Abstract / Summary
Abstract Background Guidelines recommend physical activity for managing inflammatory arthritis (IA), yet physical activity promotion is not consistently integrated into rheumatology care. Healthcare providers (HCPs) report barriers including limited consultation time, low self-efficacy in providing physical activity advice, and lack of accessible, disease-specific resources. This study describes the co-design of the “Just One Move” HCP-facing toolkit and qualitative HCP evaluation of its usability, usefulness, and implementation potential. Methods The Just One Move toolkit was developed through three phases grounded in the Behaviour Change Wheel. Preparatory work comprised two nominal group technique (NGT) priority-setting studies and an umbrella review. Iterative co-design sessions with rheumatology HCPs produced a multi-component toolkit evaluated through six semi-structured focus groups with 14 rheumatology HCPs. Data were analyzed using reflexive thematic analysis. Results We identified five themes: (1) Design; (2) Impact; (3) Roles; (4) Behaviour Change; and 5) Resources. Fourteen sub-themes elaborated needs, opportunities, and challenges between the toolkit’s perceived value and structural, relational, and systemic implementation constraints. Conclusions The Just One Move HCP toolkit was perceived as a feasible, practical resource for routine physical activity promotion in rheumatology care. Time constraints, role ambiguity, and limited tailored referral options were perceived challenges to implementation. Integration with team-based care, electronic medical record workflows, and the patient-facing Just One Move website is recommended.