Conference Agenda
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Daily Overview |
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WR1_1_2: Abstract presentations: Promoting Physical Activity and Health in Work and Education Settings Location: White room 1 Session Chair: Sebastià Mas-Alòs | |
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2:38pm - 2:48pm
Community-based interventions to support physical activity maintenance in people living with long-term conditions (LTCs): A scoping review 1: 1University of Southampton; 2: RCSI University of Medicine and Health Sciences Purpose: Physical activity (PA) is essential for health and wellbeing in people with long-term conditions (LTCs), yet maintaining PA over time remains challenging, particularly in the presence of multimorbidity and socioeconomic disadvantage. While many interventions focus on PA initiation, less is known about strategies that support long-term maintenance in community settings beyond clinical rehabilitation. This scoping review aimed to map and synthesise community-based interventions that support PA maintenance among adults with one or more LTCs. Methods: OVID Medline, EMBASE, CINAHL and grey literature databases were searched for quantitative, qualitative and mixed-methods studies published between 2012 and 2026. The review followed Preferred Reporting Items for Scoping Reviews guidelines. Two reviewers independently screened studies and one reviewer extracted data. Studies were classified as either natural history studies, examining maintenance following intervention withdrawal, or maintenance intervention studies, which included ongoing strategies to support PA behaviour. Results: Of 6,574 records identified, 26 studies from 10 countries met the inclusion criteria. Over half were published since 2016. Cancer, COPD and type 2 diabetes were the most frequently studied LTCs. Although 38% of studies included participants with multiple LTCs, few adapted interventions for multimorbidity. Fifteen studies were classified as natural history studies and 11 as maintenance interventions. Settings included fitness centres, community facilities, charities and walking groups. Common behaviour change strategies included goal setting, self-monitoring, PA diaries, motivational support, education and relapse prevention. Ten studies reported no theoretical underpinning. Conclusions: This review is the first to distinguish PA maintenance interventions from natural history studies. Evidence largely focuses on single conditions, highlighting the need for research targeting multimorbidity, longer-term follow-up, participant experiences, and clearer reporting of maintenance strategies and mechanisms. Funding: A UK Higher Education Innovation Funding (HEIF) grant was supported by an Undergraduate Research Internship at the University of Southampton. | |
