Title: POS1600-HPR MATERIALS FOR HEALTH PROMOTION ON LIFESTYLE FACTORS FOR PEOPLE WITH RMDS ACROSS EUROPE: ASSESSMENT OF CURRENT MATERIALS AND IMPLEMENTATION NEEDS
Abstract: <h3>Background</h3> healthy lifestyle is known to prevent the progression of rheumatic and musculoskeletal diseases (RMDs). Despite contemporary improvements in RMD clinical care, the management of lifestyle factors has received less attention. Underlying causes may be the lack of awareness and insufficient evidence, but patient and physician education may also play a role. <h3>Objectives</h3> to collect and review currently available materials for health promotion on lifestyle factors for people with RMDs across Europe and to assess their implementation needs. <h3>Methods</h3> materials on lifestyle factors (diet, weight control, physical activity, work participation, alcohol consumption and smoking) were collected from health professionals in rheumatology and patient associations through EULAR and EMEUNET channels. <h3>Results</h3> 38 materials from 11 countries were retrieved (Table 1), including North, South, and Central European regions. Documents (22) or leaflets (12) were the most frequent materials. The most reported factor was diet (23) followed by physical activity (17), whereas information on work participation was scarce [2]. The materials were more commonly focused on rheumatoid arthritis (8), although documents for people with RMDs in general were also frequent (12). Only eight materials included scientific references. Although 23 materials contained some kinds of recommendations, only two were evidence-based, whereas the rest contained general statements. Materials were mostly available in the official national language, and 16 were accessible on the internet, whereas no information on accessibility or reach was obtained for the remainder. Significant limitations across implementation domains (process model, determinant frameworks, and evaluation) were observed, mostly due to flawed knowledge generation, poor identification of barriers and facilitators, and lack of evaluation frameworks. <h3>Conclusion</h3> although materials on lifestyle factors were common, they were not always available at the national level across Europe. Current materials are hallmarked by a lack of consistency in formats, layouts, content, focus, lack of scientific evidence and patient involvement. Major impediments for implementation were found. These findings will inform the implementation of EULAR-endorsed recommendations on lifestyle factors for people with RMDs. <h3>Acknowledgements</h3> We thank HPR, PARE associations and EMEUNET for their collaboration in collecting informative materials on lifestyle factors accross European countries. <h3>Disclosure of Interests</h3> None Declared.