Table 2

Summary of consultation workshop recommendations

Components identified to support healthcare professionals having conversations on physical activityCondition-specific and general benefits (including symptoms).
Directive messages to address common misconceptions.
Safety messages addressing common concerns.
Categories of activity (including what counts, practical suggestions and logistical considerations).
Resources to give to patients.
Activity recommendations that reflect disease activity.
Gain an understanding of physical activity levels and physical activity history.
Address perceived barriers and negative aspects of activity, for example, financial/access/time.
Signposting to appropriate resources for support of condition management and activity opportunities.
Clinical considerations for translating the evidence into practiceA resource that cut out important information due to an arbitrary design consideration would significantly reduce usefulness and uptake among healthcare professionals, so all identified components need to be included.
Time and prioritisation are prevalent barriers to physical activity conversations.
Messages should be positively rather than negatively framed.
Clinical recommendations should focus on the individual rather than reference national guidelines. Specifically, healthcare professionals and patients perceive 150 min of moderate-intensity activity per week as an unnecessary barrier to conversations with inactive people.
Developing a mechanism to support access to knowledge in routine clinical careA person-centred approach to physical activity decision making is considered fundamental by clinicians and patients. However, clinicians lack confidence in achieving this. Both clinicians and patients recommend explicit guidance on how to approach person-centred decision making in behavioural change conversations.
Disease-specific infographics were presented as a potential solution. Workshop participants unanimously agreed that flat infographics would not deliver the complexity of information healthcare professionals and patients require in clinical practice to support physical activity conversations.
A resource must be flexible enough to be helpful in both a short or long period of time.
To support conversations in practice, suggested responses to help address common concerns, such as the risks of physical activity, are helpful.
The internet provides an accessible, acceptable and feasible route of delivery.