Op0159-HPR Systematic Review on Barriers and Facilitators for People With Rheumatic and Musculoskeletal Diseases for Adherence to Eular Physical Activity Recommendations

Background: The 2018 EULAR recommendations aimed at promoting health-enhancing physical activity face significant challenges in practical implementation, despite their established benefits 1-3. While personal barriers and facilitators are known and similar internationally, there is uncertainty about country-specific factors. This study, as part of an EULAR-supported initiative, aims to investigate the extra personal factors influencing the implementation of these recommendations. Objectives: To identify through a systematic review barriers and facilitators from patients' perspective, affecting the implementation of Physical Activity (PA) at environmental, social, and systemic levels. Methods: In the present systematic review, an exhaustive search encompassing the MEDLINE, CENTRAL, and CINAHL databases was conducted up to December 2023. The inclusion criteria involved surveys or interviews elucidating barriers or facilitators to physical activity in people with inflammatory arthritis or osteoarthritis, with no restrictions placed on publication date or language. Exclusion criteria were applied to articles exclusively centering on personal determinants. The selection process and subsequent data extraction were executed by a minimum of two independent authors. The themes identified were presented according to 3 main categories of the Theoretical Domains Framework (TDF): social, environmental, and systemic levels. Results: The search of the scientific literature had been completed with 12 304 articles initially screened in the different databases, with a final result of 68 articles included after verification of the inclusion criteria. A total of 29 different themes were identified: 9 social, 16 environmental and 4 systemic (Cf Table 1). The 5 most frequently found themes were, in order: supportive family and friends; supporting Health Professional; costs; adapted and supervised programs and access, proximity. Conclusion: Finally, 3 types of predominant factors were identified: Social factors (social comparison, social support, etc.), environmental factors (weather, safety, transport, etc.) and systemic factors (cost, financial support, etc.). These factors may vary from one country to another and influence the adoption of the recommendations. Further research is needed to understand these differences and tailor strategies for each country. As the next phase of the project, a questionnaire will be developed and distributed in 4 European countries to identify barriers and facilitators for the uptake and adherence to physical activity according to EULAR recommendations on physical activity. REFERENCES: 1 Fabre S, Rheumatol Int. déc 2016;36(12):1711-8. 2 Metsios GS, Mediterr J Rheumatol. 31 déc 2019;30(4):231-6. 3 Rausch Osthoff AK, RMD Open. 2018;4(2):e000713. Acknowledgements: NIL. Disclosure of Interests: None declared.