation
of, and adherence to, exercise is key to the success of managing symptoms. This
study aimed to (1) identify modifiable barriers and facilitators to participation
in intentional exercise in hip and/or knee OA, and (2) synthesize findings using
behavior change theory.
A scoping review with systematic searches was conducted
through March 2015. Two reviewers screened studies for eligibility. Barriers and
facilitators were extracted and synthesized according to the Theoretical Domains
Framework (TDF) by two independent reviewers. Twenty-three studies (total of 4633
participants) were included. The greatest number of unique barriers and
facilitators mapped to the Environmental Context and Resources domain. Many
barriers were related to Beliefs about Consequences and Beliefs about
Capabilities, whereas many facilitators were related to Reinforcement. Clinicians
should take a proactive role in facilitating exercise uptake and adherence,
rather than trusting patients to independently overcome barriers to exercise.
Strategies that may be useful include a personalized approach to exercise
prescription, considering environmental context and available resources,
personalized education about beneficial consequences of exercise and reassurance
about exercise capability, and use of reinforcement strategies. Future research
should investigate the effectiveness of behavior change interventions that
specifically target these factors.

Langue : ANGLAIS