Exploration of country-specific barriers and facilitators for the implementation of physical activity according to the EULAR physical activity recommendations for people with rheumatic musculoskeletal diseases in four different European countries: th

Despite comparable overall scores, the relevance of social, environmental, and system-level determinants of PA varied across countries These findings highlight the importance of country-specific contextual factors for understanding PA participation and for designing tailored, effective PA promotion strategies in people with RMDs. Key Points • This study provides novel cross-country insights by comparing contextual determinants across four European countries on how cultural norms and environmental infrastructures shape PA behavior in people with RMDs. • Context tailored promotion strategies may be crucial to increase adherence to PA recommendations and to make the implementation of policies more effective.