Evidence map›Paper›PMID 41765163›Full record

ReviewOsteoarthritis and cartilage2026

More than a prescription: The need for behavioral theory to guide exercise interventions for osteoarthritis - A narrative review.

Christine A Pellegrini, Lisa C Carlesso, Daniel K White

Abstract readReview
In one paragraph

Review in Osteoarthritis and cartilage, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Christine A PellegriniDepartment of Exercise Science, University of South Carolina, United States. Electronic address: pellegca@mailbox.sc.edu.
Lisa C CarlessoSchool of Rehabilitation Science, McMaster University, Hamilton, Canada. Electronic address: carlesl@mcmaster.ca.
Daniel K WhiteDepartment of Physical Therapy, University of Delaware, Newark, United States. Electronic address: dkw@udel.edu.

Funding

NCCDPHP CDC HHS U48 DP006850
6 · The paper itself

Abstract

objectiveMany clinical exercise trials show that participation in exercise, such as strength training and aerobic walking, reduce osteoarthritis (OA)-related pain and functional limitation. This has led to exercise being one of the most commonly prescribed treatments for OA. However, little attention is given to the complex behavior elements of exercise, that is exercise is an activity that adults need to choose to engage in regularly, which is necessary to ensure exercise can have long-term efficacy to address pain. The purpose of this review is to highlight the behavioral aspects of exercise.

designNarrative review

resultsLimitations of previous clinical exercise trials in OA and why and how behavioral theories should be used to guide exercise interventions are highlighted. Three behavioral theories commonly used for exercise and physical activity interventions in other populations are reviewed. An overview of choosing a behavioral theory, building a conceptual model, and linking behavior change techniques to theoretical constructs is provided. Finally, in order to make the results more generalizable and comparable across studies, a standardized approach to quantify exercise behaviors is recommended.

conclusionIn conclusion, a shift to view exercise more as a behavior than a treatment is recommended. The use of behavioral theories is encouraged to guide interventions for clinical and research use to more effectively change exercise behaviors and reduce OA-related pain and functional limitations for the long-term.

Indexed as

Exercise TherapyHealth BehaviorOsteoarthritisHumansBehavior changeExerciseOsteoarthritis

Identifiers

PMID41765163
PMCPMC13273916

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.