Derek W Craig, Timothy J Walker, Paula Cuccaro, Shreela V Sharma, Natalia I Heredia, Michael C Robertson, Maria E Fernandez
Using the R = MC2 heuristic to understand barriers to and facilitators of implementing school-based physical activity opportunities: a qualitative study
BMC public health
physical activity pa promising intervention disease modification symptom management multiple sclerosis ms however lack research focusing pa behavior change interventions persons newly diagnosed ms pa behavior change interventions developed based strong empirical foundation understanding behavior determinants ie target changes occur end qualitative study examined factors explaining pa persons newly diagnosed ms identified potential targets future behavior change intervention development based capabilityopportunitymotivationbehavior comb model twenty individuals diagnosed ms within past 2 years underwent oneonone semistructured interviews using questions developed based comb model data analyzed using reflective thematic analysis identified themes mapped comb model factors explaining pa study sample identified across comb components typical factors include knowledge skills sufficiently engage pa appropriate approaches ability adapt navigate new environmental social difficulties diagnosis motivation resulting combination factors outcome expectation belief capabilities roleidentity reinforcement emotions comb model applied successfully study understand pa behavior identify potential targets behavior change individuals newly diagnosed ms future behavior change interventions consider addressing factors generate effective pa behavior change population