Evaluating a multicomponent strategy to promote physical activity among adults with inflammatory arthritis and osteoarthritis attending urban primary health centers in Bhubaneswar India

The study evaluates the impact of a multicomponent strategy in promoting physical activity among adults with inflammatory arthritis (IA) and osteoarthritis (OA) attending urban primary health centres (UPHCs) in Bhubaneswar, India. It addresses multifaceted barriers hindering physical activity engagement among adults with IA and OA. The proposed multicomponent strategy integrates evidence-based components: self-management interventions, community health worker engagement, and capacity building of stakeholders, aiming to create a comprehensive approach to tackle these barriers. The study will be conducted in two selected UPHCs of Bhubaneswar. A quasi-experimental design will be employed which allows for the evaluation of cause-and-effect relationships by comparing outcomes before and after the intervention. Participants will include adults aged 40-65 years diagnosed with IA/OA and those individuals willing to participate in the multicomponent strategy intervention and follow up assessments. A qualitative research design will be carried out employing in-depth interviews with 10 individuals who have undergone the intervention, 5 community health workers, and 5 health care providers; 3 focus group discussion with community stakeholders. interventions Expected outcomes will be evidence of increased physical activity level, insights into self-management effectiveness, community health workers contributions and stakeholder perspectives. Additionally, enablers and barriers influencing the effective implementation of this strategy in the unique context of UPHCs will be identified.