SynthesisRheumatology international2026
Barriers to and facilitators of maintaining physical activity for people with hip and knee osteoarthritis: a mixed-methods systematic review.
Synthesis in Rheumatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Barriers to and facilitators of maintaining physical activity for people with hip and knee osteoarthritis: a mixed-methods systematic review.Rheumatology international · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Increasing physical activity (PA) is an important recommendation for the management of hip and knee osteoarthritis (OA), under which components of therapeutic exercise can be embedded. However, maintaining PA behaviour (≥ 6-months) following the cessation of structured exercise interventions remains challenging and under-explored. This mixed-methods systematic literature review aimed to identify the barriers to and facilitators of maintaining PA behaviour for those living with hip and/or knee OA. Electronic databases were searched for peer-reviewed studies examining PA behaviour maintenance (defined as at least six-months post-intervention) for those with hip and/or knee OA. Data were extracted, appraised using the Mixed-methods Appraisal Tool (MMAT), and synthesised narratively. Sixteen studies (n = 1,486; 73.7% female) were included: six quantitative, five qualitative and five mixed-methods. The most frequently cited TDF domains were beliefs about capabilities (e.g. confidence reinforced by intervention skills), environmental context and resources (e.g. competing priorities), and memory, attention and decisional processes (e.g. memory recall - forgetting). Quantitative evidence supported these domains highlighting that correlates such as self-efficacy, energy levels, social support and resource availability strongly influenced PA behaviour maintenance. Integrated findings informed the Physical Activity Maintenance for osteoArthritis (PAMA) conceptual map, illustrating the dynamic interactions between individual, social and environmental factors. This review revealed that maintaining PA behaviour is multifactorial and influenced by individual, social and environmental factors. Further research should consider these interactions in the design of future interventions and in healthcare practice to foster and support the maintenance of PA behaviour for those living with hip and knee OA. PROSPERO registration: CRD42024591820 .
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.