Priority Setting of Physical Activity Barriers and Facilitators Among Individuals With Rheumatoid Arthritis: A Nominal Group Technique Study

REFERENCES

1. 1.↵
   1. Government of Canada

   . Canadian Chronic Disease Surveillance System (CCDSS). [Internet. Accessed July 17, 2025.] Available from: https://health-infobase.canada.ca/ccdss/data-tool/Index
2. 2.↵
   1. Lindqvist J,
   2. Alfredsson L,
   3. Klareskog L,
   4. Lampa J,
   5. Westerlind H.

   Unmet needs in rheumatoid arthritis: a subgroup of patients with high levels of pain, fatigue, and psychosocial distress 3 years after diagnosis. ACR Open Rheumatol 2022;4:492-502.

   OpenUrlPubMed
3. 3.↵
   1. Matcham F,
   2. Scott IC,
   3. Rayner L, et al

   . The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: a systematic review and meta-analysis. Semin Arthritis Rheum 2014;44:123-30.

   OpenUrlCrossRefPubMed
4. 4.↵
   1. Di Matteo A,
   2. Bathon JM,
   3. Emery P.

   Rheumatoid arthritis. Lancet 2023;402:2019-33.

   OpenUrlCrossRefPubMed
5. 5.↵
   1. Nikiphorou E,
   2. Santos EJ,
   3. Marques A, et al

   . 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis. Ann Rheum Dis 2021;80:1278-85.

   OpenUrlAbstract/FREE Full Text
6. 6.
   1. Rausch Osthoff AK,
   2. Niedermann K,
   3. Braun J, et al

   . 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Ann Rheum Dis 2018;77:1251-60.

   OpenUrlCrossRefPubMed
7. 7.
   1. England BR,
   2. Smith BJ,
   3. Baker NA, et al

   . 2022 American College of Rheumatology guideline for exercise, rehabilitation, diet, and additional integrative interventions for rheumatoid arthritis. Arthritis Care Res 2023;75:1603-15.

   OpenUrlCrossRef
8. 8.↵
   1. Metsios GS,
   2. Stavropoulos-Kalinoglou A,
   3. Panoulas VF, et al

   . Association of physical inactivity with increased cardiovascular risk in patients with rheumatoid arthritis. Eur J Cardiovasc Prev Rehabil 2009;16:188-94.

   OpenUrlCrossRefPubMed
9. 9.↵
   1. Guillon M,
   2. Rochaix L,
   3. Dupont JK.

   Cost-effectiveness of interventions based on physical activity in the treatment of chronic conditions: a systematic literature review. Int J Technol Assess Health Care 2018;34:481-97.

   OpenUrlPubMed
10. 10.↵
    1. Sokka T,
    2. Häkkinen A,
    3. Kautiainen H, et al

    . Physical inactivity in patients with rheumatoid arthritis: data from twenty-one countries in a cross-sectional, international study. Arthritis Rheum 2008;59:42-50.

    OpenUrlCrossRefPubMed
11. 11.↵
    1. Veldhuijzen van Zanten JJ,
    2. Rouse PC,
    3. Hale ED, et al

    . Perceived barriers, facilitators and benefits for regular physical activity and exercise in patients with rheumatoid arthritis: a review of the literature. Sports Med 2015;45:1401-12.

    OpenUrlCrossRefPubMed
12. 12.↵
    1. Ma JK,
    2. Ramachandran S,
    3. Sandhu A, et al

    . Tailored interventions for supporting physical activity participation in people with arthritis and related conditions: a systematic review. Curr Treat Opt Rheumatol 2022;8:117-42.

    OpenUrl
13. 13.
    1. Thomas R,
    2. Berry A,
    3. Swales C,
    4. Cramp F.

    Strategies to enhance physical activity in people with rheumatoid arthritis: a Delphi survey. Musculoskelet Care 2023;21:723-32.

    OpenUrl
14. 14.↵
    1. Li LC,
    2. Feehan LM,
    3. Xie H, et al

    . Efficacy of a physical activity counseling program with use of a wearable tracker in people with inflammatory arthritis: a randomized controlled trial. Arthritis Care Res 2020;72:1755-65.

    OpenUrlCrossRef
15. 15.↵
    1. Harb S,
    2. Cumin J,
    3. Rice DB, et al

    . Identifying barriers and facilitators to physical activity for people with scleroderma: a nominal group technique study. Disabil Rehabil 2021;43:3339-46.

    OpenUrlPubMed
16. 16.↵
    1. Michie S,
    2. Atkins L,
    3. West R.

    The behaviour change wheel: a guide to designing interventions. 1st edition, vol. 1003. Sutton: Silverback Publishing; 2014.
17. 17.↵
    1. Harvey N,
    2. Holmes CA.

    Nominal group technique: an effective method for obtaining group consensus. Int J Nurs Pract 2012;18:188-94.

    OpenUrlCrossRefPubMed
18. 18.↵
    1. Tong A,
    2. Sainsbury P,
    3. Craig J.

    Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349-57.

    OpenUrlCrossRefPubMed
19. 19.↵
    1. Delbecq AL,
    2. Van de Ven AH,
    3. Gustafson DH.

    Group techniques for program planning: a guide to nominal group and Delphi processes. Northbrook, Illinois: Scott Foresman & Co; 1975.
20. 20.↵
    1. Sangha O,
    2. Stucki G,
    3. Liang MH,
    4. Fossel AH,
    5. Katz JN.

    The Self-Administered Comorbidity Questionnaire: a new method to assess comorbidity for clinical and health services research. Arthritis Rheum 2003;49:156-63.

    OpenUrlCrossRefPubMed
21. 21.↵
    1. Godin G.

    The Godin-Shephard leisure-time physical activity questionnaire. Health Fit J Can 2011;4:18-22.

    OpenUrlCrossRef
22. 22.↵
    1. Cane J,
    2. O’Connor D,
    3. Michie S.

    Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci 2012;7:37.

    OpenUrlCrossRefPubMed
23. 23.↵
    1. Johnston M,
    2. Carey RN,
    3. Connell Bohlen LE, et al

    . Development of an online tool for linking behavior change techniques and mechanisms of action based on triangulation of findings from literature synthesis and expert consensus. Transl Behav Med 2021;11:1049-65.

    OpenUrlPubMed
24. 24.↵
    1. Riggs DM,
    2. Killingback C.

    What factors influence physical activity participation in people with rheumatoid arthritis? Phys Ther Rev 2019;24:298-307.

    OpenUrl
25. 25.↵
    1. Swärdh E,
    2. Opava C,
    3. Brodin N.

    Physical activity in patients with rheumatoid arthritis - an agile lifelong behaviour: a qualitative meta-synthesis. RMD Open 2021;7:e001635.

    OpenUrlAbstract/FREE Full Text
26. 26.↵
    1. Rhodes RE,
    2. McEwan D,
    3. Rebar AL.

    Theories of physical activity behaviour change: a history and synthesis of approaches. Psychol Sport Exer 2019;42:100-9.

    OpenUrl
27. 27.↵
    1. Greaves CJ,
    2. Sheppard KE,
    3. Abraham C, et al; IMAGE Study Group

    . Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health 2011;11:119.

    OpenUrlCrossRefPubMed
28. 28.↵
    1. Sezgin MG,
    2. Bektas H.

    The effect of coaching programs on physical activity and pain in patients with rheumatoid arthritis: a systematic review and meta-analysis of randomized controlled trials. Pain Manag Nurs 2023;24:549-57.

    OpenUrlPubMed
29. 29.↵
    1. Brady SM,
    2. Veldhuijzen van Zanten JJ,
    3. Dinas PC, et al

    . Effects of lifestyle physical activity and sedentary behaviour interventions on disease activity and patient- and clinician- important health outcomes in rheumatoid arthritis: a systematic review with meta-analysis. BMC Rheumatol 2023;7:27.

    OpenUrlPubMed
30. 30.↵
    1. Samdal GB,
    2. Eide GE,
    3. Barth T,
    4. Williams G,
    5. Meland E.

    Effective behaviour change techniques for physical activity and healthy eating in overweight and obese adults; systematic review and meta-regression analyses. Int J Behav Nutr Phys Act 2017;14:42.

    OpenUrlPubMed
31. 31.↵
    1. Reid H,
    2. Caterson J,
    3. Smith R, et al

    . What do healthcare professionals want from a resource to support person-centred conversations on physical activity? A mixed-methods, user-centric approach to developing educational resources. BMJ Open Sport Exerc Med 2022;8:e001280.

    OpenUrlAbstract/FREE Full Text
32. 32.↵
    1. Thompson WR,
    2. Sallis R,
    3. Joy E,
    4. Jaworski CA,
    5. Stuhr RM,
    6. Trilk JL.

    Exercise is medicine. Am J Lifestyle Med 2020;14:511-23.

    OpenUrlCrossRefPubMed
33. 33.↵
    1. De Mello MT,
    2. Lemos V,
    3. Antunes HK,
    4. Bittencourt L,
    5. Santos-Silva R,
    6. Tufik S.

    Relationship between physical activity and depression and anxiety symptoms: a population study. J Affect Disord 2013;149:241-6.

    OpenUrlCrossRefPubMed